Prescriptive Rebate Application

Prescriptive Rebate Application
Instructions for Use
Some prescriptive projects must receive pre-approval from the program BEFORE project installation begins or equipment
is purchased, as indicated in Step 1 below. For detailed instructions, please refer to the terms and conditions on page 11 of this
application. If you have any questions, please call 855-849-8928.
Step 1: Determine Eligibility and Pre-Approval
Requirements
Equipment must be new, installed and operational in a private
facility that is in the Peoples Gas or North Shore Gas service
territory. The program begins June 1, 2016 and expires
December 31, 2017.
Multi-Family: The building has permanent or semi-permanent
residential tenants and contains three or more living units.
Pre-approval is required for prescriptive rebates greater than or
equal to $2,500 and all steam trap projects.
Small Business: The business uses less than 150,000 therms
of natural gas annually. Pre-approval is required for prescriptive
rebates greater than or equal to $2,500 and all steam trap
projects.
Step 2: Install New Equipment
New equipment must be installed and old equipment removed
or disconnected. Only new products and services that meet
the minimum energy efficiency specifications listed in this
application are eligible for rebates. Rebates for prescriptive
measures may not exceed 50% of the total project cost,
with the exception of steam traps. Rebates for steam trap
projects may not exceed 100% of the total project cost
for Commercial and Industrial customers only.
Multi-Family and Small Business customers must use
Partner Trade Allies to have the rebate cover 100% of the
project costs.
Step 3: Complete and Sign Application
Commercial and Industrial: The business uses 150,000
therms or more of natural gas annually.
Incomplete applications or missing information will cause
delays in or denial of payment. Applications must be received
within 30 days of installation.
Pre-approval is required for prescriptive rebates greater than or
equal to $10,000 and all steam trap projects.
Step 4: Include Documentation
Equipment not eligible for prescriptive rebates may be eligible
for custom rebates. Rebates are only made available to help
influence and implement projects that otherwise would not be
completed, or to complete projects sooner than currently or
previously scheduled.
In addition to any specific requirements for your project,
submissions must include the following:
a) Itemized invoices including costs for equipment
installed and installation labor. Note: Internal labor
cannot be included in the cost of the project.
b) The original equipment manufacturer (OEM)
specification sheet(s) that show products meet
required program standards.
c) A copy of the customer’s recent Peoples Gas or
North Shore Gas utility bill and third-party supply
bill, if applicable.
Please submit the completed, signed application and required documentation one of three ways:
Option 1: Mail
Peoples Gas/North Shore Gas
Prescriptive Rebate Program
5450 N. Cumberland Ave., Ste. 125
Chicago, IL 60656
© 2017 Peoples Gas and North Shore Gas
Option 2: Scan and Email
Attn: Prescriptive Rebate Program
For Peoples Gas customers:
[email protected]
For North Shore Gas customers:
[email protected]
prescriptive_053117
Option 3: Fax
Attn: Prescriptive Rebate Program
773-853-2205
Valid June 1, 2016 - December 31, 2017
Page 1 of 11
Prescriptive Rebate Application
Applicant Information
Customer Account Name:
Contact Name and Title:
Phone:
Email:
Installation Address:
City:
State:
ZIP:
Mailing Address:
City:
State:
ZIP:
Customer Type:
q Multi-Family
q Small Business
q Commercial and Industrial
Natural Gas Utility:
Building Type:
q Natural Gas
q Electric
Domestic Water Heat:
q Peoples Gas q North Shore Gas
Fuel Type for Space Heating:
q Natural Gas
q Electric
Utility Account Number:
q Office q Retail/Service q Warehouse q Manufacturing q Grocery q Healthcare/Medical q Non-Profit q Multi-Family
q Religious Facility q Hotel/Motel q Restaurant q College/University q K-12 School q Other: __________________________
How did you learn about this program?
q City of Chicago q Utility q Advertisement q Event q Contractor q Chicago Retrofit Program
q Mailer or Bill Insert q Website q Other: _________________________________________________
Is your business classified as one of the following?
q Women-owned q Minority-owned q Veteran-owned
Installing Contractor Information
Complete this section unless the project is to be self-installed.
