2014 Multifamily
Energy-Efficiency
Rebate Program
Important Program Information and Rebate Application Package
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2014 Multifamily
Energy-Efficiency Rebate Program
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Table of contents
Required Reading - Important Program Information............................................................................... 1
Steps on How to Reserve a Rebate........................................................................................................ 2
Rebate Reservation Form..................................................................................................................... 3
Application Form (with Terms and Conditions).....................................................................................4–5
Apartment and Common Area Product Form.......................................................................................6–9
Common Areas Products Location Form.............................................................................................. 10
Apartment Product Location Form...................................................................................................... 11
Boiler and Central Water Heater Controller Products:
Application Information.................................................................................................................. 12
Product Specifications.................................................................................................................... 13
Reservation Form........................................................................................................................... 14
Application Form............................................................................................................................ 15
Pre-Install Checklist....................................................................................................................... 16
Post-Install Checklist................................................................................................................17–18
Terms and Conditions..................................................................................................................... 19
Resources and Information.................................................................................................................20
Checklist
Before mailing your completed application package, follow the checklist below to ensure proper handling of
your rebate request.
Page 4 — Application — complete required information, sign, date and send original
Page 5 — Terms and conditions — review, sign, date and send original
Page 6–10 — Apartment and common area products form — complete pertinent information
Pages 16–17 — Post-Installation checklist — completed by eligible installer
Pages 11–12 — Product location form — complete pertinent information
Include a copy of faxed reservation request provided by SDG&E
Include a copy of a recent SDG&E® bill — name (customer of record), address and account number shown
on bill must match name, site address and account number listed on the application form
Include a receipt, invoice or other proof of purchase document that lists purchase date(s), manufacturer,
make and model number of product indicating “PAID IN FULL”
PLEASE REMEMBER:
Sign & date all necessary pages (Mail original signatures only, no copies accepted)
Make copies of all submitted documents for your records
Allow 90 days for application to be processed
INCOMPLETE and INCORRECT APPLICATIONS CANNOT BE PROCESSED; resubmitted applications are
processed on a first come, first-served basis, upon the new receipt date
Please call us at (800) 644-6133 or e-mail us at EIC@semprautilities.com with any questions
Mail your Application package to:
SDG&E
MF Rebate Program CP12E
P.O. Box 129016
San Diego, CA 92112-9016
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Required reading
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Energy-efficiency rebates for existing residential multifamily dwellings
and multifamily common areas
Cash rebates are available for the installation of qualified energy-efficiency products in apartment dwelling units and in the common areas of apartment and condominium complexes, and common areas of mobile home parks. Property Owners (and Property
Managers, as Authorized Agents for Property Owners) of existing residential multifamily complexes with two or more dwelling
units may qualify. Product offerings and rebate amounts are subject to change during the program term.
Important steps for applying
1.
Read the Terms and Conditions found in the Rebate Application Package. Funding is limited. Applications will be accepted on
a first-come, first-served basis. All measures require a reservation prior to purchase and installation. Please call San Diego
Gas & Electric® at 1-800-644-6133 or visit our website at sdge.com/multifamily to make sure rebate applications are still
being accepted and funds are still available for the products you are installing before submitting your application. This
program shall at all times be subject to change or termination without prior notice.
2. All products require a reservation before a Rebate Application can be submitted. Refer to the “How to Reserve” section
(pg 2) to place a reservation.
3. Purchase and install the energy-efficiency products yourself or contract for the installation of the qualified product(s). All
products must meet the specifications listed in the application.
4. All qualified products must be purchased and installed between January 1, 2014 and December 31, 2014. However, please be
aware that these purchases and installation periods will end earlier if funds are depleted. All Applications and Rebate forms
must be postmarked by January 15, 2015 to be considered eligible for a rebate.
5. Only after the products are completely installed, submit the Application and applicable Rebate forms and a copy of the approved reservation form. Mail the completed forms along with copies of your paid itemized sales receipt(s), paid contractor
invoice, or your paid Home Improvement Contract (HIC), with manufacturer name(s), model number(s), square footage printed
on proof-of-purchase document and any other required documentation to:
San Diego Gas & Electric®
Multifamily Rebate Program
P.O. Box 129016
San Diego, CA 92112-9016
6. For information and processing regarding Boiler and Central Water Heater Products please proceed to pg. 15.
Important Program Information
1.
SDG&E may conduct an inspection to verify the energy-efficiency product(s) eligibility and installation prior to payment
of rebate. Exception: All boiler and central water heater control installations are 100% inspected before and after installation.
2. Keep a copy of all submitted documents including: completed Application form, completed Rebate forms, and proof of payment (i.e. paid itemized sales receipt(s), paid contractor invoice, or paid HIC) prior to submitting for a rebate.
3. A rebate check for qualified product(s) is generally mailed 6–8 weeks after SDG&E receives and approves a completed
Application including all required documentation unless Application is selected for verification, which may require additional
time. Incomplete or incorrect Applications cannot be processed and the customer will be notified. Resubmitted Applications
received will be processed on a first-come, first-served basis until funds are depleted.
4. You will not receive energy-efficiency rebates for the same product, or for the replacement of a product, installed within
the last three years from more than one California Investor-Owned Utility participating in this program or other third-party
programs offering rebates, financing and other incentives, funded with California Public Utilities Commission (CPUC) Public
Goods Charge funds.
Contractor information
You may wish to confirm your contractor’s C-20 license status at the Contractors State License Board (CSLB) by calling the CSLB at
1 (800) 321‑CSLB (2752). To confirm your contractor’s C-20 license status at the CSLB web site:
1. Go to www.cslb.ca.gov
2. Click on license status icon
3. Type in six-digit license number for verification
4. Confirm active status of license under license status
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Steps on how to reserve a rebate
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Property Owners or their Managers as Authorized Agent for Property Owner are required to reserve funding for all
product rebates. Separate reservations are required for each service address; however, more than one product may be reserved
for each address. SDG&E reserves the right to modify or reject any reservation request that, in SDG&E’s sole judgment, contravenes the policies, procedures or purposes of the Multifamily Energy Efficiency Rebate Program.
Steps to reserve rebate funds
1.
A reservation is required for all products prior to purchase and installation.
2. Please contact SDG&E at 1-800-644-6133 to inquire if reservations are still available and if your product is still eligible
for rebate.
3. Complete and sign the Multifamily Energy Efficiency Product Rebate Reservation form, and applicable Product Rebate form
and e-mail to MultiFamProgram@semprautilities.com, fax to 866-420-1128, or mail to:
San Diego Gas & Electric®
Multifamily Rebate Program
P.O. Box 129016
San Diego, CA 92112-9016
4. Your reservation is valid for 45 calendar days beginning on the date a reservation confirmation is faxed or emailed to you
by SDG&E. The reserved product(s) must be purchased, installed, and the completed original Application Package must be
received by SDG&E no later than close of business on the 45th calendar day following the date the reservation confirmation
was faxed or e-mailed to you.
5. Failure to submit a complete Application Package by the 45th calendar day will result in forfeiture of the reservation and a
new reservation will be required.
