Cooling Efficiency 2017/2018 Cooling Equipment Rebate Application

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1 Business Appliction Cooling Efficiency 2017/2018 Cooling Equipment Rebte Appliction For use with invoices dted on or fter Jnury 1, 2017 OID: (Internl use only) Business customer informtion Compny nme Dte submitted Miling ddress City County Stte ZIP Instlltion ddress (if different) City County Stte ZIP Contct nme (print) Dy phone Emil* *By providing your emil ddress, you re grnting Xcel Energy permission to send further emils regrding our progrms nd services. Xcel Energy electric premises number Plese indicte the primry use** for this loction: Assembly Eduction University Mnufcturing Bio/Tech Retil Single-Story Lrge Eduction Community College Grocery Mnufcturing Light Industril Retil Smll Eduction Primry School Helth/Medicl Hospitl Office Smll Storge Conditioned Eduction Reloctble Clssroom Helth/Medicl Nursing Home Resturnt Fst Food Wrehouse Refrigerted Eduction Secondry School Lodging Hotel Resturnt Sit Down Commercil **Equipment used for non-spce conditioning must go through our Custom Efficiency progrm nd be prepproved prior to purchse. I verify the informtion on this ppliction is correct nd request considertion for prticiption in this progrm. Customer signture Dte Customer hereby certifies tht: 1. the customer, nd not Xcel Energy is solely responsible for the ccurcy of the informtion contined in this ppliction; 2. ll instlltion is complete nd opertionl prior to submitting rebte; nd 3. ll rules of this Xcel Energy progrm hve been followed. Further, the customer cknowledges tht prticiption in this rebte progrm shll impose no libility on Xcel Energy. In prticulr, Xcel Energy shll not be lible for the work performed by the customer s engineer, contrctor or vendor. Xcel Energy ccount mnger Alterntive rebte recipient Note: Complete this section only if customer wnts the rebte check to go to someone other thn the compny tied to the ccount number. Compny nme Contct nme Phone Address City Stte ZIP I uthorize the bove compny to receive the rebte check for this project. Customer signture Dte HVAC contrctor informtion Compny nme Trde Prtner ID# Contct nme (print) Address City Stte ZIP Contct emil* Phone *By providing your emil ddress, you re grnting Xcel Energy permission to send further emils regrding our progrms nd services. Pge 1 of

2 Cooling Efficiency Rebte Business Appliction Rebte rules nd requirements Qulifying customers The Xcel Energy Cooling Efficiency progrm is vilble to Xcel Energy business electric customers in. Cooling rebte rules Xcel Energy offers csh rebte to customers who purchse nd instll qulifying cooling equipment. Qulifying levels re detiled in this ppliction nd must be verified by mnufcturer or ARI specifictions. Xcel Energy expects tht the customer will operte energy efficient equipment t the mnufcturer s specified efficiency levels. Xcel Energy reserves the right to limit ny rebte or mke djustments to correct incentive clcultions if necessry. Rebtes pply only to new cooling equipment. Used, rebuilt or refurbished equipment is not eligible for Cooling Efficiency rebtes. Documents estblishing proof of purchse (invoice) must be furnished when the originl rebte ppliction is completed. If not indicted on the invoice, plese dd the number of units instlled, mnufcturer, model number nd cpcity (in tons). Unless otherwise indicted on the rebte form ll efficiencies must be rted t the most recent ARI stndrds. No rebtes will be provided for bckup systems. Bckup systems re defined s seprte chiller tht is required only when one of the primry chillers fil. Cooling equipment must use minimum ozone-depleting refrigernt such s R-410A, R-123 nd R-134. If equipment efficiency is in SEER where the ppliction sks for EER, multiply SEER by to clculte EER rting. Direct evportive cooling requirements Unit is permnently instlled; portble coolers re not eligible. Rebte bsed on CFM of irflow. Unit CFM should be t 0.1 sttic pressure. VSDs on chillers Applictions must include originl chiller specifictions nd mnufcturer s VSD performnce specifictions (for centrifugl chillers only). Enclosed rech-in cses Existing cse must be either freezer or cooler multi-deck cse. Existing specilty, self-contined, nd islnd cses do not qulify. This mesure is for replcement of open cses with new cses tht include cse door. Replcement cses must hve doors, be tied into centrl refrigertion system, nd be purchsed new. Wter cooled centrifugl chiller rebte rules Include the mnufcturer s dt sheet with the rebte ppliction for chillers. The dt sheet should include full lod efficiency, prt lod efficiencies nd testing conditions. Test conditions should be t design conditions. Economizer rules RTU economizers must be enthlpy controlled nd hve CO2 controls to qulify for our Cooling Efficiency economizer rebtes. Documenttion tht both control methods re in plce is required. The RTU itself must be new but does not need to qulify for Cooling Efficiency rebte for you to qulify for our economizer rebtes. Generl Xcel Energy rebte rules Rebte plns re vilble to existing Xcel Energy direct-billed commercil nd industril electric customers in only. Customers hve 12 months from the equipment invoice dte to pply for Cooling Efficiency rebte. No rebtes will be given for equipment or designs tht do not comply with Xcel Energy Cooling Efficiency rebte progrm rules or locl, stte or federl regultions. This rebte form nd these stndrds go into effect Jnury 1, 2017 nd supersede ll previous progrm mterils. This rebte progrm will be in effect for n indefinite period. The customer is responsible for checking with Xcel Energy to determine whether the progrm is still in effect. Xcel Energy reserves the right to inspect instlltions before nd fter issuing rebtes. Xcel Energy is not responsible for ny lost, lte, stolen, ineligible, illegible, misdirected or postge due mil. All completed submissions become the property of Xcel Energy nd will not be returned. Wrning Frudulent submission of form my result in federl prosecution for mil frud under 18 USC sections 1341, Xcel Energy will issue rebtes in the form of checks, not utility bill credits. Xcel Energy will issue rebtes when the totl mount is greter thn or equl to $5. Contct n energy efficiency specilist t or energyefficiency@xcelenergy.com for more informtion. Pge 2 of

