Lighting Rebate
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
847-3520, 728-8366 or 1-800-321-3520 • beckman@federatedrea.coop
Business Member Information
Company name
Billing address
City
Installation address
(if different from above)
Location # & Member #
Contact name
Email
Vendor Information
Vendor name
Vendor address
City, State, ZIP
Vendor contact name
Email
Phone
State
ZIP
Phone
Phone
The undersigned does hereby certify that 1) The undersigned, and not the cooperative, is solely
responsible for the accuracy of the information contained in this application, 2) all rules of the Lighting
Rebate program have been followed, and 3) the installation is complete. Further, the undersigned
acknowledges that nothing contained in the application shall impose any liability on the cooperative for the
work performed and information presented by the member’s engineer, contractor or vendor. Federated
Rural Electric Association will be referred to hereafter in this application as "the cooperative".
Member signature
Date
How to Apply for This Rebate
1. Fill out this rebate application. All information needs to be supplied before a rebate check can be issued.
Please note all warranty information, rules, and qualifications on the rules and information tabs of this form.
2. Complete and sign rebate forms. Mail or fax pages to the cooperative.
3. Call your cooperative with any questions.
Application #
Lighting Retrofit Rebate
Business Name
0
Air Conditioned (Y/N)
LED Lamps
Watts
$/Unit
Quantity
Rebate
Hrs/Yr
Energy Star or DLC Qualified :
Interior LED lamps (includes screw or pin)
LED Lamp
5W or less
LED Lamp
6W-10W
LED Lamp
11W-20W
LED Lamp
21W-30W
LED 2x4 Troffer
19W-40W
LED 2x2 Troffer
$5
$
-
$10
$
-
$13
$
-
$18
$
-
Replaces T12 or T8 lamp
$26
$
-
15W-30W
Replaces T12 or T8 system
$18
$
-
LED 2x4 Troffer (retrofit kit)
19W-40W
Replaces T12 or T8 lamp
$20
$
-
LED 2x2 Troffer (retrofit kit)
15W-30W
Replaces T12 or T8 system
$12
$
-
18W or less
Replaces T12 or T8 system
$6
$
-
Replaces T12 or T8 system with LED Case Lighting
$50
$
-
LED 4/ tubular lamp
Replaces Incandescent, Halogen, CFL or Fluorescent
Lamps with an Energy Star qualified LED Lamp that
uses 3-8 times less energy (e.g. a 10W LED replaces
30W-80W)
Refrigerator/Freezer LED Lighting
LED Case Lamp
LED Fixtures
5'-6'
Watts
$/Unit
Quantity
Rebate
Energy Star or DLC Qualified :
Exterior & Interior Commercial LED fixtures (including downlights, recessed cans, pendants and surface mounted fixtures)
LED Fixture
25W or less
LED Fixture
26W-50W
LED Fixture
51W-75W
Replaces Incandescent, Halogen, CFL or Fluorescent
Lamps with an Energy Star qualified LED fixture that
uses 3-6 times less energy (25W LED fixture replaces
75W-150W)
$20
$
-
$25
$
-
$30
$
-
Energy Star or DLC Qualified (Equivalent may be approved by cooperative) :
Exterior & Interior Commercial LED fixtures; wallpacks, soffit, canopy, hi-bay / lo-bay and pole mount
LED Fixture
40W or less
Replace 3-6 x HID
$35
$
-
LED Fixture
41W-80W
Replace 3-6 x HID
$60
$
-
LED Fixture
81W-120W
Replace 3-6 x HID
$90
$
-
LED Fixture
121W-200W
Replace 3-6 x HID
$120
$
-
LED Fixture
201W-250W
Replace 3-6 x HID
$140
$
-
8W or less
Replace Incandescent Exit Sign
$10
$
-
LED exit sign (retrofit only)
LED Exit Sign (retrofit only)
(lighting rebates continued over)
Hrs/Yr
Lighting Retrofit Rebate (continued)
Flourescent Fixture
Fluorescent T5 Lamps
with Electronic Ballasts
$/Unit
≤ 4 ft.
≤ 4 ft.