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Rebate Reservation Form
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SDG&E® Customer Site Information
Customer Name
(as it appears on SDG&E® bill):
Site(s) Street Address(es):
SDG&E Gas Account Number:
City, State & Zip Code:
Site Contact Full Name:
SDG&E Electric Account Number:
SDG&E Meter Number:
Contact Primary Phone:
Title (Owner/Property
Manager/On-Site Manager):
Alternate Contact Number,
Fax Number or E-mail Address:
Number of Apartments in Complex
Number of Apartments That Will Receive Products
Apartment Size
Number of Apartments
Studio/Bachelor
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 or more Bedrooms
Reservation and Payee Information
Name of Person Requesting Reservation:
Fax Number or E-mail Address:
Contractor Name or Self Installation:
Alternate Contact Number,
Fax Phone Number or e-mail address:
Contractor’s Primary Phone Number:
Payee’s Tax ID Number:
Rebate Check Payee:
I understand and acknowledge that I am hereby requesting a rebate reservation from SDG&E for the products listed above, which are to be installed at the Site Address. This reservation will be in effect
for 45 days commencing from the date I receive written notice from SDG&E confirming the reservation quantities, which may be different than the quantity I requested above. Rebate reservations are
subject to program Terms and Conditions, set forth in the Multifamily Energy Efficiency Rebate Application Package, and do not guarantee future payment under the program. SDG&E reserves the right
to modify or reject any reservation request that, in SDG&E’s sole judgment, contravenes the policies, procedures or purposes of the Multifamily Rebate Program.
Signature of Property Owner or Property Manager, as Authorized Agent for Property Owner
1.
2.
3.
4.
5.
6.
7.
Date (Month / Day / Year)
Carefully review the Multifamily Energy Efficiency Rebate Program Application Package for product and program participation eligibility requirements, including the Terms and Conditions.
Complete this Rebate Reservation form (attach a second sheet if necessary), including signature.
Fill out Products Rebate Forms.
If your multifamily project has multiple addresses please provide addresses on a separate sheet along with your faxed reservation form.
Email both the Rebate Reservation and Products Rebate forms to MultiFamProgram@semprautilities.com.
This Rebate Reservation form, with confirmation information completed below, will be faxed to the fax number you provided above as your reservation confirmation.
Reservation is not valid until SDG&E confirms the reservation and faxes the confirmation back to you and is only in effect for 45 calendar days. Failure to submit a complete application Package
by the 45th calendar day will result in forfeiture of the reservation and a new reservation will be required.
UTILITY USE ONLY
Reservation
❑ Approved ❑ Rejected
Name of Contact Person at Site
Confirmation Number
REP
Date of Request (MM/DD/YY)
Date Confirmed (MM/DD/YY)
Approved Reservation Will Expire On
(MM/DD/YY)
The Multifamily Energy Efficiency Rebate program funded by California utility customers and administered by SDG&E® under the auspices of the California Public Utilities Commission. Rebates and
incentives are provided on a first-come, first-served basis until program funds are no longer available.
© 2013 San Diego Gas & Electric Company. All copyright and trademark is rights reserved.
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Application Form
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RESERVATION TRACKING NUMBER:
Property owner/property manager information
NAME OF COMPLEX AS IT APPEARS ON SDG&E® BILL:
SDG&E Gas Account Number:
SDG&E Electric Account Number:
COMPLEX TYPE (Check one)
❑ Apartment Complex
❑ Association (HOA)
Person Signing Application Title (Check One)
❑ Property Owner
Product Purchase Date (MM/DD/YY)
❑ Mobile Home Park (MHP)
❑ P roperty Manager, as Authorized Agent for
Property Owner
Product Installation Date (MM/DD/YY)
Property Owner/Manager Full Name
Property Owner/Manager Phone Number
(Area Code+Phone Number)
Alternate Phone/Fax Phone Number or E-mail address
Street address(es) where Items Were Installed
City
State
Zip Code
Complete if Contractor installed
Contractor Contact Information:
Contractor Company Name
Primary Phone Number:
Secondary/Fax Phone Number:
Representative Name
E-mail address:
Make rebate check payable to
TAX STATUS (Check One)
❑ Corporation
❑ Non-Corporation
❑ Exempt (i.e. Tax Exempt, Non-Profit)
Federal Tax ID Number or SSN
Payee Name (Print)
Mailing Address
Street Address or P.O. Box
City
State
Zip Code
Property Owner/Property Manager, as Authorized Agent for Property Owner I understand and agree that by signing this page, I am authorizing this payment on my rebate
to the Third Party named above, and that I will not be receiving the rebate check from SDG&E. I also understand that my release of the payment to a Third Party does not
exempt me from the program requirements outlined in the Application Package. I authorize this payment release on condition that the Third Party has CSLB license, is the
installer of the products for which I am requesting a rebate, and that the products have been installed to my satisfaction. Please sign below.
By checking this box, I certify I am a licensed contractor and
have followed applicable permitting requirements, as appropriate,
for this HVAC. (please fill in the areas below)
❑ Signature:
Permit #
Authorized by: (Signature of Property Owner/Property Manager, as Authorized Agent for Property Owner) Date (Month/Date/Year)
The Multifamily Energy Efficiency Rebate program funded by California utility customers and administered by SDG&E® under the auspices of the California Public Utilities Commission. Rebates and
incentives are provided on a first-come, first-served basis until program funds are no longer available.
© 2013 San Diego Gas & Electric Company. All copyright and trademark rights reserved.
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Terms and Conditions
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Check one:
❑ I am the Property Owner
❑ I am the Property Manager, as Authorized Agent for Property Owner
1.
I understand that a) Applications are accepted on a first-come, first-served basis while funding is available or until discontinued by the California Public Utilities
Commission (CPUC) and must be postmarked on or before January 15, 2015 to be considered eligible for a rebate and b) qualified products must be purchased
and installed between January 1, 2014 and December 31, 2014. I understand that these purchase and install periods will end earlier if funds are depleted and this
program shall at all times be subject to change or termination without prior notice.
2.
I am a Property Owner/Property Manager, as Authorized Agent for Property Owner, of a residential multifamily dwelling with an active meter(s) served by SDG&E.
I understand that I am only eligible to receive rebates for products that correspond directly to the type service (e.g., natural gas or electric distribution) for which
my residential multifamily dwelling currently receives service from SDG&E. Multifamily dwellings are defined as residential apartments, homeowners associations
and/or mobile home parks with two or more units. The dwelling units must be fully constructed and occupied and each must have its own kitchen and bathroom.
New construction does not qualify.
3.
I certify that the qualified energy-efficiency products were purchased and completely installed between January 1, 2014 and December 31, 2014. These products
are for use in my residential multifamily dwelling or common area.
4.
I have submitted one or more of the following required documents establishing proof-of-purchase for the products applied for in this Application: a) paid itemized
sales receipt(s), b) paid contractor invoice, or c) paid Home Improvement Contract (HIC). These documents must contain manufacturer name(s), model number(s),
square footage and any other required documentation. I understand that the Apartment and Common Area Products Location form must account for all product
quantities, by address, that match the invoices/receipt quantities submitted for rebate.
5.
I certify that all energy-efficiency products were purchased new and I understand that used, rebuilt, resale, rented or leased, won as prizes, provided by insurance
companies, or new parts installed in existing products do not qualify.
6.
I understand rebates will only be paid for products that meet the program specifications described on the Rebate Products forms and related Specifications
sheets.
7.
I understand that under certain circumstances incentives may be taxable and, if greater than $600, may be reported to the IRS unless I am exempt from
reporting. SDG&E may report my rebate payment to me on IRS Form 1099 unless I have checked “corporation” or “exempt from reporting” tax status. I
understand that I should consult my tax advisor concerning the taxability of rebates. SDG&E is not responsible for any taxes that may be imposed as a result of
my receipt of this rebate.
8.
Under no circumstances will rebates exceed 100% of the purchase price of the item. Purchase price includes material cost plus installation labor. Customers who
self-install may not charge installation labor. This charge applies to vendors only. Sales taxes and freight (shipping) are not included in the item’s purchase price.
