Residential Geothermal

2009 CONNECTICUT RESIDENTIAL GEOTHERMAL RETROFIT INCENTIVE APPLICATION For installations in new homes, please visit the Residential New Construction pages on www.cl-p.com or www.uinet.com

EMS6607-4 REV. 3-09

The Connecticut Light and Power Company P.O. Box 270 Hartford, CT 06141-0270 Tel: 877-WISE-USE (877-947-3873)

The United Illuminating Company 157 Church Street, MS 1-6B New Haven, CT 06510 Tel: 877-WISE-USE (877-947-3873)

READ THE PROGRAM REQUIREMENTS ON REVERSE BEFORE PROCEEDING

CUSTOMER INFORMATION (PLEASE PRINT) Customer First Name

Last Name

Electric Utility (Check one)

Address (where equipment was installed)

Electric Account Number (as stated on bill)

State

City

Zip

Mailing Address (if different from above)

Loop Type (Check One)

SIGN HERE

 WLHP

 CL&P  UI

Telephone Number

City

 GWHP

 GLHP

State

Zip

Prior Heating System

 DX

(Fuel/Type) : __________________________

I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR EQUIPMENT FOR WHICH I AM REQUESTING AN INCENTIVE MEETS THE REQUIREMENTS IN THIS APPLICATION.

X

Date

/

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EQUIPMENT INFORMATION Start Date

Brand

Compressor Section Model No.

Fan Section Model No.

A.H.R.I. Rated Nominal Tons

EER

COP

Hot Water Desuper?

Incentive $500/Ton

No. of Units

Total Incentive

$500

$500

$500

$500

Total Incentive (Not to exceed $1,500 per location)

CONTRACTOR INFORMATION Contractor Name

Telephone Number

Fax Number

(

(

)

Address

)

E-Mail

City

State

Zip

Please complete and attach the Verification of Installed Performance (VIP) available on the Geothermal Heat Pump pages at www.cl-p.com or www.uinet.ncom

SIGN HERE

I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. I CERTIFY THAT THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR EQUIPMENT FOR WHICH THE APPLICANT IS REQUESTING AN INCENTIVE MEETS THE REQUIREMENTS IN THIS APPLICATION.

X

Date

/

/

TERMS AND CONDITIONS Application Offer: This program covers products purchased and installed on or after January 1, 2009. Details of this program, including incentive levels, are subject to change or cancellation without prior notice. This Application with required documentation must be received by March 31, 2010 and postmarked by March 15, 2010. For further details, please contact:  

CL&P customers call: Mark Foley (860) 832-4964 UI customers call: Bob Bartone (203) 499-3676

This offer is valid for residential customers only. Eligibility: Incentives are available to all CL&P and UI residential electric service customers. Equipment must be installed in the service territory of the participating electric utility. Eligible systems are: electric geothermal heat pumps. Rebate is used for geothermal equipment installed for residential applications. Units must be A.H.R.I.-rated to qualify (Air Conditioning Heating and Refrigeration Institute: www.ahrinet.org). The rebate amount is $500 per ton with a limit of $1,500 per location. This Application must be accompanied by a completed Verification of Installed Performance (VIP) worksheet available at: the Geothermal Heat Pump pages on www.cl-p.com and www.uinet.com. Proof of Purchase: A job invoice itemizing the purchased equipment must accompany each incentive Application. The job invoice copy must indicate the equipment type, make and model numbers and the date of purchase. Application Form: This Application must be filled out completely, truthfully and accurately. The Customer and Contractor must each sign and submit the completed Application along with the invoice, a copy of a recent electric utility bill and the VIP worksheet. Payment: Please allow up to 90 days for payment. Payment processing may take longer if information is missing on the Application.  

CL&P customers call: Mark Foley (860) 832-4964 UI customers call: Bob Bartone (203) 499-3676

Approval and Verification: Your electric utility reserves the right to verify sales transaction and to have reasonable access to your residence to inspect the system installed under this program, prior to issuing incentives, for up to one year after date of application. Rebate Application must include VIP worksheet which must be completely filled out. Based on the judgment of the electric utility, rebates will not be paid if the VIP spreadsheet is not filled out completely. Units must be within 15% of efficiency capacity based on the A.H.R.I. performance rating. Tax Liability: Your electric utility will not be responsible for any tax liability that may be imposed on the customer as a result of the payment of incentives. Endorsement: Your participating electric utility does not endorse any particular contractor, manufacturer, product or system design in promoting this initiative.