Fluorescent T8 Lamps
with Electronic Ballasts
Fluorescent Super T8 Lamps
with Electronic Ballasts
$
17.00
$
-
1 and 2 lamp
$
11.00
$
-
3 and 4 lamp
$
16.00
$
-
1 and 2 lamp
$
10.00
$
-
2 lamp
$
16.00
$
-
1 lamp
$
10.00
$
-
3 and 4 lamp
$
16.00
$
-
1 and 2 lamp
$
10.00
$
-
2 lamp
$
16.00
$
-
1 lamp
$
10.00
$
-
1 lamp
$
0.55
$
-
5 ft. to 8 ft.
Low-Wattage Fluorescent T8 Lamps
≤ 4 ft., ≤ 28W
Rebate
3 and 4 lamp
5 ft. to 8 ft.
≤ 4 ft.
Quantity
2-lamp T5HO, 3-lamp T5HO, 4-lamp T8
Replace HID 150-250W lamp systems
$
36.00
$
-
3-lamp T8VHO, 4-6 lamp T5HO, 6-8 lampT8
Replace HID 310-400W lamp systems
$
65.00
$
-
6-lamp T8VHO, 8-lamp T5HO, 12-16 lamp T8
Replace HID 750W lamp systems
$
80.00
$
-
Replace HID 1000W lamp systems
$ 100.00
$
-
Controls hi-bay fluorescent fixture
$
5.00
$
-
> 56W
$
25.00
$
-
33W to 56W
$
21.00
$
-
19W to 32W
$
16.00
$
-
≤ 18W
$
8.00
$
-
> 56W
$
10.00
$
-
33W to 56W
$
6.00
$
-
19W to 32W
$
4.00
$
-
≤ 18W
$
2.00
$
-
$
33.00
$
-
8-lamp T8VHO, 10-lamp T5HO, 18-20-lamp T8
Automated control / fixture (photo/motion)
Hardwired or Modular
Compact Fluorescent Fixtures
(does not include screw-base CFL's)
Screw-Base Compact Fluorescent Lights
Industrial Multi-CFL Fixtures
Replace T12 or metal halide systems
HID Fixture
$/Unit
High Pressure Sodium Fixtures
$
45.00
$
-
151W - 250W
$
30.00
$
-
≤ 150W
$
20.00
$
-
≥ 750W
$
70.00
$
-
320W - 749W
$
60.00
$
-
176W - 319W
$
45.00
$
-
≤ 175W
$
28.00
$
-
≥ 251W
$
75.00
$
-
151W - 250W
$
50.00
$
-
51W to 150W
$
35.00
$
-
≤ 50W
$
25.00
$
-
sq. ft.
$
1.00
$
-
sq. ft.
$
1.00
$
-
Ceramic Metal Halide Fixtures
Automatic Controls (hard wired)
(Must be permanently installed)
Rebate
≥ 251W
Pulse-Start Metal Halide Fixtures
Reflectors
Quantity
Must result in permanent
removal of lamps from the
existing systems.
Hours of
operation
% Operating hour reduction
**
Connected
Total kW*
$/Unit
Quantity
Rebate
Hrs/Yr
Hrs/Yr
Hrs/Yr reduced**
Photocell
$14.00
$
-
-
Ceiling Mount Occupancy Sensor
$25.00
$
-
-
Wall Mount Occupancy Sensor
$14.00
$
-
-
$5.00
$
-
-
Fixture Mount Sensor (> 120 W fix.)
*Apply the total wattage of all controlled fixtures associated with total control quantity