9.
I understand the qualified product(s) may be self-installed, installed by a contractor, manufacturer, or an appliance dealer. All uses herein of the words “install,”
“installation” or similar phrases shall mean complete installation such that the subject products are fully functional.
10.
I understand and agree that the choice of the energy-efficiency product(s), selection of contractor, manufacturer, or dealer, purchase of materials, work performed, and the payment thereof, are my sole responsibilities. I waive any and all claims against SDG&E, its parent company, its directors, officers, employees and
authorized agents, and will indemnify SDG&E for any claims arising out of or relating to the installation and/or use of the energy-efficiency product(s) referred
to in this Application. I ALSO UNDERSTAND THAT SDG&E MAKES NO WARRANTY, WHETHER EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION THE
IMPLIED WARRANTY OF MERCHANTABILITY FOR ANY PARTICULAR PURPOSE, USE, OR APPLICATION OF THE PRODUCT(S) REGARDING MANUFACTURERS, DEALERS, MATERIALS, AND WORKMANSHIP. Without limiting the generality of the foregoing, none of such parties shall be liable for any type of damages,
whether direct, indirect, incidental, consequential, exemplary, reliance, punitive or special damages, including damages for loss of use, regardless of the form of
action, whether in contract, indemnity, warranty, strict liability or tort, including negligence of any kind.
11.
I am responsible for meeting all program requirements and complying with my state/county/city governments, property owner and/or homeowners association
requirements (if any) in my area regarding local conditions, restrictions, codes, ordinances, rules, and regulations pertaining to all installations. I further understand that it is my sole responsibility to ensure all rebated products are installed as per all manufacturers’ specifications.
12.
I agree that SDG&E has no liability whatsoever concerning the quality, safety or installation of the energy-efficiency product, including their fitness, workmanship, or any other matter.
13.
I agree to allow an SDG&E representative and/or California Public Utilities Commission (CPUC) representative reasonable access to verify the installed products.
I agree to this inspection to be eligible to participate in the program and receive a rebate for the qualified product. I understand this inspection is for the purpose
of determining that the installed product meets all program requirements.
14.
I understand SDG&E is not responsible for items lost or destroyed in transit.
15.
I understand that I cannot receive energy-efficiency rebates for the same product, or for the replacement of a product, installed within the last three (3) years,
from more than one California Investor-Owned Utility participating in this program or other third-party programs offering rebates, financing and other incentives
funded with CPUC Public Goods Charge funds.
16.
Property Owner/Property Manager, as Authorized agent for Property Owner: your signature is required if the rebate check is to be made payable to another individual or entity. [NOTE: Only the Property Owner or Manager, or the entity that installed the product(s) at the site address named above, may receive the rebate
payment]
I HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE TERMS & CONDITIONS. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TRUE
AND CORRECT AND THE PRODUCTS FOR WHICH I AM REQUESTING A REBATE MEET THE REQUIREMENTS LISTED ON THE REBATE PRODUCTS
FORM AND SPECIFICATION SHEETS AND HAVE BEEN COMPLETELY INSTALLED.
Signature of Property Owner/Property Manager, as Authorized Agent for Property Owner
Date (Month / Day / Year)
Funding is limited. Please call to make sure rebate applications are still being accepted. Applications accepted on a first-come, first-served
basis. Products must be purchased and installed between January 1, 2014 and December 31, 2014, however, please be aware these purchase and
install periods will end earlier if funds are depleted. This program shall at all times be subject to change or termination without prior notice. This
program is funded by California utility customers and administered by San Diego Gas & Electric Company, under the auspices of the California
Public Utilities Commission.
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Apartment and Common Area Product Form
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Apartment and common area products specifications
The following products have special requirements. All purchased products must be new. Check with your state/county/city
governments, Property Owners and/or Homeowners Association for requirements (if any) regarding local conditions, restrictions,
codes, ordinances, rules and regulations. Verify the installation meets manufacturer’s specifications. Materials must meet or
exceed all applicable local, state and federal standards.
OBTAIN LISTS OF ENERGY STAR-LABELED PRODUCTS ON THE INTERNET AT ENERGYSTAR.GOV/PRODUCTS OR VISIT YOUR
LOCAL RETAILER OR CONTACT YOUR CONTRACTOR TO DETERMINE ELIGIBILITY REQUIREMENTS.
Fixture
Maximum
Installation
Quantities
A
ENERGY STARLABELED
INTERIOR
HARDWIRED
FLUORESCENT
FIXTURES
Interior Fixture Limits per Number of Bedrooms
Apt. size
Number of Interior
Hardware Fixtures
Studio Bachelor
Up to 3
1 Bedroom
2 Bedroom
3 Bedroom
4 Bedroom
5 Bedroom
Up to 4
Up to 5
Up to 7
Up to 9
Up to 10
Must replace an existing hardwired incandescent fixture that is rated > 100 watts. ENERGY STAR CFL must be included in fixture and is not
eligible for additional rebate. Nonliving areas (example: closets and storage spaces) do not qualify for rebate. Make and model number must
be included with a copy of your receipt.
Type
Specify wattage
installed for each
Qty Purchased
for Apartment(s)
A
Qty Purchased
for Common Area
B
Rebate
Amount Per
Unit
C
A1
22-29 watts
$40/fixture
A2
30 watts or more
$40/fixture
B
INTERIOR LED
INTEGRAL
LAMPS
Requirements:
•The new interior LED integral lamps (screw-based or pin-based) must be
ENERGY STAR® qualified
•For a list of qualifying lamps, refer to list at:
Energy Star:http://downloads.energystar.gov (xls)http://downloads.
energystar.gov/bi(xls)
•LED A-lamps and LED PAR-lamps must replace existing incandescent,
halogen, or compact fluorescent lamps
•LED MR-16 lamps must replace existing incandescent or halogen lamps
Type
Specify wattage
installed for each
Rebate Amount
Total Amount
(A+B) x C
•New LED lamp wattage must be less than the wattage of the replaced
qualifying lamp
•New LED lamps must be compatible with existing lighting controls and/or
fixture components
•Replacement of Compact Fluorescent Lamps (CFL) with LED MR-16’s do not
qualify
Make and model number must be included with a copy of your receipt
Additional Details:
•Rebate based on lamp wattage, not total fixture wattage
Qty Purchased
for Apartments
Rebate/Unit
B1
MR16(Up to 6W)
$5.00/Lamp
B2
MR16(7to 10W)
$12.50/Lamp
B3
PAR-20(Up to 10W)
$12.50/Lamp
B4
PAR30(Up to 15W)
$7.50/Lamp
B5
PAR30(16 to 21W)
$17.50/Lamp
B6
PAR38 (Up to 16W)
$10.00/Lamp
B7
PAR38(17 to 22W)
$20.00/Lamp
B8
PAR38(23 to 25W)
$20.00/Lamp
B9
A-Lamp (up to 7W)
$5.00/Lamp
B10
A-Lamp (8 to 10 W)
$5.00/Lamp
B11
A-Lamp (11W)
$15.00/Lamp
B12
A-Lamp (12 to 17W)
$15.00/Lamp
B13
A-Lamp(18 to 30W)
$15.00/Lamp
Rebate Amount
Total
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Apartment and Common Area Product Form
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C
ENERGY STARLABELED
EXTERIOR
HARDWIRED
FLUORESCENT
FIXTURESS
Must replace an existing incandescent fixture that is rated = 60 watts in common area (e.g. walkways, carport/garage, porch lights). Make and
model number must be included with a copy of your receipt.