Business Name:
Contact Name and Title:
Phone:
Email:
Mailing Address:
City:
Is your business classified as one of the following?
State:
ZIP:
q Women-owned q Minority-owned q Veteran-owned
Certifications and Signature
Please sign and complete information below. Customer signature is required for payment. I hereby certify that: 1. The information contained in this
application is accurate and complete. 2. All rules of this rebate program have been followed. 3. I have read and understand the terms and conditions included
within this document.
Final Application Signature:
Date Submitted:
Print Name:
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 2 of 11
Prescriptive Rebate Application
OPTIONAL Payment Release Authorization
Complete this section ONLY if the rebate payment is to be paid to a third party. If payment is released to contractor, rebate must be shown as a credit
on the customer invoice. I am authorizing the payment of the rebate to the third party named below, and I understand that I will not be receiving the rebate
payment. I also understand that my release to a third party does not exempt me from the program requirements outlined in the terms and conditions.
Check Made Payable to (Contractor/Company/Individual):
Contact Name:
Contact Phone:
Mailing Address:
City:
State:
Customer Signature:
ZIP:
Date:
Print Name:
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 3 of 11
Prescriptive Rebate Application
Program Rebates and Specifications
Measures must meet the specifications listed within each section. Rebates are available for retrofit projects using natural gas as the primary fuel source.
Rebates for space heating equipment do not apply to equipment used for any other purpose. Industrial/process heating equipment projects should submit a
custom rebate application. Energy efficiency measures used on backup or redundant systems are not eligible for rebates.
> Steam Trap Repairs or Replacements
Specifications: Pre-approval is required for all steam trap projects. Rebates for steam trap projects may not exceed 100% of the total project cost for
Commercial and Industrial customers. Multi-Family and Small Business customers must use Partner Trade Allies to have the rebate cover 100% of the
project costs. For malfunctioning traps that are leaking steam (failed open) on systems other than domestic hot water production. Steam traps must be tested and a
survey must be submitted to the program before work begins. Trade Allies must be pre-approved by the program to be eligible for steam trap testing rebates. Before
testing, contact the program. Not available for traps that have failed closed or are plugged. Orifice- or venturi-type traps do not qualify. Steam trap testing incentives
are available once every 36 months. Steam trap repair rebates may be limited by the customer’s annual gas usage. Please call 855-849-8928 to discuss your project
with an energy advisor. Contractors installing repair kits must save existing internal components and leave them in boiler room for post-inspector.
Description
Minimum Specifications
Rebate
Unit
Industrial/Process and Year Round
Space Heating Steam Trap Repair/
Replacement
All mechanical traps, thermostatic traps, and repair kits qualify. Orifice- or
venturi-type traps are not eligible for rebates.
$200
Steam Trap
Dry Cleaner/Laundromat
Steam Trap Repair/Replacement
All mechanical traps, thermostatic traps, and repair kits qualify. Orifice- or
venturi-type traps are not eligible for rebates.
$200
Steam Trap
Space Heating Steam Trap Repair/
Replacement
All mechanical traps, thermostatic traps, and repair kits qualify. Orifice- or
venturi-type traps are not eligible for rebates.
$100
Steam Trap
Untested Steam Trap Repair/
Replacement
All mechanical traps, thermostatic traps, and repair kits qualify. Orifice- or
venturi-type traps are not eligible for rebates.
$30
Steam Trap
# of
Units
Total
Rebate
> Steam Trap Testing
Specifications: Pre-approval is required for all steam trap projects. Rebates for steam trap projects may not exceed 100% of the total project cost for
Commercial and Industrial customers. Multi-Family and Small Business customers must use Partner Trade Allies to have the rebate cover 100% of the
project costs. Trade allies must be pre-approved by the program to be eligible for steam trap testing rebates. Before applying for steam trap testing rebates, contact
the program. A steam trap survey summary and tally sheet can be found at peoplesgasrebates.com and northshoregasrebates.com.
Description
Steam Trap Testing
Minimum Specifications
Rebate
Unit
Complete steam trap tests, providing a survey
per program requirements. Applicant must also apply for repair/
replacement of a minimum of 50% of the approved failed open
steam traps to qualify for test rebate.