**Apply hour reduction based on difference between hour used w/out controls & hours w/ control type
***Required Information. Must enter total project cost to determine rebate.
***Project Cost $
-
Total Rebate $
-
Application #
New Construction Lighting
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
847-3520, 728-8366 or 1-800-321-3520 • beckman@federatedrea.coop
Business Name
0
Lighting project in air conditioned space (Y/N)
LED Lamps
$/Unit Quantity Rebate
Energy Star or Design lights Consortium qualified :
Interior LED lamps (includes screw or pin)
LED Lamp
LED Lamp
LED Lamp
LED Lamp
LED 4' tubular lamp
LED troffer
Refrigerator/Freezer LED Lighting
LED Case Lamp
5W or less
$4.00
$8.00
$10.00
$12.00
$5.00
$25.00
6W-10W
11W-20W
21W-30W
18W or less
19W-40W
5'-6'
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.00
LED Fixtures
$/Unit
Hrs/Yr
$0.00
Quantity
Rebate
Hrs/Yr
Energy Star or Design lights Consortium qualified :
Interior & Exterior Commercial LED fixtures (including downlights, recessed cans, pendants and surface mounted fixtures)
25W or less
LED Fixture
26W-50W
LED Fixture
51W-75W
LED Fixture
Energy Star or DLC Qualified (Equivalent may be approved by cooperative) :
Interior & Exterior Commercial LED fixtures; wallpacks, soffit, canopy, hi-bay / lo-bay and pole mount
LED Fixture
40W or less
LED Fixture
41W-80W
LED Fixture
81W-120W
LED Fixture
121W-200W
LED Fixture
201W-250W
Fluorescent
Fluorescent T5 Lamps
with Electronic Ballasts
Fluorescent Super T8 Lamps with
Electronic Ballasts
Low-Wattage Fluorescent T8 Lamps
3 and 4 lamp
1 and 2 lamp
3 and 4 lamp
1 and 2 lamp
2 lamp
1 lamp
1 lamp
≤ 4 ft
≤ 4 ft.
5 ft to 8 ft
4 ft., ≤ 28W
33W to 56W
19W to 32W
≤ 18W
(does not include screw-base CFL's)
High-bay Fluorescent T5 HO Lamps
with Electronic Ballasts
Pulse-Start Metal Halide Fixtures
Ceramic Metal Halide Fixtures
Automatic Controls
(Must be permanently installed)
$30.00
$50.00
$70.00
$105.00
$120.00
$0.00
$0.00
$0.00
$0.00
$0.00
Rebate
$2.75
$2.20
$0.00
$0.00
$2.50
$1.90
$2.75
$2.00
$0.55
$0.00
$0.00
$0.00
$0.00
$0.00
$8.80
$5.50
$3.30
$0.00
$0.00
$0.00
$15.00
$0.00
4 ft
6 and 8 lamp
4 ft.
6 and 8 lamp
$20.00
$0.00
4 ft
4 lamp
$15.00
$0.00
HID
High Pressure Sodium
$0.00
$0.00
$0.00
$/Unit
Hardwired or Modular Compact
Fluorescent Fixtures
High-bay Fluorescent T8 Lamps with
Electronic Ballasts
$17.00
$23.00
$28.00
$/Unit
≤ 150W
≥ 750W
320W - 749W
176W - 319W
≤ 175W
≥ 251W
151W - 250W
≤ 150W
20-25W integrated CMH w/ electronic ballast
Hours of
operation
% Operating hour
reduction**
Connected kW*
Total
Photocell
Ceiling Mount Occupancy Sensor
Wall Mount Occupancy Sensor
Fixture Mount Sensor (> 120 W fix.)
*Apply the total wattage of all controlled fixtures associated with total control quantity
**Apply hour reduction based on difference between hour used w/out controls & hours w/ control type
***Required Information. Must enter total project cost to determine rebate.
Rebate
$6.60
$0.00
$19.80
$13.20
$8.80
$6.50
$0.00
$0.00
$0.00
$0.00
$16.50
$11.00
$22.00
$8.00
$0.00
$0.00
$0.00
$0.00
$/Unit
$7.00
$15.00
$7.00
$4.00
Rebate
$0.00
$0.00
$0.00
$0.00
$0.00
Hrs/Yr
Hrs/Yr
Hrs/Yr
reduced**
-
***Project Cost $
-
Total Rebate $
-
Lighting Retrofit Rebate Rules and Qualifications
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
Specific Rules and Qualifications
The cooperative offers rebates to qualifying members who
purchase and install qualifying energy-efficient lighting
products in existing buildings. If the system configuration does
not fit one of the prescriptive rebates shown, the project may
still qualify for a rebate through the Custom Energy Rebate
program. The Custom Energy Rebate requires review and
approval by the participating member cooperative. Illuminating
Engineering Society (IES) light levels are recommended.