Specify wattage
installed for each
Type
Qty Purchased for
Apartment(s)
A
Qty Purchased
for Common Area
B
Rebate Amount Per
Unit
C
C1
13-18 watts
$30/fixture
C2
19-27 watts
$30/fixture
D
BI-LEVEL
STAIRWELL/
HALL/GARAGE
FIXTURES
Bi-level Stairwell/Corridor Fixture – designed to reduce energy consumption while still providing appropriate illumination levels during occupied
periods and emergency egress. When spaces are unoccupied, the fixtures operate at low light levels.
Requirements:
•Only complete, new fluorescent fixtures with Programmed-Start electronic ballasts and lamps that meet requirements in T8/T5 Lamp and
Ballast category qualify. Fixtures with settings that can be overridden are not eligible
•Must be manufactured with fixture-body integrated occupancy sensor that controls the individual fixture and meet UL requirements
•All lamps must be pin-based fluorescent or other permanent installed technology (screw-in lamps are not eligible)
•Must include a passive infrared and/or ultrasonic occupancy sensor with a fail-safe feature
•The fixture cannot exceed 35% of full wattage during unoccupied periods
•Not eligible for additional rebates through the Occupancy Sensor category or T8/T5 Lamp and Ballast category
Make and model number must be included with a copy of your receipt
Garage Definition
A parking garage is a covered building or structure for the purpose of parking vehicles, which consists of at least a roof over the parking area
enclosed with walls on all sides. Parking garages may have fences, rails, partial walls (pony wall), or other barriers in place of one or more walls.
The structure has an entrance(s) and exit(s), and includes areas for vehicle maneuvering to reach the parking spaces. If the roof of the parking
structure is also used for parking, the section without an overhead roof is considered a parking lot instead of a parking garage.
Type
Quantity Purchased for Common Area
Bi-Level Stairwell/Hall/Garage
Fixtures
E
OCCUPANCY
SENSORS
(Wall, ceiling or
plug type)
Rebate Amount
Total Amount
(A+B) x C
Rebate Amount
Total
Rebate/Unit
$15.00/Fixture
Only passive infrared and/or ultrasonic detectors are eligible.
•Wallbox and wall-or ceiling-mounted sensors must be hardwired and control interior lighting fixtures.
•Wallbox lighting occupancy sensors, defined as self-contained (no exterior switchpack or relay) units designed to replace a standard wall
switch, must not control more than 500 watts.
•Wall- or ceiling-mounted fixtures must not control more than 1,000 watts. Make and model number must be included with a copy of your
receipt.
Specify wattage installed for each
Qty Purchased for
Apartment(s)
A
Qty Purchased
for Common Area
B
Rebate Amount Per
Unit
C
Rebate Amount
Total Amount
(A+B) x C
$10/each
Photoelectric cells that switch or dim lighting loads in response to available daylight qualify. Photocells may be built into the fixture or stand-alone.
F
Specify wattage installed for each
PHOTOCELLS
Qty Purchased for
Apartment(s)
A
Qty Purchased
for Common Area
B
Rebate Amount Per
Unit
C
Rebate Amount
Total Amount
(A+B) x C
$10/each
G
Rebate applies only if an incandescent bulb is being replaced. Make and model number must be included with a copy of your receipt.
ENERGY STAR®LABELED
CEILING FANS
WITH ENERGY
STAR CFLS
Specify wattage installed for each
Qty Purchased for
Apartment(s)
A
Qty Purchased
for Common Area
B
Rebate Amount Per
Unit
C
Rebate Amount
Total Amount
(A+B) x C
$20 each
H
Wall insulation is eligible for an incentive provided:
•The existing walls are uninsulated and are between conditioned living area and unconditioned area.
•The installed insulation must achieve a minimum of R-13.
WALL
INSULATION
Type
Wall insulation
Specify the sq.
ft. installed and
Purchased for
Apartment(s)
A
Specify the sq.
ft. installed and
Purchased for
Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$0.15/sq ft
7
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Apartment and Common Area Product Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
I
LOW-FLOW
SHOWERHEADS
Low-flow showerheads must have a flow rate of 1.5 gallons per minute (GPM) or less and must replace an existing showerhead that has a flow
rate greater than 2.5 GPM. Low-flow showerheads must:
1 Meet the California Health and Safety Code 116875 (AB1953-2006) “lead-free” standard,
2Have a flow rate of 1.5 gallons per minute (GPM) or less, and
3Must replace an existing showerhead that has a flow rate greater than 2.5 GPM.
Make and model number must be included with a copy of your receipt.
Number Purchased
A
Rebate Amount per
Unit B
Rebate Amount
AxB
$5/each
J
FAUCET
AERATORS
Faucet aerators must have a flow rate of 1.5 gallons per minute (GPM) or less and must replace an existing aerator that has a flow rate greater
than 2.5 GPM. Faucet aerators must
1 Meet the California Health and Safety Code 116875 (AB1953-2006) “lead-free” standard,
2 Have a flow rate of 1.5 gallons per minute (GPM) or less, and
3 Must replace an existing aerator that has a flow rate greater than 2.5 GPM.
Make and model number must be included with a copy of your receipt.
Type
Specify GPM
Installed
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
J1
Faucet aerators (Bathroom)
$1.25/each
J2
Faucet aerators (Kitchen)
$1.25/each
K
CEE TIER 3
QUALIFIED
COIN OPERATED
CLOTHES
WASHERS.
(Located in
common area
laundy)
L
CEE TIER 3
QUALIFIED
CLOTHES
WASHERS.
(level two
dwelling unit)
Rebate Amount
Total Amount
(A+B) x C
•Must be installed with water heating source using natural gas or electricity distributed by SDG&E.
•These clothes washers must be located in common area laundry room for use by all multifamily dwellers.
•Qualifying clothes washers must have a Model Energy Factor (ME) of 2.0 or higher and a Water Factor (WF) of 6.0 or lower.
•Qualifying models must also have a volume of 3.5 cubic feet or lower.
•Limited to one per individual residence.
•(CEE) Tier 2 model only.
Specify
the EF:
Specify
the
Gallons:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$150/each
N/A
Qualifying clothes washers must have:
•A Model Energy Factor (ME) of 1.80 or greater.
•A Water Factor (WF) of 5.5 or lower.
•Limited to one per individual residence (no common areas).
•Must be installed with water heating source using natural gas or electricity distributed by SDG&E.
Make and model number must be included with a copy of your receipt.
Specify
the ME
Factor:
Specify
the Water
Factor:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$50/unit
M
NATURAL GAS
STORAGE WATER
HEATERS
High-efficiency gas water heaters must have an Energy Factor (EF) of 0.67 or greater.
•The water heater must be 30 gallons or greater.
•Instantaneous and ‘tankless’ water heaters do not qualify for rebate. Make and model number must be included with a copy of your receipt.
Note: Look for the EF rating on the water heater specification sheet or on the packaging box; it does not always appear on the water heater
label itself.
Specify
the EF:
Specify
the
Gallons:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
N
Rebate Amount
Total Amount
(A+B) x C
$30/each
N/A
CENTRAL
SYSTEM
NATURAL GAS
WATER HEATERS
Rebate Amount
Per Unit
C
•Must be 80 gallons or greater
•Must have a minimum thermal efficiency of 82%, and must provide hot water to building complex of five (5) or more units.
•Instantaneous and ‘tankless’ water heaters do not qualify for rebate. Make and model number must be included with a copy of your receipt.