$20
Steam Trap
Tested
(page 4) Subtotal
# of Units
Total Rebate
Rebate: $
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 4 of 11
Prescriptive Rebate Application
> Pipe, Fitting and Valve Insulation
Specifications: Must be added to bare pipe. Replacement of existing insulation does not qualify. Insulation installed must be greater than or equal to R-3. Pipe, fitting and
valve insulation rebates are for semi-conditioned spaces (spaces indirectly heated, e.g., basements, crawl spaces, plenums). Insulation installed on pipes, fittings or valves
in conditioned or unconditioned spaces should apply to the custom rebate program. Fittings and valves must be removable and reusable. Boiler and steam pipe
insulation measures are for space heating applications with a minimum of 4,000 and a maximum of 6,500 hours of operation annually. Insulation projects with more or
less hours of operation than those indicated above should apply to the custom rebate program. Pipe insulation rebates are capped at 250 linear feet per site. Contact the
program directly to authorize additional amounts of pipe insulation. Properties that have completed steam pipe insulation projects in the past 36 months are not
eligible to participate in the Multi-Family offering.
Indicate the type of boiler used for the building space heating system:
q Steam Heating Boiler q Hydronic (Hot Water Heating Boiler)
q Could not determine — boiler was not accessible
Pipe Insulation Rebates for Steam Heating Boiler Systems
Steam Pipe Insulation
CI and SB Rebate*
MF Rebate*
Unit
Small — Pipe Diameter (1 to 2 Inches)
$4
$2.75
Linear Foot
Medium — Pipe Diameter (2.1 to 5 Inches)
$6
$4.25
Linear Foot
Large — Pipe Diameter (5.1 to 8 Inches)
$8
$5.75
Linear Foot
X-Large — Pipe Diameter (Greater than 8 Inches)
$15
$10
Linear Foot
CI and SB Rebate*
MF Rebate*
Unit
Steam Pipe Fitting Insulation
Small Pipe Steam Fittings — Pipe Diameter (1 to 2 Inches)
# of Units
Total Rebate
# of Units
Total Rebate
Rebates are not available.
Medium Pipe Steam Fittings — Pipe Diameter (2.1 to 5 Inches)
$9
$5
Fitting
Large Pipe Steam Fittings — Pipe Diameter (5.1 to 8 Inches)
$15
$7
Fitting
X-Large Pipe Steam Fittings — Pipe Diameter (Greater than 8 Inches)
$25
$14
Fitting
CI and SB Rebate*
MF Rebate*
Unit
NOTE: Rebates are not available for fittings on condensate return piping.
Steam Pipe Valve Insulation
Small Pipe Steam Valves — Pipe Diameter (1 to 2 Inches)
# of Units
Total Rebate
Rebates are not available.
Medium Pipe Steam Valves — Pipe Diameter (2.1 to 5 Inches)
$17
$13
Valve
Large Pipe Steam Valves — Pipe Diameter (5.1 to 8 Inches)
$27
$20
Valve
X-Large Pipe Steam Valves — Pipe Diameter (Greater than 8 Inches)
$37
$28
Valve
NOTE: Rebates are not available for fittings on condensate return piping.
Pipe Insulation Rebates for Hydronic (Water) Boiler Systems
Hydronic (Water) Heating Boiler Pipe Insulation
CI, SB and MF Rebate*
Unit
$1
Linear Foot
Medium — Pipe Diameter (2.1 to 4 Inches)
$1.25
Linear Foot
Large — Pipe Diameter (Greater than 4 Inches)
$1.50
Linear Foot
CI, SB and MF Rebate*
Unit
$1
Linear Foot
Medium — Pipe Diameter (1.26-2 Inches)
$1.25
Linear Foot
Large — Pipe Diameter (Greater than 2 Inches)
$1.50
Linear Foot
Small — Pipe Diameter (1 to 2 Inches)
# of Units
Total Rebate
# of Units
Total Rebate
NOTE: Rebates are not available for Hydronic (Water) Heating Boiler Pipe Insulation Fittings.