3 Cooling Efficiency Rebte Business Appliction How to pply for rebtes 1. Fill out the rebte ppliction. Plese note the ppliction process section in the Rules nd Requirements section on pge 2. (All informtion needs to be supplied before rebte check cn be issued.) 2. Submit completed nd signed rebte form long with the originl pid invoices by emil to: (preferred), or fx to: , or mil to: Xcel Energy, Energy Efficiency Specilists, Business Solutions Center, P.O. Box 8, Eu Clire, WI Bseline rebte Incrementl rebte Rebte levels nd requirements Minimum efficiency Bse rebte per ton Increment Increment rebte per ton Anti-swet heter controls n/ $60/door n/ n/ Chillers ir cooled Chillers wter cooled centrifugl Chillers wter cooled scroll or rotry screw < 75 tons 75 tons nd < 150 ton 150 tons nd < 300 tons > 300 tons Commercil dishwsher - under counter, electric only Commercil dishwsher - door type, electric only Demnd Controlled Ventiltion 9.70 FLV EER 13 IPLV SEER Must improve on IECC 2009 bseline by * FLV, IPLV FLV, IPLV FLV ; IPLV FLV ; IPLV Conventionl unit s defined by ENERGY STAR Conventionl unit s defined by ENERGY STAR Commercil kitchen ventiltion hoods without Demnd Controlled Ventiltion $6 0.1 EER $ $ $ $ $ $175/unit $196/unit $100/HP Direct evportive cooling See rules nd requirements $100/1,600 CFM Ductless Mini-split AC - dt center 16 SEER $20.1 SEER $1 Ductless Mini-split het pump 16 SEER/11 HSPF $40.1 SEER $1.50 < 5.5 tons 13.5 SEER $ SEER $8 DX units (roof top, split tons 12.0 EER $ EER $4 systems nd tons 11.8 EER $ EER $4 condensing tons 10.4 EER $ EER $4 units) > 63.3 tons 10.0 EER $ EER $4 Refrigerted disply cse n/ $40 n/ n/ EC motors (electroniclly Freezer disply cse (low temp.) n/ $40 n/ n/ commutted Wlk-in refrigertor n/ n/ n/ motor) Wlk-in freezer (low temp.) n/ n/ n/ Enclosed rech-in cse n/ per liner foot n/ n/ Evportor fn motor controller n/ $35/fn motor n/ n/ Hot food holding cbinet Conventionl unit s defined by ENERGY STAR $400/unit LED refrigerted nd freezer cse strip lighting 5 or 6 doors n/ $50/door n/ n/ No het cse doors n/ $125/door n/ n/ PTACs 11.0 EER $ EER $4 Rooftop unit economizer Enthlpy nd CO2 control $20 n/ n/ Determined by existing chiller performnce specifictions nd VSDs on chillers mnufcturers VSD performnce specifictions. Wter-source het pumps (excludes ground source nd ground wter source het pumps) *See wter cooled centrifugl chiller rules for more informtion on how to determine progrm qulifiction EER $ EER $4 $1 per FLV+, $0.25 per IPLV 0.1 EER bove bse $2 per FLV + $1.50 per NPLV 0.01 below bse 0.01 below bse 0.01 below bse 0.01 below bse 0.01 below bse $1.50/ton per IPLV for every 0.01 below mx Wrrnty informtion Wrrnties re between the customer nd the equipment mnufcturer(s). Xcel Energy mkes no wrrnties, expressed or implied, with respect to equipment opertion, mteril, workmnship or mnufcturing. Xcel Energy does not gurntee tht specific level of energy or cost svings will result from the implementtion of energy conservtion mesures or the use of products funded under this progrm. In no event shll Xcel Energy be lible for ny incidentl or consequentil dmges. Xcel Energy is not responsible for the disposl of motors replced s result of this progrm. Plese llow six to eight weeks for rebte check to rrive. Pge 3 of