Specify
the EF:
Specify
the
Gallons:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$500/each
8
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Apartment and Common Area Product Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
O
ENERGYEFFICIENT
CENTRAL HEAT
PUMPS
ARI Reference #
Make sure to obtain the Air Conditioning and Refrigeration Institute (ARI) Reference Number for the equipment installed by your contractor
and enter it where indicated on the Rebate form. To qualify for a rebate:
•All central heat pumps must be listed by the ARI. Both the condenser and the evaporative coil must be new and replaced at the time of
installation.
•Both the Seasonal Energy-Efficiency Ratio (SEER) and Energy-Efficiency Ratio (EER) must meet the specifications for the appropriate tier
level.
•The Thermostatic Expansion Valve (TXV) can be installed at the factory or by a contractor. There are two types of central heat pumps – split
system and packaged unit. The condenser and coil are separate in a split system central heat pump, but for rebate purposes, are considered
one unit. The package unit has the condenser and evaporative coil in one unit.
•SEER and EER can generally be found on the specification sheet provided by the manufacturer.
•Heat pumps are a little different in that they are generally used in all electric homes and they provide both cooling and heating. In addition
to SEER and EER ratings, the heat pump has a Heating Season Performance Factor (HSPF), which indicates the efficiency of the heating side
of the heat pump. Additionally, package system air-conditioners must have a factory installed TXV. SEER and EER can generally be found on
the specification sheet provided by the manufacturer. Your C-20 contractor will be able to assist you in choosing the qualified equipment.
Make and model number must be included with a copy of your invoice or receipt.
Specify
the
SEER:
Specify
the
EER:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$100/unit
P
The central natural gas furnace must have a 95% Annual Fuel Utilization Efficiency (AFUE) or greater. Your C-20 contractor will be able to
assist you in choosing the qualified equipment. Make and model number must be included with a copy of your receipt. (No climate zone
restrictions).
ENERGY STAR
95% CENTRAL
NATURAL GAS
FURNACE
Specify
the
AFUE:
Specify
the BTU:
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Rebate Amount
Total Amount
(A+B) x C
$200/each
Q
CENTRAL
SYSTEM
NATURAL GAS
BOILERS
Rebate applies to new installations on existing gas fired domestic hot water common systems serving multifamily dwellings units.
Controllers may be non-digital graph model (serving a multifamily building of 40 units or greater), or a digital graph model (serving a
multifamily building of less than 40 units) and must be able to log the daily demand pattern of domestic hot water use and provide the ability
to lower temperatures during low use periods; data logging capability for at least seven days; a by-pass capability to allow service of boiler. 1)
Non-digital graph model serving a multifamily dwelling of 40 units or greater OR 2) Digital graph model serving a multifamily dwelling of 40
units or less. 3) Non-digital display graphing model serving a multifamily dwelling of 40 units or greater. Other requirements and description
specifications:
•Boiler must not be used for industrial end-use.
•Boiler must replace existing gas equipment.
•Boiler for pool or spa does not qualify.
•Boiler <300 Mbtuh installed at sites serving multifamily dwelling of more than 20 units will not qualify for a rebate.
•Boilers with an Input Rating <300 Mbtuh Must have a minimum AFUE of 82%.
•Boilers with an Input Rating =300 Mbtuh Must have a minimum TE of 84%.
Make and model number must be included with a copy of your receipt.
Specify the MBTUH:
AFUE or T.E.
Quantity Purchased
for Apartment(s)
A
Quantity Purchased
for Common Area
B
Rebate Amount
Per Unit
C
Q1
Space heating and water heating
$1,500/each
Q2
Water heating only
$1,500/each
R
BOILER
CONTROLLERS
Rebate Amount
Total Amount
(A+B) x C
Refer to Boiler Controller rebate form on page 12-15
Total rebate amount $
An SDG&E representative may conduct an onsite verification of the product(s) purchased and installed prior to paying any rebate.
Definitions:
Annual Fuel Utilization Efficiency (AFUE) — The ratio of annual output energy to annual input energy, which includes any non-heating season pilot
input loss and, for gas or oil fired furnaces or boilers, does not include electric energy. Thermal Efficiency (TE) is defined as 100 times useful energy
output divided by input energy.
9
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Common Area Product Location Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Please review the examples listed below and then, when you’re ready, double click the icon below to launch an excel file. Please
complete all the information requested on the excel file as it is important for processing and inspection. Photocopies of this form
are acceptable.
EXAMPLE:
NAME OF APARTMENT OR APARTMENT COMPLEX:
Example Apartments
MAIN SERVICE ADDRESS AND CITY:
12336 Happy Lane, San Diego
TOTAL NUMBER OF UNITS IN COMPLEX:
APARTMENT
LOCATION
ADDRESS (WHERE
NEAREST APT#
PRODUCT IS
OR BUILDING
INSTALLED)
26
TYPE OF
PRODUCT
INSTALLED
LOCATION
OF PRODUCT
INSTALLED
PRODUCT
MAKE
PRODUCT
MODEL#
QUANTITY
(UNITS)
INSULATION
(SQ.FT.)
DATE
PURCHASED
DATE
INSTALLED
12336 Happy Lane
1
CLF Fixture
H
Raypak
El-200-218
3
3/10/2013
3/12/2013
12336 Happy Lane
2
R-40 Bulb
Ba
UL-lighting
SDF-23W
2
3/10/2013
3/12/2013
12336 Happy Lane
4
CLF Fixture
H
Raypak
El-200-218
3
3/10/2013
3/12/2013
12336 Happy Lane
4
R-40 Bulb
Ba
UL-lighting
SDF-23W
2
3/10/2013
3/12/2013
12336 Happy Lane
4
CLF Fixture
H
Raypak
UTILITY
INPUT
ONLY
Click here to download the
2014 Common area product location form
10
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Apartment Product Location Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Please review the examples listed below and then, when you’re ready, double click the icon below to launch an excel file. Please
complete all the information requested on the excel file as it is important for processing and inspection. Photocopies of this form
are acceptable.
EXAMPLE:
NAME OF APARTMENT OF APARTMENT COMPLEX:
Apple Apartments
MAIN SERVICE ADDRESS AND CITY:
2525 Apple Street
TOTAL NUMBER OF APARTMENTS IN APARTMENT BUILDING:
APARTMENT
ADDRESS (WHERE
PRODUCT IS
INSTALLED)
APT
#
2525 Apple St
2525 Apple St
34
TOTAL NUMBER OF APARTMENTS RECEIVING PRODUCTS:
TYPE OF
PRODUCT
INSTALLED
PRODUCT
MAKE
1
Bulb
Greenlight
EL-50-1250
2
Bulb
Greenlight
EL-50-1250
2525 Apple St
1
Bulb
Greenlight
EL-50-1250
2525 Apple St
2
Bulb
Greenlight
EL-50-1250
2525 Apple St
1
Bulb
Greenlight
EL-50-1250
LOCATION/QUANTITY INSTALLED IN NTERIOR
APT PER MODEL
PRODUCT
MODEL#
K
BA
1
3
1
H
L
O
INSULATION
(SQ.FT.)
13
DATE
PURCHASED
DATE
INSTALLED
BD
D
4
1/1/2012
1/10/2012
1
4
3
8
1/1/2012
1/10/2012
4
1/1/2012
1/10/2012
1
4
3
8
1/1/2012
1/10/2012
3
TOTAL
UTILITY
INPUT
ONLY
1
Click here to download the
2014 Apartment product location form
K: KITCHEN
BA: BATH
H: HALLWAY
L: LIVING ROOM
BD: BEDROOM
D: DINING ROOM
O: OTHER
11
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Application Information
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Boiler and central water heater controller products
Rebates are available for the installation of qualified energy efficiency products in apartment dwelling units and in the common areas
of apartment and condominium complexes, and common areas of mobile home parks. Property owners (and property managers, as
authorized agents for property owners) of existing residential multifamily complexes with two or more dwelling units may qualify.