Domestic Hot Water Pipe Insulation
Small — Pipe Diameter (Less than 1.25 Inches)
(page 5) Subtotal
Rebate: $
*CI=Commercial and Industrial; SB=Small Business; MF= Multi-Family
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© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 5 of 11
Prescriptive Rebate Application
> Domestic Hot Water Storage Tank Insulation
Specifications: Must be added to bare DHW storage tank. Replacement of existing insulation does not qualify. Insulation installed must be greater than or equal
to R-6. Insulation must be added to the top and sides of the storage tank. Insulation rebates are for semi-conditioned spaces only (spaces indirectly heated, e.g.,
basements, crawl spaces, plenums). Insulation installed in conditioned or unconditioned spaces should apply to the Custom Rebate Program.
Description
DHW Storage Tank Insulation
Minimum Specifications
Rebate
Unit
# of Units
See specifications above.
$4.50
Square Foot
Total Rebate
> Process Pipe Insulation for Dry Cleaning Facilities
Specifications: Must be added to bare pipe. Replacement of existing insulation does not qualify. Insulation installed must be greater than or equal to R-3. Pipe
insulation rebates are for conditioned or semi-conditioned spaces (spaces indirectly heated, e.g., basements, crawl spaces, plenums). Boiler and steam pipe
insulation measures are for process dry cleaning facility applications with a minimum of 2,000 and a maximum of 4,000 hours of operation annually. Insulation
projects with more or less hours of operation than those indicated above should apply to the Custom Rebate Program. Pipe insulation rebates are capped at 250
linear feet per site. Contact the program directly to authorize additional amounts of pipe insulation.
Description
Small — Pipe Diameter (.5 to 2 Inches)
Minimum Specifications
Rebate
Unit
# of Units
See specifications above.
$3
Linear Foot
Total Rebate
> Space Heating Hot Water Boilers
Specifications: To qualify for this measure the existing boiler must be a standard 80% efficient or atmospheric boiler. The installed boiler capacity must be used
80% or more for space heating and not be for process uses. Boilers must modulate their firing rate, have a sealed combustion unit, and must incorporate hot
water reset. Note that high-efficiency condensing boilers will provide the rated efficiency return only if return water is cold enough to condense the flue gases. If
the heating system cannot meet the requirement, a non-condensing boiler may be a better choice. Intake for combustion air and exhaust must be run to exterior.
Rebates are based on installed boiler capacity and can be no larger than existing boiler capacity. Redundant or back-up boilers do not qualify. Boiler plants with
two or more boilers are eligible for rebates on n-1 boilers where n = the number of boilers installed. Rated thermal efficiency is determined at full fire.
Description
Minimum Specifications
Rebate
Unit
Greater than or equal to 300 MBH Input and
Rated Thermal Efficiency of 88% or greater.
$2.50
MBH* Input
Less than 300 MBH Input and Rated AFUE of 88% or greater.
$2.25
MBH* Input
Hot Water Boiler
# of Units
Total Rebate
> Space Heating Steam Boilers
Specifications: To qualify for this measure, the installed boiler capacity must be used 80% or more for space heating and not be for process uses. Boilers must be
forced draft and modulate their firing rate. Rebates are based on installed boiler capacity and can be no larger than existing boiler capacity. Redundant or back-up
boilers do not qualify. Boiler plants with two or more boilers are eligible for rebates on n-1 boilers where n = the number of boilers installed. Rated thermal efficiency
is determined at full fire.
Description
Steam Boiler
Minimum Specifications
Rebate
Unit
Greater than or equal to 300 MBH Input and
Rated Thermal Efficiency of 82% or greater.
$2
MBH* Input
(page 6) Subtotal
# of Units
Total Rebate
Rebate: $
*1 MBH = 1,000 Btu/hour = 1kBtu/h
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 6 of 11
Prescriptive Rebate Application
> Central Steam Boiler Controls
Specifications: For Multi-Family buildings with more than 48 living units, temperature sensors should be capped at 12 (four building corners – top/center/bottom
floors). The minimum number of sensors installed for buildings with less than 48 units is 5 sensors or 25% of the number of units, whichever is larger. Rebates for
controls only apply to buildings without existing boiler averaging controls or with averaging control systems incapable of being programmed to provide nighttime
setback. Buildings incorporating thermostatic controls on radiators are not eligible. Boiler staging must be included for multiple boiler systems (if applicable).
