20074

IRRIGATION EQUIPMENT

REBATE

APPLICATION

www.csu.org • 448-4800

For complete rules, regulations and detailed information about qualifying irrigation equipment, look inside this form. Customer Information

Where did you hear about the available rebates?

Colorado Springs Utilities account #:

Colorado Springs Utilities Web site or www.getthegreenback.net Friend, family member

Name:

Bill insert/newsletter Colorado Springs Utilities employee

Installation address:

Zip:

What year was your home built?

Media (newspaper, radio, TV, etc.) Contractor/local business Other

How many people live in your home?

Total rebate amount requested:

Mailing address:

Please note required minimum purchase amounts:

Phone:

Zip:

Cell phone:

E-mail address: Irrigation equipment rebates are available for Springs Utilities water customers through December 31, 2009 (while funds last): Please check the rebate(s) for which you are applying: Wired rain shut-off device – (Up to $25 rebate) Wireless rain shut-off device – (Up to $50 rebate) Sprinkler heads with check valves, purchase of $50 to $99 – ($25 rebate) or Sprinkler heads with check valves, purchase of $100 or more – ($50 rebate) Matched precipitation nozzles, purchase of $50 to $99 – ($25 rebate) or Matched precipitation nozzles, purchase of $100 or more – ($50 rebate) Weather-based irrigation controller – (rebate of 1/2 the purchase price up to $200)

I have read and understand the requirements as stated in the program rules and regulations on this form. Applicant’s signature: (print) Applicant’s name:

Date: I would like to donate all or a portion of my rebate to Project COPE. Your contribution may qualify as a charitable contribution for income tax purposes. Consult your tax advisor for further information. One hundred percent of donations go to families in need to help pay their utility bills. Specify your Project COPE donation amount:___________ Warranty Disclaimer: Colorado Springs Utilities makes no representations or warranties about any make or model of equipment including any warranties of merchantability, fitness for a particular purpose or water/energy efficiency. This rebate program is subject to change and/or discontinuation without notice. Colorado Springs Utilities reserves the right to inspect installation premises or request additional information/ documentation prior to rebate payment. Colorado Springs Utilities is not liable or responsible for any act or omission of any contractor whatsoever.

Checklist: Does your efficiency product meet the requirements listed on this form? Have you filled out the application completely? Do you have a copy of the receipt(s) and product requirement verification? Have you filled out the rebate worksheet completely? Is your Colorado Springs Utilities account number correct? Have you filled out the Affidavit of Lawful Presence in the United States? Have you attached a copy of acceptable identification to comply with House Bill 06S-1023? 6699 CENV

Steps to receive a rebate:

Sprinkler heads with check valves Up to $50 rebate

Review rules and requirements as shown on this page.

Sprinkler heads with check valves manage water pressure at the head so that they operate as efficiently as possible and also do not allow water to “leak” from the system through heads after each watering cycle. Typical heads allow water to escape after each watering, particularly when one or more of the heads is significantly lower than the others.

Purchase and install the qualifying product as shown on this form or from the approved list at www.csu.org. Return completed application form/worksheet and a copy of legible purchase receipts to: Colorado Springs Utilities Residential Efficiency Rebates P.O. Box 1103, Mail Code 1339 Colorado Springs, CO 80947-1339

Qualifying heads have a check valve in them that only opens when the water is on. When the pressure drops as the system shuts off, the valve closes, preventing water from escaping.

or scan all documents and e-mail to: [email protected].

Savings is dependent on a number of factors including the number of cycles run, but 5 to 10 percent of irrigation use is conservative.

Important note: Purchase receipts must include date of purchase, purchase price, make and model numbers, and any special ratings and requirements needed to verify that they qualify for a rebate.

For a list of qualifying products, visit www.csu.org.

Rebates are offered on a first come, first serve basis and are subject to availability of funds. Certain other conditions apply. Please read all rules for each rebate before purchasing and installing.

Matched precipitation nozzles Up to $50 rebate Even coverage is perhaps the most essential ingredient in overall irrigation efficiency. Rotating matched precipitation nozzles for use on stationary pop-up sprinklers apply water evenly over the surface of the ground within the adjustable arc of the nozzle. Typical stationary pop-up nozzles on the other hand, do not. In addition to offering much more even coverage than typical pop-up nozzles, rotating matched precipitation nozzles also throw larger water droplets so that less water is lost to evaporation and drift. They also put water down more slowly so that water is more easily absorbed reducing runoff and pooling.

See specific rebate offers for additional eligibility requirements.

Wired rain shut-off device Up to $25 rebate Wireless rain shut-off device Up to $50 rebate A rain shut-off device is designed to temporarily “shut off” a sprinkler system when a specified amount of rain is received. They are compatible with most automatic irrigation controllers. Savings is dependent on the frequency and volume of rainfall and watering, but a reasonable range in Colorado Springs is 5 to 10 percent of irrigation use. Rain sensors can be found wherever irrigation supplies are sold.

Anyone with pop-up sprinklers should consider using them, especially if even coverage is a problem. They are particularly effective for those who have heavy clay soils and slopes. Savings is dependent on a number of factors, but research suggests that 10 to 20 percent is possible.

