REBATE APPLICATION. 1. Rebate Applicant Information. 2. Dealer Information OKLAHOMA NATURAL GAS COMPRESSED NATURAL GAS (CNG)
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1 OKLAHOMA NATURAL GAS COMPRESSED NATURAL GAS (CNG) REBATE APPLICATION 1. Rebate Applicant Information Application is required for each requested rebate: Applicant Name: (as it appears on account, if Oklahoma Natural Gas customer) Oklahoma Natural Gas Account Number (if applicable) : Oklahoma Natural Gas Customer Non-Customer Mailing Address: City: State: Zip: (preferred): Daytime Phone: ( ) Evening Phone: ( ) CUSTOMER NAME CNG St Your account number is located on your bill. If you are an Oklahoma Natural Gas customer, the application cannot be processed without this number present on this form. 2. Dealer Information Dealer/Conversion Company Name: Address: City: State: Zip: (preferred): Phone: ( ) Vehicle s CNG system conforms with EPA/CARB certification Yes No If No, the vehicle does not meet the rebate requirements. Dealer/Conversion Signature:
2 3. Eligibility Requirements 1. Rebates are capped at three (3) rebates per applicant per calendar year. Oklahoma Natural may exceed this cap at its sole discretion if surcharge recoveries are available at calendar year end. Otherwise, excess surcharge recoveries will roll over to the next calendar year. 2. A dedicated or bi-fueled natural gas vehicle must be an Original Equipment Manufacturer (OEM) CNG vehicle or contain an Environmental Protection Agency/California Air Resources Board (EPA/CARB) Certified kit. 3. A dedicated or bi-fueled natural gas vehicle must be a model year less than or equal to 10 years from the rebate application year. 4. A dedicated or bi-fueled natural gas vehicle will qualify for only one rebate during its lifetime regardless of ownership. 5. A dedicated or bi-fueled natural gas vehicle must have been purchased or converted within 90 days of the applicant s request for a rebate, subject only to the cap exception in Oklahoma Natural s sole discretion above. 6. The purchase of dedicated and bi-fueled natural gas vehicles and the purchase of residential CNG fueling systems must occur after the Oklahoma Corporation Commission approval of this schedule. 7. Dealers/Installers do not qualify. Any business whose primary purpose is the sale, resale, renting or leasing of automobiles and trucks would not qualify. 8. Oklahoma Natural requires each applicant to present a completed application and is unable to process incomplete applications. Applicants must include the following information: (a) Vehicle identification number (VIN); (b) Verification of liability insurance information; (c) Evidence of vehicle ownership such as the assigned Manufacturers Certificate of Origin, purchase contract or bill of sale; (d) Copy of the Application for Oklahoma Certificate of Title; (e) Conversion Kit Serial number; and (f) Conversion Invoice. 9. Applications and additional information are available at Oklahoma Natural reserves the right to verify the applicants eligibility for the rebate. Oklahoma Natural issues rebates in the form of checks, not utility credits. Oklahoma Natural is not responsible if the dealer/installer or retailer fails to provide accurate information about the amount of a rebate or eligibility. Rebate checks will be mailed approximately six to eight weeks after approval, subject to availability of program funds. 11. Rebates are reviewed and processed on a first-come, first-served basis until program funds are depleted. Rebate qualifications and amounts are subject to change. Rebate funds are limited. Funding guidelines for these rebates may be changed or discontinued at any time without notice. Please check for rebate updates at All CNG conversions and equipment installations must comply with National Fire Protection Association (NFPA) Code 52. I hereby certify that I understand and meet the CNG Rebate Program eligibility requirements. 4. Available Rebates for CNG NATURAL GAS VEHICLE Make/Model/Year (Dedicated or Bi-Fuel: $2,000) VIN Number Must include: (a) * Evidence of vehicle ownership (purchase contract/bill of sale). OR copy of the application for Oklahoma Certificate of Title. (b) * Verification of Liability Insurance. Conversion Manufacturer Conversion Kit Serial Number Home Refueling Appliance (HRA: $3,000) Manufacturer Name Model Number Serial Number Must include: (a) * Date of Purchase/Receipt Address Installed *Copies of this information will need to be attached to the application in order to be processed.