Controls must include outside air temperature cutout for the steam boiler plant. Averaging controls must include the capacity to provide nighttime setback and
shall be programmed after installation to provide at least 5 degrees of setback for at least 8 hours per day for all sensors. Two-pipe steam systems may qualify for
the averaging incentive, if there are no thermostatic controls on any of the building’s radiators. Any installation on a two-pipe system must be pre-approved.
Description
Minimum Specifications
Rebate
Unit
# of Units
Dual-Pipe Steam Boiler Averaging Controls
Rebate capped at $5,000.
$80
Living Unit
Single-Pipe Steam Boiler Averaging Controls
Rebate capped at $5,000.
$100
Living Unit
Total Rebate
> Space Heating Hot Water Boiler Cutout and Reset Controls
Specifications: For existing boilers only. The system must be set so that the minimum temperature is not more than 10 degrees above manufacturer’s recommended
minimum return temperature. For controls on multiple boilers to qualify, control strategy must stage the lag boiler(s) only after the first boiler stage(s) fail to maintain the
boiler water temperature called for by the reset. Incentive is capped at 50% of the project cost or $1,500 per boiler, whichever is lower.
Description
Boiler Cutout and Reset Control
MBH Input
per Boiler
Minimum Specifications
Rebate
Unit
Existing boilers only.
$0.50
MBH* Input
# of Boilers
Total Rebate
> Boiler Tune-Ups
Specifications: A single unit with multiple burners or modules is considered one unit. Customers are eligible for a boiler tune-up rebate once every 36 months.
Customers with a maintenance contract addressing boiler tune-ups are not eligible for this rebate. A Tune-Up Checklist (found on peoplesgasrebates.com and
northshoregasrebates.com) must be submitted with the application. If checklists are not complete and accurate, rebates may be denied. The combustion efficiency
of the unit must be tested pre- and post-tune-up and an increase in efficiency must be shown. If combustion analysis is not completed, legible, and accurate,
rebates may be denied. Boiler tune-up rebates are capped at 30 cents per MBH input up to $1,500 or 50% of the project cost, whichever is lower. If the boiler’s
make, model, and input capacity cannot be validated, your rebate may be capped at $250 per boiler.
Description
Minimum Specifications
Rebate
Unit
Space Heating Boiler Tune-Up
Rated at greater than or equal to 300 MBH Input.
An increase in efficiency must be shown.
$0.30
MBH* Input
Process Boiler Tune-Up
Rated at greater than or equal to 300 MBH Input.
An increase in efficiency must be shown.
$0.30
MBH* Input
# of Units
Total Rebate
> Thermostats
Specifications: Must replace functioning non-programmable thermostat where a programmable thermostat is not required by code and installed in a conditioned
space above 65 degrees. Programmable thermostats installed at the time of space heating/cooling equipment replacement do not qualify. Must incorporate a
5 degree F setback during unoccupied periods. Programmable thermostats must be capable of 7 different daily schedules and retaining programming and time
setting during a loss of power for at least 10 hours. Additionally, the controls shall have a manual override that allows temporary operation of the system for up to 2
hours; a manually operated timer capable of being adjusted up to 2 hours, or an occupancy sensor. The thermostat shall be capable of automatically adjusting the
daily start time of the HVAC system in order to bring each space to the desired occupied temperature immediately prior to scheduled occupancy. For Multi-Family
buildings, thermostats must be installed in living units. Photos of existing thermostat and new thermostat are required.
Description
Smart Thermostat
Programmable Thermostat
In-Unit Multi-Family Programmable
Thermostat
Minimum Specifications
Rebate
Unit
Must have the capability to automatically establish a schedule of
temperature set points according to driving device inputs above and
beyond basic time and temperature data of conventional programmable
thermostats. ComEd may offer an additional standard rebate for this
measure. If you have received a rebate for a smart thermostat from the
ComEd Small Business Energy Savings Program, you are not eligible for
this rebate. Visit ComEd.com for more information.
$50
Thermostat
See specifications above.
$50
Thermostat
As stated above, but manual override and power loss capabilities
are not a requirement for In-Unit.