Wired rain sensors are generally less expensive than wireless, but may not be suitable in all applications or desirable if the idea of running a long wire to a suitable location does not appeal to you. If either is the case, a wireless sensor may be best. A wireless sensor must have a clear “line of site” with a receiver which is wired to and mounted next to the controller.

Contact local suppliers or a landscape professional to purchase them. For a list of qualifying products, visit www.csu.org.

Weather-based irrigation controller Up to $200 rebate

The amount of the rebate can not exceed the purchase price of qualifying equipment.

A weather-based irrigation controller is an automatic irrigation controller that uses weather data (temperature, precipitation, humidity, solar radiation) or soil moisture, and inputs such as soil type and

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plant type to automatically adjust irrigation schedules according to actual plant need. Studies suggest irrigation savings of about 20 percent or more can be expected.

It is strongly recommended that a weather-based irrigation controller be installed by a qualified professional following a thorough evaluation of both the landscape and sprinkler system.

Actual savings is dependent of previous watering habits and weather, but a reasonable range is 10 to 30 percent. It can also reduce runoff by more than 50 percent. Local suppliers who specialize in the sale of irrigation equipment generally either carry or can order these devices. They are also called “smart” or “ET” controllers.

For more information on managing an irrigation system, see Colorado State University Extension Horticulture Fact Sheet #7.239 at www.ext.colostate. edu/pubs/Garden/07239.html

Manufacturer

For a list of qualifying products, visit www.csu.org.

Purchase Date

Model #

Installation Date

Unit Cost

# Purchased

Total Cost

Wired rain shut-off device Wireless rain shut-off device Spray heads with check valves Matched precipitation nozzles Weather-based irrigation controller

 

Program rules, regulations and application Please note eligibility requirements for each rebate listed below:

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Please read all rules for each rebate before purchasing and installing any equipment

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Purchases must be made between Jan. 1, 2009 and Dec. 31, 2009. Rebate applications must be postmarked by Dec. 31, 2009. Customers who make purchases in December 2009 have until Jan. 31, 2010 to submit their applications, provided funding still exists.

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Account must be current and non-delinquent (i.e. no past due balances) at the time the rebate application is processed. No rebates will be given to customers whose accounts are delinquent.

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The qualified equipment must be new and for primary use at a residence located in the specified Colorado Springs Utilities service area.

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For all rebates, the purchase cost of a product is the only cost that is eligible for a rebate. Some of the costs that are not rebated include, but are not limited to, installation/labor, tax, and delivery.

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Rebate participant must be a Colorado Springs Utilities residential water customer and equipment must be installed in the Colorado Springs Utilities service area.

Rebates are issued as a credit applied to the Colorado Springs Utilities service account and take six to eight weeks to process.

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Incomplete applications, worksheets and those lacking a copy of the purchase receipt(s) with qualifying product documentation will be denied.

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Installation site is subject to inspection by Colorado Springs Utilities staff.

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If a property for which a rebate has been issued is found on inspection not to have the qualifying product, the amount rebated will be charged back to the Colorado Springs Utilities account which was originally credited.

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Rebates are offered on a first come, first serve basis and subject to availability of funds.

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Unless otherwise stated, rebates are limited to one per customer every three years (per specific product rebate offer).

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All applicants must provide an acceptable form of identification and sign the attached Affidavit of Lawful Presence to receive a rebate. The acceptable forms of identification are: •

Colorado Driver’s License

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Colorado ID card

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U.S. Military ID card

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U.S. Military dependent ID card

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U.S. Coast Guard Merchant Mariner card

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Native American Tribal Document 6699 CENV

AFFIDAVIT OF LAWFUL PRESENCE IN THE UNITED STATES This form is required for all residential applicants and sole proprietors in compliance with Colorado House Bill 06S-1023.

I_______________________________________(print name legibly), swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one): I am a United States citizen; or I am not a United States citizen, but I am a Permanent Resident of the United States; or I am not a United States citizen, but I am lawfully present in the United States pursuant to Federal law. I understand that this sworn statement is required by law because I have applied for a public benefit. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under Colorado Revised Statute 18-8-503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received. Applicant’s Signature _______________________________________ _______________________ Date ________________ ATTACH A COPY OF APPLICABLE IDENTIFICATION TO THIS AFFIDAVIT. (See page 3 for a list of acceptable forms of ID.) Note: Upon verification of applicant’s identification, the attached copy will be destroyed.

(Do not write in this section. Colorado Springs Utilities will complete this section.) I_______________________________________ (printed name), an employee of Colorado Springs Utilities, verified the above named applicant’s proof of lawful presence in the United States in accordance with Colorado law. The applicant provided the following evidence of lawful presence in the United States: Colorado Driver’s License

Colorado Identification Card

U.S. Military Identification Card

U.S. Military Dependent Identification Card

U.S. Coast Guard Merchant Mariner Card

Native American Tribal Document

I.D. Number: ______________________________

I.D. Expiration Date: __________________

Colorado Springs Utilities Employee Signature ___________________________________________Date _________________ If the above named applicant’s lawful presence is required by law to be verified through the SAVE Program, such verification was attempted on ________________ by ________________________. Verification was finalized on ____________________ by ________________________________. Note: Attach copy of all verification documents.