How to apply
1.
Review Required Reading on pg. 1 of this application.
2. Before purchasing your energy-efficient products, be sure the appliance meets the rebate requirements as listed in this
application (page 13). Boiler and central waters controller must be installed by an eligible (appropriate CSLB license) technician
and an on-site pre-inspection is required before installation.
3. Eligible boiler and central water heater controller products pre-installation requirements:
yy All require a separate reservation and application for each site address or account number.
yy All require a completed Multifamily Reservation form and Pre-Installation Checklist completed by an eligible installer.
yy SDG&E conducts 100% pre and post-installation inspections on all boiler controls to verify eligibility.
yy Properties that have received a boiler control rebate for the same product within 10 years from the installation date are
ineligible.
yy Refer to Steps to Reserve Rebate Funds section for instructions on how to reserve funding.
4. Once the product(s) are installed and have passed any required inspections, a complete Application Package with the following
documents is required:




A completed and signed Rebate Application (original signature required)
Installer’s completed Post-Installation Checklist (boiler & central water heater controllers only)
Copy of recent SDG&E bill for gas account serving appliance
Paid itemized sales receipt(s), contractor invoice or paid Home Improvement Contract
yy COD and estimates are not acceptable proof of payment
yy Receipt must indicate unit/apartment or location where the appliance was installed and must
match the appliance Product Location Form
Mail the completed application packet to:
SDG&E
MF Rebate Program CP12E
P.O. Box 129016
San Diego, CA 92112-9016
12
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Product Specifications
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Boiler and central water heater controller products
Read the product specifications at the bottom of this page before purchasing.
PRODUCT
Quantity Purchased
For
Apartment
A
For Common
Area
B
Rebate Information
REBATE
Per
Unit
C
T
Controllers for natural gas
water heaters boilers
Reservations required
T1
Serving ≤ 34 Units
$700.00
T2
Serving ≥ 35 Units
$1,400.00
REBATE
Total
Amount
(A+B) x C
Specify exact number of
units served by CDWH
and Boiler Controller
Total rebate
$=
PRODUCT SPECIFICATIONS
All products must be new. Check with your state/county/city governments, property owners and/or homeowners’ associations for
requirements (if any) regarding local conditions, restrictions, codes, ordinances, rules and regulations. Verify installation meets
manufacturer and program specifications. Materials must meet or exceed all applicable local, state and federal standards.
OBTAIN LISTS OF ENERGY STAR LABELED PRODUCTS AT
www.energystar.gov.products
VISIT YOUR LOCAL RETAILER OR CONTACT YOUR CONTRACTOR.
T1. NATURAL GAS WATER HEATER BOILER CONTROLLERS
$700.00
Rebate applies to new installations on existing natural gas fired domestic hot water common systems serving multifamily dwelling units.
Controllers must serve a multifamily building of 34 units or less and must be able to log the daily demand pattern of domestic hot water use and
provide the ability to lower temperatures during low use periods; data logging capability of at least 7 days; and a by-pass switch for allowing
service to boiler. Must have natural gas distributed to the installation address by San Diego Gas & Electric Company.
Manufacturer name, make and model number must be included with a copy of your receipt.
T2. NATURAL GAS WATER HEATER BOILER CONTROLLERS
$1400.00
Rebate applies to new installations on existing natural gas fired domestic hot water common systems serving multifamily dwelling units.
Controllers must serve a multifamily building of 35 units or greater and must be able to log the daily demand pattern of domestic hot water use
and provide the ability to lower temperatures during low use periods; data logging capability for at least 7 days; and a by-pass capability to allow
service to boiler. Must have natural gas distributed to the installation address by San Diego Gas & Electric Company.
Manufacturer name, make and model number must be included with a copy of your receipt.
Definitions:
Modified Energy Factor – MEF: Measures energy consumption of the total laundry cycle (washing and drying). It indicates how many cubic feet of
laundry can be washed and dried with one kWh of electricity: the higher the number, the greater the efficiency.
Water Factor – WF: Number of gallons needed for each cubic foot of laundry. A lower number indicates lower consumption and more efficient use
of water.
Annual Fuel Utilization Efficiency (AFUE) – The ratio of annual output energy to annual input energy, which includes any non-heating season
pilot input loss and, for gas or oil fired furnaces or boilers, does not include electric energy.
Thermal Efficiency – 100 times useful energy output divided by input energy.
13
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Reservation Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Boiler and central water heater controller products
Please refer to “Steps to Reserve Rebate Funds” section on Page 2
Customer Name
(As it appears on SDG&E bill)
SDG&E Gas Account #
(Account serving appliance)
Site Address (Product location address:
one form per site or account #)
Site or Complex Name
# of Apartments
(units) in Complex
# of units served by
water heater or boiler
Year Property
Built
Site Contact Full Name & Title
(Property Owner, Manager or On-site Manager)
Rebate
Product
Product
Quantity
Contact Daytime Phone #
Contractor Name
Installer Name (Must have attended
IOU Boiler Controller Seminar)
Contractor Daytime Phone #
Contractor E-mail Address
Name of Person Requesting Reservation
Requestor Daytime
Phone #
Requestor
Fax #
Requestor
E-mail Address
How did you hear about the Multifamily Rebate Program?
Mailer
Contractor (Name)
Bill Insert
Event (Name)
Family/Friend
Other
I understand and acknowledge that I am hereby requesting a rebate reservation from SDG&E for the products listed above, which are to be installed at the Site Address. This reservation will be
in effect for 45 days commencing from the date I receive written notice from SDG&E confirming the reservation quantities, which may be different than the quantity I requested above. Rebate
reservations are subject to program Terms and Conditions, set forth in the Multi-Family Energy Efficiency Rebate Application Package, and do not guarantee future payment under the program.
SDG&E reserves the right to modify or reject any reservation request that, in SDG&E’s sole judgment, contravenes the policies, procedures or purposes of the Multi-Family Rebate Program.
Property Owner or Property Manager, as authorized Agent for Property Owner
Print Name
1.
2.
3.
4.
5.
6.
7.
Signature
Date (Month / Day / Year)
Carefully review the Multi-Family Energy Efficiency Rebate Program application package for product and program participation eligibility requirements, including
the terms and conditions.
Complete this Rebate Reservation form (attach a second sheet if necessary), including signature.
Fill out Products Rebate Forms.
If multi-family project has multiple addresses please provide addresses on a separate sheet along with your faxed reservation form.
E-mail the Rebate Reservation, Products Rebate Forms and required checklists to MultiFamProgram@semprautilities.com.
This Rebate Reservation form, with confirmation information completed below, will be faxed to the number you provided above as your reservation confirmation.
Reservation is not valid until SDG&E confirms the reservation and faxes the confirmation back to you and is only in effect for 45 calendar days. Failure to submit
a complete application package by the 45th calendar day will result in forfeiture of the reservation and a new reservation will be required.