$25
Thermostat
(page 7) Subtotal
# of Units
Total Rebate
Rebate: $
*1 MBH = 1,000 Btu/hour = 1kBtu/h
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© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 7 of 11
Prescriptive Rebate Application
> Space Heating and Specialty Equipment
Specifications: Condensing furnaces must have a sealed combustion unit. Intake for combustion air and exhaust must be run to exterior. Air handlers may not be
eligible for the rebate. Chimney liners must be installed where a high-efficiency natural gas furnace replaces atmospherically drafted equipment that was vented
through the same flue as a gas water heater. Flue closure protocol must be used when a high-efficiency furnace is installed and the chimney is no longer in use.
Description
Minimum Specifications
Rebate
Unit
Furnace – Common Area and
Business
95% AFUE or greater.
$325
Furnace
Furnace – In Unit
95% AFUE or greater.
$200
Furnace
Rated Thermal Efficiency of 90% or greater.
$2
MBH* Input
Must have electric ignition.
$2.50
MBH* Input
Must comply with indoor air quality code requirements.
$1
MBH* Input
Condensing Unit Heaters
Infrared Heater
Direct-Fired Heaters
# of Units
Total Rebate
> Space Heating Energy Recovery Units
Specifications: This measure is for existing air handling units only. During the heating season, unit must operate a minimum of 2,000 hours. Space must be heated
with gas-fired equipment. Minimum exhaust temperature must average 65 degrees F. Exhaust temperatures above 85 degrees should apply to the custom rebate
program. Rebate is based on sensible heat recovery; latent energy recovery projects may qualify for additional rebates through the custom rebate program. Rebate
is based on supply and exhaust air CFM; use the lesser of the two.
Description
Energy Recovery Unit
Minimum Specifications
Rebate
Unit
See specifications above.
$0.75
CFM Input
# of Units
Total Rebate
> Natural Gas Water Heaters
Specifications: Rebates below apply to domestic hot water systems only. All other applications should apply to the custom rebate program. Central Boiler or
Indirect Heater Specifications: Total Water Service Fixture Units (WSFU) shall not exceed 7.5 WSFU/apartment. For mixed use facilities the Multi-Family WSFU must
be 90% or greater of the whole building WSFU. Mixed use facilities where commercial use WSFU exceeds 10% of the total WSFU do not qualify for multi-family
specific rebates and should apply for custom rebates.
Description
Minimum Specifications
Rebate
Unit
Less than 75 MBH Input and greater than or equal to 0.67 Energy
Factor (EF). 30 gallon minimum capacity.
$150
Water Heater
Greater than or equal to 75 MBH Input and less than 400 MBH Input
and greater than or equal to 88% Thermal Efficiency. Systems 400
MBH and larger should apply to the custom rebate program.
$1.75
MBH* Input
Central Domestic Gas Water Heater
(for Lodging Facilities)
Greater than or equal to 0.67 Energy Factor (EF) or greater than or
equal to 88% Thermal Efficiency. 30 gallon minimum capacity.
$2.50
MBH* Input
Central Water Heater or Indirect Water
Heater for Multi-Family Building
Greater than or equal to 88% Thermal Efficiency (TE). Indirect
heaters must be paired with a modulating HW boiler rated greater
than or equal to 88% Thermal Efficiency.
$25
Living Unit
Laundromat Water Heater
88% to 94.9% Thermal Efficiency.
$1
MBH* Input
Laundromat Water Heaters
Greater than or equal to 95% Thermal Efficiency.
$1.50
MBH* Input
Gas Water Heater
(page 8) Subtotal
# of Units
Total Rebate
Rebate: $
*1 MBH = 1,000 Btu/hour = 1kBtu/h
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 8 of 11
Prescriptive Rebate Application
> On-Demand Circulating Hot Water Pump
Specifications: Must replace existing hot water recirculating pump operating 24 hours per day 7 days a week with no aquastat or timer controls. Number of living
units served must be at least 20 and no more than 50. Total hot water Water Service Fixture Units (WSFU) for the entire area served shall not exceed 325. Existing
domestic hot water supply must be at least 125 degrees. Recirculating pump shall:
• Cycle on/off to maintain a temperature of 125 to 107 degrees in the hot water return line, when a flow of greater than 0.8 gpm is sensed.
• Shut off when no flow is sensed.