1. Fluorescent T8 or T5 Lamps with Electronic Ballast
Rebates based on installed equipment of one-for-one
replacement of incandescent fixtures, fluorescent T12 lamps
controlled by magnetic ballasts, or other fixture type that
produce similar kW savings.
2. Fluorescent Super T8 Lamps with Electronic Ballast
Rebate based on installed equipment of one-for-one
replacement of incandescent fixtures, fluorescent T12 lamps
controlled by magnetic ballasts, or other fixture type that
produce similar kW savings. Super T8 systems must meet the
following CEE criteria: – Lamps must produce at least 3,100
initial lumens; have a color-rendering index of (CRI) ≥81; have
mean lamp lumens of per watt ≥90 for instant start ballast or
≥88 for programmed rapid start ballast; a lamp life of ≥24,000
hours (at 3 hrs/start); and have lumen maintenance of ≥94%.
– Ballasts must have a ballast efficacy factor (BEF) at least as
high as the factors shown in the tables below.
Instant Start Ballast (BEF)
Low
Normal
Lamps
(BF ≤ 0.85) (0.85<BF ≤ 1.0)
1
3.08
3.11
2
1.60
1.58
3
1.04
1.05
4
0.79
0.80
High
(BF ≥ 1.01)
N/A
1.55
1.04
0.77
Programmed Rapid Start Ballast (BEF)
Low
Normal
High
Lamps
(BF ≤ 0.85) (0.85<BF ≤ 1.0) (BF ≥ 1.01)
1
2.84
2.84
N/A
2
1.48
1.47
N/A
3
0.97
1.00
N/A
4
0.76
0.75
N/A
3. Low-wattage T8 Lamps
• Rebates are based on the installation of 4-ft T8 lamps 28W
or less. Rebate is based on the number of lamps.
• Example A: Replace a 4-lamp 4-ft. T12 fixture with a 4-lamp
4-ft. T8 fixture with 28W T8 lamps; Rebate equals the T12 to
T8 fixture retrofit rebate of $20 plus the low-wattage T8
rebate of $2.20 ($.55 x 4) for a total rebate of $22.20.
• Example B: Remove standard 32W 4-ft. T8 lamp from a
fixture and install a 28W T8 lamp. Rebate equals $0.55.
4. High-bay Fluorescent T8 and T5HO Lamps with
Electronic Ballast
• Rebates are based on one-for-one replacement of various
wattage HID fixtures including mercury vapor, high pressure
sodium, metal halide, pulse start metal halide, or other
fixture type that produce similar kW savings. See table on
inputs page for examples.
• High-bay fluorescent T8, T8 VHO, and T5 HO of various lamp
quantities must maintain corresponding lumen output and
produce kW savings based on their respective replacements.
Fixtures must meet the following conditions:
– Lumen maintenance >90%
– Fixture efficiency >80%
– Fixtures must have reflectors
•Fixtures with individual automatic controls installed qualify
to receive additional rebate per fixture.
5. Compact Fluorescent Fixtures (CFLs)
Rebates are based on one-for-one replacement of
incandescent fixtures with new hard-wired (dedicated) or
modular fixtures containing pin based CFLs. For fixtures that
house more than one lamp, the rebate is based on the total
fixture wattage. (i.e., one fixture that houses (2) 18W CFLs
would be rebated as (1) 36W CFL fixture). Screw based CFLs
qualify at lower monetary levels.
6. Industrial Multi-Compact Fluorescent Fixtures
Rebates are based on one-for-one replacement of metal
halide or fluorescent T12 lamps controlled by magnetic
ballasts.
7. High Pressure Sodium (HPS) Fixtures
Rebates are based on one-for-one replacement of
incandescent , metal halide, or mercury vapor fixtures. High
pressure sodium lamp wattage must be lower than existing
lamp wattage.
8. Pulse-Start Metal Halide (PSMH) Fixtures
Rebates are based on one-for-one replacement of
incandescent, mercury vapor, high pressure sodium, or metal
halide fixtures. Pulse-start lamp wattage must be lower than
existing lamp wattage.