UTILITY USE ONLY
Reservation #
Date of Request
(MM/DD/YY)
Reservation
 Approved  Rejected
Reservation Confirmed
(MM/DD/YY)
Approved Reservation will
expire on (MM/DD/YY)
Site Contact Name
Quantity Applied For
Site Contact Phone
Total Rebate Amount
REP
14
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Application Form
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Boiler and central water heater controller products
Rebate application
Account #
Rate Schedule
(GR,GM)
10 Digit
Reservation #
Total Rebate Requested
(Total from page 7)
Name (As it appears on the bill)
Property Owner/Manager Information:
Check one
 Property Owner or
 Property Manager, as Authorized Agent for Property Owner
Name
Daytime Phone #
Alternate # or
E-mail Address
Site Information-Address (Must match address on reservation):
Site Address (Product location address)
Site Contact Person and Title
Site Contact Daytime Phone #
Contractor Information:
Company Name
Company Representative Name
Day Time Phone #
Cell or Fax Phone #
 Non-Corporation
 Exempt (i.e. Tax Exempt, Non-Profit)
E-mail Address
Installer Name (Must have attended IOU Controller Seminar)
Product Information (Boiler and water heater controllers must be installed by eligible installer.):
Product(s) were installed by (Check One)  Self,  Contractor,  Property Manager (As authorized agent for property owner)
Model
Controller
Serial #
Purchase Date
(MM/DD/YY)
Install Date
(MM/DD/YY)
Payee Information
MAKE REBATE CHECK PAYABLE TO (Payee Name)
TAX STATUS (Check One)  Corporation
Federal Tax ID #
or SSN
 Non-Corporation
 Exempt (e.g., Tax Exempt, Non-Profit)
Mailing Address (Street Address or P.O. Box)
PROPERTY OWNER OR PROPERTY MANAGER, AS AUTHORIZED AGENT FOR PROPERTY OWNER:
YOUR AUTHORIZATION IS REQUIRED IF THE REBATE CHECK IS TO BE MADE PAYABLE TO ANOTHER INDIVIDUAL
OR ENTITY. PLEASE SIGN BELOW.
Property Owner or Property Manager, as authorized Agent for Property Owner
Print Name
Signature
Date (Month / Day / Year)
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Pre-Installation Checklist
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Customer information
Customer Name
(As it appears on SDG&E® bill)
SDG&E Gas Account #
(Account serving appliance)
Contractor information
Contractor Name
Installer Name (Must have attended
IOU Boiler Controller Seminar)
Contractor Daytime Phone #
Alt Phone # or E-mail Address
Property information Provide map of property indicating the location of the boiler(s), hot water heater(s) & storage tank(s).
Site Address /Product Location Address (One form per site with account number)
Service Address (From SDG&E bill if different from site address)
Site or Complex Name
SDG&E
Meter Number
Number of Apartments
(units) in Complex
Number of units served
by water heater or boiler
Site Contact Full Name & Title
(Property Owner, Manager, On-Site Manager)
Year Property
Built
Controller Name
Contact Daytime
Phone #
Alt Phone #
CDWH or gas end use information
CDWH: check Y/N if appliance or item is on the system on which the control will be installed.
Hot Water Use
CDWH
Hot Water Use
CDWH
Washers
 Yes
 No
Hydronic Heat
 Yes
 No
Swimming Pool
 Yes
 No
Other
 Yes
 No
Pipe Insulation
 Yes
 No
Isolation valves
 Yes
 No
Existing Control
 Yes
 No
Bleeder valve
 Yes
 No
Condition (e.g. leaks, overly hot, etc.)
 Yes
 No
Backflow valve @ CWS
 Yes
 No
Spa(s)
 Yes
 No
Anti-scald mixing valve
 Yes
 No
Return (HWR) Pipe Size:
Supply (HWS) Pipe Size:
Pump Size:
Gas Meter Configuration:
Pump Manufacturer:
Gas Meter Location:
Boiler/water heater information
General Description of CDHW System
CDHW Location
Boiler
Manufacturer
Boiler
Model #
Boiler
Serial #
Pressure
Regulator
Number of living
units served
BTU In
BTU Out
Boiler HP
Number of Burners
Age of Burner
Storage (Gals)
Water Storage
Temp of H2O In
Setting or Reading
Water Information
 Internal
 External  Other
Temp of H2O Out
Setting or Reading
Primary Loop
Location and Operation Primary Loop
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Post-Installation Checklist
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
(Page 1 of 2)
Customer information
Customer Name
(As it appears on SDG&E® bill)
SDG&E Gas Account #
(Account serving appliance)
Property information
Site Address /Product Location Address (One form per site with account number)
Service Address (address on bill)
Site or Complex Name
Meter Number
(See Gas Bill)
Site Contact Full Name & Title
(Property Owner, Manager, On-Site Manager)
Meter Location
Contact Daytime
Phone #
Contractor information
Contractor Name
Installer Name (Must have attended
IOU Boiler Controller Seminar)
Contractor Daytime Phone #
Alt Phone # or E-mail Address
Installer’s Signature
Date
Post installation requirements
Installer Initial
Comments
Installed controls per manufacturer’s specs
Verified that controls are operating as specified
Left no safety hazards
Removed all installation debris
Provided operator’s manual for control to site personnel
Provided maintenance/safety recommendations to site personnel
Instructed site personnel on system fault conditions to watch for
Left contact information on control box
Other (describe)
Other (describe)
CDWH or gas end use information
Action Taken
Yes/No
Added supply (HWS) pipe insulation
 Yes
 No
Added supply (HWR) pipe insulation
 Yes
 No
Pipe water leak repairs
 Yes
 No
Pump water leak repairs
 Yes
 No
Replaced pump
 Yes
 No
Pump manufacturer
 Yes
 No
Wattage
 Yes
 No
Added backflow prevention valve
 Yes
 No
Added isolation valve
 Yes
 No
Added bleeder valve
 Yes
 No
Comments
17
2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Post-Installation Checklist
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(Page 2 of 2)
Boiler/water heater information
General Description of CDHW System
CDHW Location
Boiler
Manufacturer
Boiler
Model #
Boiler
Serial #
Pressure
Regulator
Number of
living units served
BTU In
BTU Out
Boiler HP
Number of Burners
Age of Burner
Storage (Gals)
Water Storage
Temp of H2O In
Setting or Reading
Water Information
 Internal
 External  Other
Temp of H2O Out
Setting or Reading
Primary Loop
Location and Operation Primary Loop
Comments/Notes
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2014 MULTIFAMILY ENERGY-EFFICIENCY REBATE PROGRAM
Terms and Conditions
•••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••••
Boiler and central water heater controller products
Read and sign below
Check one:  I am the Property Owner
 I am the Property Manager, as Authorized Agent for the Property Owner
1.
I understand that a) Applications are accepted on a first-come, first-served basis while funding is available, or until discontinued by the California Public Utilities Commission
(CPUC), and must be on or before January 15, 2013 to be considered eligible for a rebate, and b) qualified products must be purchased and installed between January 1, 2014
and December 31, 2014. I understand that these purchase and install periods will end earlier if funds are depleted, and this program shall at all times be subject to change
or termination without prior notice. ALL applications are processed on a first-come, first-served basis, upon receipt, until funds are depleted. INCOMPLETE or INCORRECT
APPLICATIONS CANNOT BE PROCESSED. Resubmitted applications are processed on a first-come, first-served basis, upon the new receipt date.
2.
I am a Property Owner or Property Manager, as authorized agent for Property Owner, of a residential multifamily dwelling occupied by customers with an active meter(s) served
by SDG&E. I understand that I am only eligible to receive rebates for products that correspond directly to the type service (e.g., natural gas distribution) for which my residential
multifamily dwelling currently receives service from SDG&E. Multifamily dwellings are defined as residential apartments, homeowners associations and/or mobile home parks
with 2 or more units. The dwelling units must be fully constructed and occupied. New construction does not qualify.
