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