Lighting Retrofit Rebate Rules and Qualifications
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
9. Ceramic Metal Halide Fixtures
Rebates are based on one-for-one replacement
of incandescent, halogen, mercury vapor, high
pressure sodium, metal halide, or pulse-start
metal halide fixtures. Ceramic metal halide lamp
wattage must be lower than existing lamp
wattage.
10. Reflectors
Rebates are for permanently installed reflectors
that have a minimum four-year manufacturer’s
product warranty, are U.L. approved and result in
the permanent removal of fluorescent lamps
from the existing fixture.
11. Automatic Controls – Occupancy Sensors,
Photocells.
Automatic controls must be permanently
installed wall or ceiling mounted, passive
infrared, ultrasonic, or dual technology sensors.
Rebate for controlling an area, not individual
fixtures.
12. LED Exit Signs
Rebates are based on one-for-one replacement of
the entire incandescent exit sign to LED exit sign.
CFL exit signs do not qualify.
Warranty Information
Rebate qualifications do not imply any representation or warranty of such equipment, design or
installation by the cooperative. The cooperative shall not be responsible or liable for any personal injury
or property damage caused by this equipment. The cooperative does not guarantee that a specific level
of energy or cost savings will result from the implementation of energy conservation measures or the
use of products funded under this program. In no event shall the cooperative be liable for any incidental
or consequential damages.
Other Important Program Rules
1. Installation must be complete before rebate funds will be issued.
2. Members and vendors must submit itemized equipment invoices, along with rebate application and
worksheet, to the cooperative. To ensure that the equipment installed meets the cooperative’s
performance standards, these invoices must itemize labor charges, quantity and price of the equipment
installed, as well as information regarding the manufacturer and model numbers for all lamps, ballasts
and fixtures included in the rebate.
3. The cooperative reserves the right to conduct random inspections of installations.
4. The member is responsible for checking with the cooperative to determine whether funding is
available and to verify program parameters.
5. Project must comply with all program specific rules and qualifications.
6. The maximum rebate amount shall be the lesser of 50 percent of the project cost or $##,000.
7. Qualifying members must apply for rebates no later than November 18, 2016.
New Construction Lighting Rebate Rules and Qualifications
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
Specific Rules and Qualifications
The cooperative offers rebates to qualifying members who
purchase and install qualifying energy-efficient lighting
products in new buildings. If the system configuration does
not fit one of the prescriptive rebates shown, the project
may still qualify for a rebate through the Custom Energy
Rebate program.
1. Fluorescent T5 Lamps with Electronic Ballast
• Rebate based on the installation of fluorescent T5
controlled by electronic ballasts.
2. Fluorescent Super T8 Lamps with Electronic Ballast
•Lamps: produce at least 3,100 initial lumens; colorrendering index (CRI) ≥81; mean lamp lumens per watt ≥90
for instant start ballast or ≥88 for programmed rapid start
ballast; lamp life ≥24,000 hours (at 3 hrs/start); and lumen
maintenance ≥94%.
• Ballast must have a ballast efficacy factor (BEF) at least as
high as the factors shown in the tables below.
Lamps
1
2
3
4
Instant Start Ballast (BEF)
Low
Normal
High
(BF ≤ 0.85) (0.85<BF ≤ 1.0) (BF ≥ 1.01)
3.08
3.11
N/A
1.60
1.58
1.55
1.04
1.05
1.04
0.79
0.80
0.77
Programmed Rapid Start Ballast (BEF)
Low
Normal
High
Lamps (BF ≤ 0.85) (0.85<BF ≤ 1.0) (BF ≥ 1.01)
1
2.84
2.84
N/A
2
1.48
1.47
N/A
3
0.97
1.00
N/A
4
0.76
0.75
N/A
3. Low-wattage T8 Lamps
•Rebate based on the installation of 4-ft T8 lamps less than
or equal to 28W. Rebate is based on the number of lamps.
4. High-bay Fluorescent T8 and T5HO Lamps with
Electronic Ballast
• Rebate Eligible 6, 8-lamp T5 or 4-lamp T5 HO systems.
