Fillable 2015 Early Ac Hp Replacement Rebate Form (Page 2 of 2) in pdf

EARLY CENTRAL AC & HEAT PUMP REPLACEMENT REBATE — TERMS AND CONDITIONS

Existing System Requirements: Central Air Conditioning (AC) or electric Air Source Heat Pumps (ASHP) units/systems must be verified as 12

years or older and functioning. Age and functionality can either be confirmed by a Mass Save Energy Home Energy Service Program site visit, or

by having a COOL SMART® QIV Trained Contractor verify and perform an Early Replacement QIV Pre-test.

New System Requirements: Central AC or electric ASHP units/systems must be qualified, listed with and certified by the Air Conditioning,

Heating, and Refrigeration Institute (AHRI), and meet the program SEER, EER and HSPF requirements. The AC/ASHP condenser and the

evaporative coil must be new and replaced together. The condenser and coil are separate components in a split AC or ASHP system and,

for rebate purposes, these are considered one unit.

Proof of Installation: Customers must submit this rebate form along with all supporting documents as stated on the front page.

Information Sources to Verify Equipment Eligibility: SEER, EER ratings (for AC only) and SEER, HSPF ratings (for heat pumps only) for

condenser, evaporator and air handler (if applicable) must be provided. Both the Consortium for Energy Efficiency () and

the AHRI directory () web sites list SEER, EER and HSPF values. AHRI also provides AHRI numbers. Manufacturer’s spec sheets

may be accepted ONLY if equipment is not yet AHRI rated and ONLY if AHRI listing is pending.

Customer Eligibility Requirements: Customer must reside in a 1-4 family home. Existing equipment must be deemed eligible by approved

verifier (COOL SMART QIV Trained Contractor or Home Energy Specialist) between April 1, 2015 and August 31, 2015, and installed by

October 30, 2015. Application must be postmarked by October 30, 2015.

Geographic Requirements: Offers valid only for Cape Light Compact, Eversource and Unitil residential electric customers in MA. Municipal

and National Grid electric customers are not eligible.

Rebate Application Form: This application must be filled out completely, truthfully, and accurately. The customer and contractor must sign and

date this form.

Quality Installation Verification (QIV) Rebate: For customer to qualify for $150 QIV Rebate, each qualifying system must be installed and properly

tested by a COOL SMART QIV Trained Contractor listed on The additional rebate applies to each qualifying new system

tested and may be mailed separately from the Early AC/ASHP Replacement rebates. Contractor must verify proper refrigerant charge and

operating capacity of the unit. Test conditions must be 60°F+ Outdoor (not raining), 65+F Indoor Dry Bulb / 55F+ Indoor Wet Bulb.

Payment: Please submit your completed Early AC/HP Replacement Rebate form to the address on the bottom right of this form. You will receive

one rebate check for the entire amount owed to you, providing any required QIV testing (see above) was completed on the new equipment. If the

testing cannot occur this year due to weather conditions, you will receive a $150 QIV Rebate after your COOL SMART QIV Trained Contractor

completes the test. Please allow 6-8 weeks for payment. Payment processing may take longer if information or documentation is missing from

the application.

Post Installation Verification: Sponsors reserve the right to conduct onsite verification to inspect that the equipment was installed according to

guidelines of the program. This verification is not to be construed as a safety review and should not be relied upon as one. If vendor determines

that installed equipment does not meet program specifications as described in the application, the vendor reserves the right to deny the rebate payment.

Endorsement: Sponsors do not endorse any particular manufacturer, contractor, product, system design, or technology in promoting these offers.

Warranties: Sponsors do not warrant the performance of installed or serviced equipment, expressly or implicitly. Program sponsors make no

warranties or representations of any kind, whether statutory, expressed, or implied, including, without limitations, warranties or merchantability

or fitness for a particular purpose regarding the HVAC equipment or services provided by a manufacturer, contractor or vendor.

Limitation of Liability: Sponsors and their rebate administrator’s liability is limited to paying the rebate and incentive specified. Sponsors and

their rebate administrator are not liable for any consequential or incidental damages or for any damages in tort connected with or resulting from

participation in these offers.

Contractor Certification: Contractor certifies that installation and services performed have been in accordance with all applicable municipal,

state and federal codes, standards and regulations, as well as program requirements.

Contact Information:

For more information, visit: Email:

TO RECEIVE YOUR REBATE CHECK YOU MUST

Send completed application with all

1. Purchase and install a qualified product at a property with an active residential electric

corresponding documentation:

account with Cape Light Compact, Eversource or Unitil.

MAIL

2. Obtain your contractor’s invoice with equipment make, condenser and coil model numbers,

Early AC/HP Replacement Rebate

size in tons, date and location of installation and total installation cost (all items required).

c/o CSG

3. Mail the following required documents to the address on the right:

50 Washington Street, Suite 3000

a. This application, completed accurately and legibly

Westborough, MA 01581

b. Contractor’s Invoice showing required information and proof of purchase

c. Copy of ACCA Approved Manual J v8 Load Calculation

d. AHRI Certificate for new equipment.

e. Copy of your most recent electric utility bill.

Please allow 6-8 weeks for processing.

(!) IMPORTANT: Sign and photo copy your entire submission for your records. You could be

For questions, call 508-365-3260

required to mail these photocopies again. Cannot be combined with other COOL SMART rebates.

Energy Benefits: Customer agrees that the Energy Efficiency Program Provider (EEPP) has the unilateral right to apply for any ISO-NE capacity payments or

environmental credits resulting from this energy efficiency project, and agrees not to file for such payments or credits either directly or indirectly. Manufacturer

and/or retailer agree to provide the EEPP with such further documentation as the EEPP may request to confirm the EEPP’s ownership of such benefits.