3.
I certify that the qualified energy efficiency products were purchased and installed between January 1, 2014 and December 31, 2014. These products are for use in my residential multifamily dwelling or common area.
4.
I have submitted the required documents establishing proof-of-purchase for the products applied for in this Application: a) paid itemized sales receipt(s), b) paid contractor
invoice, or c) paid Home Improvement Contract (HIC), with manufacturer name(s), model number(s), square footage and any other required documentation. I understand
that the Apartment and Common Area Products Location form must account for all product quantities, by address, that match the invoices/receipt quantities submitted for
rebate.
5.
I certify that all energy efficiency products were purchased new, and I understand that used, rebuilt, rented or leased, won as prizes, provided by insurance companies, or
new parts installed in existing products do not qualify.
6.
I understand rebates will only be paid for products that meet the program specifications described on the Rebate Products Forms and related Specifications sheets.
7.
I understand that under certain circumstances incentives may be taxable and , if greater than $600, may be reported to the IRS unless I am exempt from reporting. SDG&E
may report my rebate payment to me on IRS Form 1099 unless I have checked “corporation” or “exempt from reporting” tax status. I understand that I should consult my
tax advisor concerning the taxability of rebates. SDG&E is not responsible for any taxes that may be imposed as a result of my receipt of this rebate.
8.
Under no circumstances will rebates exceed 100% of the purchase price of the item. Purchase price includes material cost plus installation labor. Customers who selfinstall may not charge installation labor. This charge applies to vendors only. Sales taxes and freight (shipping) are not included in the item’s purchase price.”
9.
I understand the qualified product(s) may be self-installed, installed by a contractor, manufacturer, or an appliance dealer. All uses herein of the words “install,” “installation” or similar phrases shall mean complete installation such that the subject products are fully functional.
10.
I understand and agree that the choice of the energy-efficient product(s), selection of contractor, manufacturer, or dealer, purchase of materials, work performed, and
the payment thereof, are my sole responsibilities. I waive any and all claims against SDG&E, its parent company, its directors, officers, employees and authorized agents,
and will indemnify SDG&E for any claims arising out of or relating to the installation and/or use of the energy-efficient product(s) referred to in this Application. I ALSO
UNDERSTAND THAT SDG&E MAKES NO WARRANTY, WHETHER EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION THE IMPLIED WARRANTY OF MERCHANTABILITY FOR ANY PARTICULAR PURPOSE, USE, OR APPLICATION OF THE PRODUCT(S) REGARDING MANUFACTURERS, DEALERS, MATERIALS, AND WORKMANSHIP.
Without limiting the generality of the foregoing, none of such parties shall be liable for any type of damages, whether direct, indirect, incidental, consequential, exemplary,
reliance, punitive or special damages, including damages for loss of use, regardless of the form of action, whether in contract, indemnity, warranty, strict liability or tort,
including negligence of any kind.
11.
I am responsible for meeting all program requirements and complying with my state/county/city governments, property owner and/or homeowners association requirements (if any) in my area regarding local conditions, restrictions, codes, ordinances, rules, and regulations pertaining to all installations. I further understand that it is my
sole responsibility to ensure all rebated products are installed as per all manufacturers’ specifications.
12.
I agree that SDG&E has no liability whatsoever concerning the quality, safety or installation of the energy-efficient product, including their fitness, workmanship, or any
other matter.
13.
I agree to allow an SDG&E representative and/or California Public Utilities Commission (CPUC) representative reasonable access to verify the installed products. I agree to
this inspection to be eligible to participate in the program and receive a rebate for the qualified product. I understand this inspection is for the purpose of determining that
the installed product meets all program requirements.
14.
I understand SDG&E is not responsible for items lost or destroyed in transit.
15.
I understand I cannot receive energy-efficient rebates for the same product, or for the replacement of a product, installed within the last three (3) years, from more than one
California Investor-Owned Utility participating in this program or other third-party programs offering rebates, financing and other incentives funded with CPUC Public Goods
Charge funds.
16.
Property Owner/Property Manager, as Authorized agent for Property Owner: your signature is required if the rebate check is to be made payable to another individual or
entity. [NOTE: Only the Property Owner or Manager, or the entity that installed the product(s) as the site address named above, may receive the rebate payment.]
I HAVE READ, UNDERSTAND AND AGREE TO THE ABOVE TERMS & CONDITIONS. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TRUE
AND CORRECT AND THE PRODUCTS FOR WHICH I AM REQUESTING A REBATE MEET THE REQUIREMENTS LISTED ON THE REBATE PRODUCTS
FOR AND SPECIFICATION SHEETS AND HAVE BEEN COMPLETELY INSTALLED.
Signature of Property Owner/Property Manager, as Authorized Agent for Property Owner
Date (Month / Day / Year)
Funding is limited. Please call to make sure rebate applications are still being accepted. Applications are accepted on a first-come,
first-served basis. Products must be purchased and installed between January 1, 2014 and December 31, 2014; please be aware these
purchase and install periods will end earlier if funds are depleted. This program is subject to change or termination without prior notice.
This program is funded by California utility customers and administered by San Diego Gas & Electric Company, under the auspices of the
California Public Utilities Commission.
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2014 Multifamily Energy-Efficiency
Rebate Program
2 0 1 1 -2 0 1 2 M U LT I FA M I LY E N E R G Y- E F F I C I E N C Y R E B AT E P R O G R A M
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ResourcesAND
and information
RESOURCES
INFORMATION
California Investor-Owned Utilities (IOU’s)
San Diego Gas & Electric®
www.sdge.com
800-644-6133
Southern California Edison Company
www.sce.com
800-736-4777
Pacific Gas and Electric Company
www.pge.com
800-743-5000
Southern California Gas Company
www.socalgas.com/residential
800-427-4400
For energy-efficiency information including programs
and services, please visit your utility’s Web site or call the
toll-free number.
Energy-Related Resources
ENERGY STAR®
• Find products that carry the ENERGY STAR label
• Find places that carry ENERGY STAR products
• How to improve your home
• Reduce your energy costs
www.energystar.gov
ENERGY STAR Hotline:
888-STAR-YES
888-782-7937
Flex Your Power
• Energy-saving Tips
• Financial Incentives
• California’s Energy Challenge
• Consumer Energy Center
www.flexyourpower.com
Energy-Efficiency and Title 24 Building & Appliance Efficiency
Standards Hotline:
800-772-3300
California Energy Commission
• Appliance Information
• Energy-efficiency programs
Contractors State License Board
• License Status Check
• Check by License Number
• Check by Contractor Business Name
• Check by Personnel Name
• Consumer Information
• State law requires that a licensed contractor providing
home improvement services greater than $500 provide
customer with a Home Improvement Contract (HIC). For
more information about the HIC, contact the CSLB.
www.cslb.ca.gov
800-321-CSLB
800-321-2752
Better Business Bureau
Please consult your phone directory for the phone number
and location of your local BBB.
www.bbb.org
Consortium for Energy Efficiency
• Learn about national and global
energy efficiency initiatives
www.energy.ca.gov/efficiency/appliances
800-772-3300
P.O. Box 129831 | San Diego, CA 92112-9831 | 1-800-411-7343
Connect SA
at sdge.com
P. O. B OX| 129831
N DIEG O , C A 92 112- 9831
1-80
0
-411-SDGE
( 7 343)
©2014 San Diego Gas & Electric Company. All copyright and trademark rights reserved. S1480159 0814
sdge.com
www.cee1.org
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