• High-bay fluorescent T8 6 or 8-lamp and high-bay
fluorescent , T5HO 4-lamp fixtures must meet the following
minimum eligibility criteria:
– Total fixture wattage < 240W
– Lumen maintenance >90%
– Initial lumens ≥ 20,000
– Fixtures must have reflectors
– Fixture efficiency >80%
5. Compact Fluorescent Fixtures (CFLs)
• Rebates are available for new hard-wired (dedicated) or
modular fixtures containing pin based CFLs. For fixtures
that house more than one lamp, the rebate is based on the
total fixture wattage. (i.e., one fixture that houses (2) 18W
CFLs would be rebated as (1) 36W CFL fixture. Screw-based
(integral) CFLs do not qualify.
6. High Pressure Sodium (HPS) Fixtures
• Rebate is based on installation of HPS fixtures less than or
equal to 150W.
7. Pulse Start Metal Halide (PSMH) Fixtures
• Rebate is based on the installation of a PSMH fixture.
8. Ceramic Metal Halide Fixtures
• Rebate is based on the installation of a ceramic metal
halide fixture.
9. LED Rebates
• Rebate is based on the installation of a like delivered
lumen output lamp / fixture based on typically used
technology (refer to ranges on rebate sheet).
• The cooperative offers rebates to qualifying members
who purchase and install qualifying energy-efficient LED
lighting products . Energy Star and Design Lights
Consortium (DLC) are recognized approving agencies for
LED lamps and fixtures.
• LED interior lamps and downlight luminaires/fixtures
must be ENERGY STAR® or DLC qualified. The lists of
ENERGY STAR qualified products are available at
energystar.gov/SSL Partners. Lamps are listed under the
section “Partner Resources for LED Lamps”. Luminaires/
fixtures are listed under “Partner Resources for LED
Fixtures.”
• The ENERGY STAR list of qualified luminaires includes a
variety of products. In order to qualify for the prescriptive
rebates for LED downlight luminaires/fixtures, the product
must be listed as “Commercial” or “Both” in the
“Application” column of the ENERGY STAR product list. In
addition, the product description in the “Product Type”
column must include the word “Downlight.”
• ENERGY STAR does not have a qualified products list for
LED canopy or soffit lighting or LED refrigerated case
lighting (therefore, an ENERGY STAR rating is not required
for those specific prescriptive rebates. See DLC for
qualifying guidelines).
• For exterior LED canopy and soffit lights eligibility, the
member must be replacing HID fixtures only.
• If the system configuration does not fit one of the
prescriptive rebates shown, the project may still qualify for
a rebate through the Custom Energy Rebate program. The
Custom Energy Rebate requires review and approval by the
participating member cooperative.
• Illuminating Engineering Society (IES) light levels are
Lighting Rebate
2016 Rebate Application
Federated Rural Electric, ATTN: Jon, P.O. Box 69, Jackson, MN 56143
Business Name
0
Completion of the LED lighting worksheet is required before rebate will be issued.
Existing Lighting System
# Fixtures
Watts/ Fixture
Annual Hours
New Lighting System
# Fixtures
Watts/ Fixture
Annual Hours
Saved kW
Replaces Incandescent, Halogen or Fluorescent Lamps
1
with an111
ENERGY STAR
111 qualified LED Lamp that uses 3-6 times less energy
1
(e.g. a 10W
15 LED replaces
111 30W-60W)
Total
Controls
kW connected
Photocell
Ceiling Mount Occupancy Sensor
Automatic Controls
Wall Mount Occupancy Sensor
Fixture Mount Occupancy Sensor
Saved kWh
0.10
11
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
0.10
11
Hrs/Yr reduced
Saved kWh
0.000
-
0
0.000
-
0
0.000
-
0
0.000
-
0
Total
-
Example - How to Complete Form
Incandescent Bulb
1
75
4000
LED Lamp 15 Watt
1
15
4000
0.06
240
Halogen PAR 30
1
65
2500
LED Lamp PAR 30 Downlight
1
11
2500
0.05
135
Refrigerated Case, F60T12/CW/HO, 75 W
10
75
8000
LED Case Light
10
15
8000
0.60
4,800
Total
$
0.71
5,175