3 5. Review and Submit Your Application Mail completed application(s) along with required documentation within 90 days of installation or service to: Oklahoma Natural Gas Compressed Natural Gas Rebate Program P.O. Box 401 Oklahoma City, OK (Fax) Oklahoma Natural requires each customer to present a completed rebate application and is unable to process incomplete applications. Applications and additional information are available at Oklahoma Natural reserves the right to verify all information provided. Oklahoma Natural issues rebates in the form of checks, not utility credits. Oklahoma Natural is not responsible if the dealer/installer or retailer fails to provide accurate information about the amount of a rebate or eligibility. Rebate checks will be mailed approximately six to eight weeks after approval, subject to availability of program funds. Rebates are reviewed and processed on a first-come, first-served basis until program funds are depleted. Rebate qualifications and amounts are subject to change. Rebate funds are limited. Funding guidelines for these rebates may be changed or discontinued at any time without notice. Please check for rebate updates at 6. Terms and Conditions As you decide whether to participate in Oklahoma Natural s Compressed Natural Gas (CNG) Rebate program, please review the following terms and conditions. 1. To qualify for the CNG Rebate program, individual Oklahoma residents or any commercial or industrial company doing business in Oklahoma must complete a CNG Rebate application form and provide all information required by the application. Applications and additional information are available at 2. Any new or used CNG vehicle or residential CNG fueling system must comply with the additional terms and conditions included in the CNG Rebate application form. By completing the CNG Rebate application form, a customer represents and warrants to Oklahoma Natural that the customer s natural gas vehicle or CNG fuel system qualifies for the CNG Rebate program in all respects, including without limitation that (a) the customer has not claimed more than three rebates in any calendar year (subject to certain exceptions at Oklahoma Naturals discretion), (b) if the rebate is being claimed for a natural gas vehicle, that neither the customer, nor to the customer s knowledge anyone else, has previously claimed a rebate for such vehicle or any conversion kit in such vehicle during its lifetime, and (c) that the customer is not a dealer or installer, as applicable, of natural gas vehicles, natural gas conversion kits, or CNG fueling systems. Oklahoma Natural reserves the right to verify all information provided. 3. Oklahoma Natural does not sell or manufacture the vehicles, natural gas conversion kits, or CNG fueling systems that qualify for rebates under the CNG Rebate programs, nor does it endorse or recommend any particular vehicle, conversion kit, or fueling system. Oklahoma Natural is not responsible for any decision regarding the selection of vehicles, conversion kits, or CNG fueling systems to qualify for rebates under our CNG Rebate program. OKLAHOMA NATURAL THEREFORE DOES NOT MAKE AND HEREBY DISCLAIMS ANY EXPRESS OR IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE FOR ANY VEHICLE, CONVERSION KIT, OR FUELING SYSTEM CHOICE THE CUSTOMER MAKES. The customer is responsible for the full cost and, if applicable, installation, of any vehicle, natural gas conversion kit or CNG fueling system. 4. Oklahoma Natural will not install any natural gas conversion kit(s) into the customer s vehicle or any CNG fueling system at the customer s home, nor is Oklahoma Natural responsible for the performance of installation services by the customer or any third party. If a customer decides to install a natural gas conversion kit or CNG fueling system, Oklahoma Natural encourages its customers to carefully research and select a qualified professional to do so. Oklahoma Natural is not responsible for any damage caused when (a) a contractor enters a customer s premises or during installation, (b) by poor workmanship or (c) failure to complete projects. Oklahoma Natural will not intervene in disputes between a customer and his or her selected contractor. Oklahoma Natural also strongly encourages participating customers to be sure any installation conforms to all applicable codes, permit requirements and manufacturer installation recommendations and requirements. Oklahoma Natural is not responsible for determining whether a conversion kit or a CNG fueling system has been installed correctly or safely into the customer s vehicle or home.
4 5. Oklahoma Natural makes no warranty concerning whether use of a natural gas vehicle will accomplish any projected or targeted fuel cost savings. Further, in determining whether to purchase a natural gas vehicle or convert an existing vehicle to natural gas, Oklahoma Natural advises its customers to consider the proximity and availability of retail CNG outlets and stations. 6. Oklahoma Natural issues rebates in the form of checks, not utility credits. Oklahoma Natural is not responsible if the dealer/installer or retailer fails to provide accurate information about the amount of a rebate or eligibility. Rebate checks will be mailed approximately six to eight weeks after approval, subject to availability of program funds. 7. CNG Rebates for natural gas vehicles are available to any individual Oklahoma resident or any commercial or industrial company doing business in Oklahoma. CNG Rebates for CNG fueling systems are available only to individual Oklahoma residents. Oklahoma Natural encourages each participant to review all program eligibility requirements. 8. Completed rebate applications will be reviewed and processed by Oklahoma Natural on a first-come, first-served basis until program funds are depleted. Rebate qualifications and amounts are subject to change. Rebates funds are limited. Funding guidelines for these programs may be changed or discontinued at any time without notice. Please check for updates. 7. Acceptance of Terms I hereby certify that all information is accurate, including claims of customer and equipment information. My signature below indicates I have read, understand and agree to all terms and conditions on this application and acknowledge that Oklahoma Natural Gas may verify all the information provided.
5 REBATE CERTIFICATION CHECKLIST TASK YES NO 1. Customer Information/Oklahoma Natural account information. 2. Completed rebate forms. 3. EPA/CARB Certified kit is required for approval. 4. Vehicle must be a model year less than or equal to 10 years from the rebate application year. 5. Read and approved terms and conditions. 6. Attached proof of ownership. (Purchase contract, bill of sale, copy of application for Oklahoma Certificate of Title) 7. Attached copy of verification of liability insurance. 8. Application must be within 90 days of purchase/install. 9. Read and understand the CNG Tariff.
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