Warranties: CL&P AND UI DO NOT WARRANT THE PERFORMANCE OF INSTALLED EQUIPMENT, EXPRESSLY OR IMPLICITLY. The electric utilities make no warranties or representations of any kind, whether statutory, expressed, or implied, including without limitations, warranties of merchantability or fitness for a particular purpose regarding the geothermal heat pump or services provided by a manufacturer, contractor or vendor. Contact your Contractor for details regarding equipment performance and warranties. Limitation of Liability: CL&P’s and UI’s liability is limited to paying the incentive specified. CL&P and UI are not liable for any consequential or incidental damages, or for any damages in tort connected with or resulting from participation in this program. Owner’s Certification: Owner certifies that he/she has purchased and installed the equipment listed on the other side of this Application at the defined location. Owner agrees that all information is true and that he/she has conformed to all program and equipment requirements listed. Forward Capacity Market and Class III Credits: By signing this document and as a condition to receiving a rebate pursuant to this program, customer hereby assigns to its participating electric utility, either CL&P or UI (as the case may be), any and all payments, benefits and/or credits in connection with the Forward Capacity Market or any currently existing or successor or replacement markets, (including, but not limited to, any and all “LICAP”, “ICAP”, transitional credits or payments or any and all other capacity-related credits, payments and/or benefits for which Customer is eligible) and that are associated with or applicable to customer’s participation in the Residential Geothermal Retrofit Incentive Program. Customer hereby assigns to either CL&P or UI (as the case may be) all of its right, title and interest in and to any and all such capacity payments, credits and/or benefits and shall take any and all action, including executing and delivering any and all documents and/or instruments, as requested by either CL&P or UI (as the case may be) to evidence the same. Forward Capacity Market means the market for procuring capacity pursuant to ISO-NE Tariff, FERC Electric Tariff No. 3, Section III, Market Rule 1, Section 13, any modifications to the Forward Capacity Market, or any successor or replacement market/capacity procurement process. Class III Conservation Credits: In accordance with the Department of Public Utility Control's ("DPUCs") September 29, 2008 decision in Docket No. 05-07-19RE01, DPUC Proceeding to Develop a New Distributed Resources Portfolio Standard (Class III) – 2007 Revisions, Customer is not eligible to receive or retain any Class III conservation credits in connection with the Residential Geothermal Retrofit Incentive Program and Customer hereby acknowledges and agrees the same. Customer further acknowledges and agrees that such credits shall be retained by either CL&P or UI (as the case may be) for the benefit of their customers through the Connecticut Energy Efficiency Fund. In the event that the DPUC amends or modifies the allocation of Class III conservation credits as reflected in its September 29, 2008 decision, then the allocation of such credits utilized by either CL&P or UI (as the case may be) shall be the allocation in effect (per the applicable DPUC decision) on the date that the Customer submitted its rebate application documents to either CL&P or UI (as the case may be).

APPLICATION INFORMATION Applications cannot be processed unless all of the appropriate fields on the front side of this Application are complete. Please be sure you have read the Terms and Conditions of this Application. Attach a copy of the contractor’s invoice listing the condenser and evaporator model and serial numbers.

CL&P customers:

UI customers:

Please send or fax 2009 Connecticut Residential Geothermal Incentive Application To:

Please send or fax 2009 Connecticut Residential Geothermal Incentive Application To:

Mark Foley Connecticut Light & Power 66 Curtis Street New Britain, CT 06052 Phone (860) 832-4964 Fax (860) 832-4700

Bob Bartone United Illuminating 157 Church Street, MS 1-6B New Haven, CT 06510 Phone (203) 499-3676 Fax (203) 499-2800

You may be eligible for federal tax credits. Please visit www.energystar.gov for more information. Connecticut’s Energy Efficiency Fund Programs are funded by a charge on Customer energy bills. The Programs are designed to help customers manage their energy usage and cost. C0055 Rev. 03/09