4 Cooling Efficiency Rebte Business Appliction Anti-swet heter controls No. of doors Mnufcturer Model no. Rebte clcultion Item rebte No. of doors x $60 = Chillers ir cooled No. of units Mnufcturer Model no. Tons/unit FLV/EER IPLV/SEER Item rebte (Bse: $6 x tons = $ ) + [Efficiency: (FLV $1 x x tons = $ ) + ILPV $0.25 x b x tons = $ )] = $ = [Equipment EER (from vendor) Min. qulifying EER (from tble of minimum qulifying criteri)] /.1 b = [Equipment IPLV or SEER (from vendor) Min. qulifying IPLV or SEER (from tble of minimum qulifying criteri)] /.1 Chillers centrifugl No. of units Mnufcturer Model no. Tons/unit FLV () NPLV () Item rebte Determine rebte by contcting your Xcel Energy ccount mnger or n energy efficiency specilist t Chillers rotry or scroll No. of units Mnufcturer Model no. Tons/unit FLV () IPLV () Item rebte (Bse: $12 x tons = $ ) + [Efficiency: FLV $2 x x tons = $ ) + ILPV $1.5 x b x tons = $ )] = $ Commercil dishwshers = [Min. qulifying FLV (from tble of minimum qulifying criteri) Equipment FLV (from vendor)] /.01 b = [Min. qulifying IPLV (from tble of minimum qulifying criteri) Equipment IPLV (from vendor)] /.01 No. of units Under counter or door type Mnufcturer Model no. Item rebte Under Counter $175 x # of units Door Type $196 x # of units Demnd controlled ventiltion Motor HP Mnufcturer Model no. Item rebte $100 x HP Direct evportive cooling Model number Mnufcturer CFM Item rebte Direct: Unit CFM/1,600 CFM x $100 = $ Motor HP Motor kw Ductless Mini-split AC dt center No. of units Mnufcturer Model no. Tons/unit EER/SEER Item rebte (Bse: $20 x tons = $ ) + (Efficiency: $1 x x tons = $ ) = $ = [Equipment SEER (from vendor) Min. qulifying SEER (from tble of Min. Qulifying Criteri)] / 0.1 Ductless Mini-split het pump No. of units Mnufcturer Model no. Tons/unit EER/SEER Item rebte (Bse: $50 x tons = $ ) + (Efficiency: $2 x x tons = $ ) = $ = [Equipment SEER (from vendor) Min. qulifying SEER (from tble of Min. Qulifying Criteri)] / 0.1 Pge 4 of