• Be a high-volume efficient pump capable of providing 28 gpm at 4’ of head and 12 gpm at 20’ of head.
• Have a maximum input wattage less than 200 watts.
Description
On-Demand Circulating Hot Water Pump
Minimum Specifications
Rebate
Unit
See specifications above.
$30
Living Unit
# of Units
Total Rebate
> Ozone Laundry
Specifications: Facility must have a natural gas boiler or water heater providing hot water to the on-premise laundry equipment utilizing hot water in the wash cycles.
The ozone laundry equipment must be new and must be added to an existing laundry system. The ozone laundry system must inject ozone through Venturi injection or
bubble diffusion. Replacement or upgrades of existing ozone laundry are not eligible for a rebate.
This rebate only applies to facilities with on-premise laundry operations including hotels/motels, fitness and recreational sports centers, healthcare (excluding
hospitals) and assisted living facilities. Hotels with more than 250 rooms and other facility types not listed here (hospitals and laundromats, for example) should
apply to the custom rebate program.
Description
Ozone Laundry
Minimum Specifications
Rebate
Unit
# of Units
See specifications above.
$20
Lbs. Capacity
Total Rebate
> High Speed Commercial Washers
Specifications: Facility must have a natural gas boiler or water heater providing hot water to the on-premise laundry equipment utilizing hot water in the wash
cycles. The facility must also have natural gas dryers to dry clothing. New high speed washers must have a have a spin speed of 200G or greater and must be
replacing existing washers that have a spin speed of 100G or less. This rebate only applies to facilities with on-premise laundry operations including laundromats,
dry cleaners, hotels/motels, fitness and recreational sports centers, hospitals, assisted living facilities, and multi-family properties. Process laundry facilities should
apply to the Custom Rebate Program.
Description
Minimum Specifications
Rebate
Unit
High Speed Washer - Hotel/Motel/Hospital
Minimum of 10 turns per day.
$8
Lbs. Capacity
High Speed Washer - Laundromat
Minimum of 4.5 turns per day.
$3
Lbs. Capacity
Minimum of 3 turns per day.
$2
Lbs. Capacity
High Speed Washer - MF
# of Units
Total Rebate
> Dock Door Seals
Specifications: Qualifying buildings must be heated with natural gas during winter and maintain a minimum temp of 55 degrees. Dock door seals extend out to
fill the gap between the dock door and the trailer, including the “hinge gap” that occurs with outwardly swinging trailer doors. Brush-type or whisker-type seals may
be used in conjunction with air seals, but they do not qualify for rebates.
Description
Dock Door Seals
Minimum Specifications
Rebate
Unit
Seals must effectively close all gaps
between the building and the semitrailer.
$200
Door Seal
(page 9) Subtotal
# of Units
Total Rebate
Rebate: $
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 9 of 11
Prescriptive Rebate Application
> Demand-controlled Ventilation: Commercial Kitchen Exhaust Hoods
Specifications: Control system must include: Temperature sensor in the hood exhaust collar and an optic sensor on the end of the hood; variable speed drive
on the exhaust fan that will vary the rate of exhaust to what is needed; variable speed drive on the make-up air unit, or other modification to reduce make-up air
equivalent to exhaust air reduction. Make-up air must be conditioned to a minimum of 55 degrees F by natural gas-fired equipment. ComEd may offer an additional
standard or custom incentive for this measure. Visit ComEd.com for more information.
Description
Minimum Specifications
Rebate
Unit
Installation of new or retrofit controls that vary the
ventilation based on cooking load and/or the time of day.
$650
Exhaust Fan HP
Minimum Specifications
Rebate
Unit
Convection Oven
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$200
Cavity
Double Rack Oven
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$1,000
Double Oven
Fryer
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$500
Fry Vat
Large Conveyor Oven
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
Conveyor belt width must be greater than or
equal to 25 inches.
$500
Oven
Pre-Rinse Sprayers
Must have a flow rate of less than or equal to 1.24 GPM,
be WaterSense Certified, and replace a sprayer
greater than or equal to 1.6 GPM.
$28
Sprayer
Salamander Broiler
Must have infrared burner.
$300
Broiler
Commercial Dishwashers
(check one):
Single Door
Single Tank
Multi Tank
Qualified by ENERGY STAR. Low-temperature
dishwasher with a natural gas-fired water heater.
