Early Boiler Replacement Rebate Form Page 2

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Early BOilEr rEplaCEmEnt rEBatE — tErmS anD COnDitiOnS
Customer Eligibility: You must be a residential gas heating customer of Columbia Gas of Massachusetts. You must request a Mass Save Home
Energy Services Program Site Visit between May 1, 2013 and August 31, 2013, prior to replacing your boiler. Equipment must be installed by
October 1, 2013 in a 1–4 family home with an active residential participating utility account. The customer must be deemed eligible to participate
and receive the Early Boiler Replacement Rebate Form from a Lead Vendor or participating Home Performance Contractor. The customer must
complete and submit the Early Boiler Replacement Rebate Form and other required documentation to the Vendor; postmarked no later than
October 1, 2013.
Existing Equipment Eligibility: Existing equipment must be functional at the time of the Site Visit to be evaluated by the Mass Save Energy
Specialist. The existing boiler must be at least 30 years old at the time of the Site Visit and be fueled by natural gas.
Fuel switching/conversion is not eligible for this offer. Customer must agree to a possible post-installation verification inspection. The chart
below outlines the new equipment minimum requirements and Early Boiler Rebate amounts. The existing boiler must be at least 30 years old at
the time of the Site Visit and be fueled by natural gas.
Early Boiler replacement rebate
minimum aFuE
Early Boiler replacement rebate
Equipment
Fuel type
type
requirements
Owner Occupied
non-Owner Occupied
90% AFUE
Forced Hot
Natural Gas
$3,500
$4,000*
Water Boiler
or greater
82% AFUE
Steam Boiler
Natural Gas
$1,900
$1,900
or greater
*Verification of landlord status is required.
rebates: Subject to these Terms and Conditions, the Early Boiler Replacement Rebate, through its contractual Vendor, will pay rebates to
homeowner for the installation of qualified equipment. Rebate total shall not exceed installed costs quoted on supplied contractor receipt/
invoice/work order. Customers receiving the Early Boiler Replacement Rebate are NOT eligible for any other Mass Save or GasNetworks
heating equipment rebates on installed equipment. If customer receives financing through a HEAT Loan Program Participating Lender, the
loan amount will be minus any utility rebates.
rebate application: The Customer is responsible for submitting this completed Rebate Form which must include the Contractor License Number
and signature. Incomplete applications will not be processed.
required Documents:
• Completed Early Boiler Replacement Rebate Form
• Dated contractor receipt/invoice/work order noting completion of installation
• Non-Owner occupied customers must provide proof of primary residence in the form of utility bill, cable bill, etc.
post-installation Verification: Prior to rebate payment, the Vendor reserves the right to conduct an on-site verification that the equipment was
installed according to the guidelines of the program. It does not include any kind of safety review and should not be relied upon as one. If the
Vendor determines that the equipment installed does not meet the program specifications as described in the application, the Vendor reserves
the right to refuse to pay the rebate.
no Warranties: The Utilities and Vendor do not make any representation of any kind regarding the results to be achieved by the equipment or the
adequacy of such equipment. The Utilities and the Vendor expressly disclaim any and all warranties or representations of any kind, whether oral,
statutory, expressed or implied, including, without limitation, warranties of merchantability, usage, suitability or fitness for a particular purpose.
Contact your contractor for details regarding equipment performance and manufacturer warranties. The Utilities and the Vendor do not endorse,
guarantee or warrant any particular contractor, manufacturer or installation.
Changes in the rebate Offer: The offer is available for installations completed may 1, 2013 through October 1, 2013 only, and these Terms and
Conditions may be changed, or terminated by the Utilities and the Vendor at any time without notice.
Contractor insurance: The Utilities and the Vendor are not responsible for any damage that may be caused by or arise out of an installation of any
equipment. The Customer should select Contractors who carry appropriate insurance coverage and licenses.
liability: The Utilities and the Vendor are not liable for any Customer damages that may occur as a result of the termination of this program
beyond the amount of the rebate.
no tax liability: The Utilities and the Vendor are not responsible for any tax liability which may be imposed as a result of receipt of the rebates.
FOr aDDitiOnal inFOrmatiOn, plEaSE COntaCt rEBatE VEnDOr at 800-247-4112.

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