5 Cooling Efficiency Rebte Business Appliction DX unit No. of units Mnufcturer Model no. Tons/unit EER/SEER A Coil* Item rebte RTU < 5.5 tons (Bse: $100 x tons = $ ) + (Efficiency: $8 x x tons = $ ) = $ All other DX units (Bse: $50 x tons = $ ) + (Efficiency: $4 x x tons = $ ) = $ = [Equipment EER or SEER (from vendor) Min. qulifying EER or SEER (from tble of Min. Qulifying Criteri)] / 0.1 *A Coil model is required for units <5.4 tons only. EC motors (electroniclly commutted motors) Section A ECMs tht replced shded pole motors within refrigerted disply cses. Line # End use function Mnufcturer Model # Rebte Qty. 1 Refrigerted Disply Cse (Medium Temp) $40 Rebte x qty. = totl rebte 2 Refrigerted Disply Cse (Medium Temp) $40 3 Refrigerted Disply Cse (Medium Temp) $40 4 Refrigerted Disply Cse (Medium Temp) $40 Section B ECMs tht replced shded pole motors within low-temperture (freezer) disply cses. Line # End use function Mnufcturer Model # Rebte Qty. 5 Freezer disply cse (low temp.) $40 6 Freezer disply cse (low temp.) $40 7 Freezer disply cse (low temp.) $40 Rebte x qty. = totl rebte Subtotl, sections A & B Plese note: Ech line of sections C&D must indicte if the ECM will drive n evportor fn of more or less thn 15 inches. Items tht do not indicte the fn size cnnot be rebted. Section C ECMs tht replced shded pole motors within wlk-in refrigertors. Line # Function Fn size Mnufcturer Model # Rebte Qty Wlk-in refrig. Wlk-in refrig. Wlk-in refrig. Wlk-in refrig. More thn 15" or Less thn 15" More thn 15 or Less thn 15 More thn 15 or Less thn 15 More thn 15 or Less thn 15 Section D ECMs tht replced shded pole motors within wlk-in freezers. Line # Function Fn size Mnufcturer Model # Rebte Qty Wlk-in freezer (low temp.) Wlk-in freezer (low temp.) Wlk-in freezer (low temp.) More thn 15" or Less thn 15" More thn 15 or Less thn 15 More thn 15 or Less thn 15 Rebte x qty. = totl rebte Rebte x qty. = totl rebte Subtotl, sections C & D Pge 5 of

6 Cooling Efficiency Rebte Business Appliction Grnd totl, sections A, B, C & D Enclosed rech-in cse No. of units Mnufcturer Model no. Rebte clcultion Item rebte Liner ft x = Evportor fn motor controller No. of units Mnufcturer Model no. Rebte clcultion Item rebte No. of fn motors x $35 = Hot food holding cbinet No. of units Mnufcturer Model no. Tons/unit Item rebte LED strip lighting-swet heter controls No. of doors Mnufcturer Model no. Rebte clcultion Item rebte No. of doors x $50 = No het cse doors No. of doors Mnufcturer Model no. Rebte clcultion Item rebte No. of doors x $125 = Pckged terminl ir conditioners (PTAC) No. of units Mnufcturer Model no. Tons/unit EER Item rebte (Bse: $50 x tons = $ ) + (Efficiency: $4 x x tons = $ ) = $ = [Equipment EER (from vendor) Min. qulifying EER (from tble of Min. Qulifying Criteri)] / 0.1 Rooftop unit economizer Model no. Mnufcturer RTU tons/unit Enthlpy controlled? CO 2 Controls purchsed? Yes No Yes No (Bse: $20 x RTU tons x no. of units = $ totl rebte) VSDs on chillers No. of units Mnufcturer Model no. Tons/unit* IPLV (previous) IPLV (post) Item rebte *Chiller tons (IPLV $1.5 x tons = $ ) = [Previous IPLV Post IPLV (design conditions)]/.01 Wter source het pumps No. of units Mnufcturer Model no. Tons/unit EER Item rebte (Bse: $50 x tons = $ ) + (Efficiency: $4 x x tons = $ ) = $ = [Equipment EER (from vendor) Min. qulifying EER (from tble of Min. Qulifying Criteri)] / 0.1 Totl rebtes unit No. of units Totl rebtes listed bove Xcel Energy retins the right to limit rebtes or mke djustments to correct incentive clcultions if necessry. Energy svings clcultions re estimtes nd my vry from ctul results. Importnt: Copies of ll invoices nd this completed ppliction form re required before Xcel Energy cn issue rebtes. See Progrm Guidelines for dditionl informtion. Pge 6 of

7 Cooling Efficiency Rebte Business Appliction xcelenergy.com 2018 Xcel Energy Inc. Xcel Energy is registered trdemrk of Xcel Energy Inc

Cooling Efficiency 2017 Cooling Equipment Rebate Application

Cooling Efficiency 2017 Cooling Equipment Rebate Application For use with invoices dated on or after March 1, 2017 Business customer information Company legal name Date submitted Mailing address City County