$350
Unit
Steamer
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
Minimum 3-pan capacity.
$200
Pan
Combination Oven - Less than 15 Pans
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$150
Oven
Combination Oven - 15-30 Pans
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$350
Oven
Combination Oven - Greater than 30 Pans
Qualified by ENERGY STAR or Fisher-Nickel, Inc.
$550
Oven
DCV: Kitchen Exhaust Hoods
# of Units
Total Rebate
# of Units
Total Rebate
> Food Service
Description
®
(page 10) Subtotal
Rebate: $
Subtotal – p. 10: $
Subtotal – p. 9: $
Subtotal – p. 8: $
Subtotal – p. 7: $
Subtotal – p. 6: $
Subtotal – p. 5: $
Subtotal – p. 4: $
Total Rebate Requested: $
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 10 of 11
Prescriptive Rebate Application
Terms and Conditions
1.
Rebate Offer: Equipment must be installed and operational on or after
June 1, 2016 and on or before December 31, 2017. Projects must result in
reduced natural gas energy use due to an improvement in the system
efficiency; control upgrades may also qualify. Reduced natural gas use
resulting from fuel switching, power generation, renewable energy, or
operating schedule changes will not qualify.
8.
ayment: Once completed paperwork is submitted, rebate payments are
P
usually made within 30 days. Payments may only be made to the Customer
or qualified trade ally. Incomplete applications will either delay payments
or result in denial of application approval. Peoples Gas or North Shore Gas
reserves the right to refuse payment and participation if the Customer or
the contractor violates program Terms and Conditions.
2.
ligibility: Equipment must be new and installed in a private facility that
E
is a Peoples Gas or North Shore Gas Customer (“Customer”), as well as
meeting minimum requirements set forth in this document.
9.
I nspection: Program staff reserves the right to conduct pre-inspections
and post-inspections of proposed and installed projects.
3.
Compliance:
•A
ll projects must comply with the applicable federal, state, and local laws
and regulations, including building codes.
•A
ll equipment must be new or retrofitted with new components that
meet program specifications. Used or rebuilt equipment is not eligible
for rebates. Existing equipment must be removed or permanently
disconnected.
• E xisting equipment must be operational when the application
is submitted.
• Only one rebate will be granted for each project.
4.
Delivery: Applications must be delivered one of three ways:
•M
ailed to:Peoples Gas/North Shore Gas
Prescriptive Rebate Program
5450 N. Cumberland Ave., Ste. 125
Chicago, IL 60656
• Emailed to:[email protected] or
[email protected]
• Faxed to:
5.
pplications: Applications must have complete information and be
A
submitted with:
• The entire completed application signed by the Customer.
• T he original equipment manufacturer (OEM) specification sheets for all
items installed as described in the application.
• An itemized invoice from the installing contractor and/or vendor for the
project which includes a separate line item for each rebate measure,
including the date, quantity, size, type, make and model of proposed items,
and labor costs, if applicable. Note: Internal labor cannot be included in
the cost of the project.
6.
rescriptive Rebate: Purchase and install qualifying equipment and
P
receive energy efficiency rebates of up to $500,000 in Peoples Gas
territory and $100,000 in North Shore Gas territory per customer per
program year. Rebates for prescriptive measures may not exceed
50% of the total project cost, with the exception of steam traps.
Rebates for steam trap projects may not exceed 100% of the total
project cost for Commercial and Industrial customers only. MultiFamily and Small Business customers must use Partner Trade Allies
to have the rebate cover 100% of the project costs. This cost includes
materials, external labor, permits, equipment rental, and disposal.
7.
773-853-2205
10. T
ax Information: Rebates may be subject to federal and/or state income
tax reporting. Applicant is responsible for contacting a qualified tax advisor
to determine tax liability. Peoples Gas or North Shore Gas is not responsible
for any tax liability imposed on the customer as a result of the payment of
rebates.
11. P
ublicity: Peoples Gas and North Shore Gas reserve the right to publicize
your participation in this program, unless you specifically request otherwise.
12. P
rogram Discretion: Rebates are available on a first-come, first-served
basis. Rebate amounts and offerings are subject to change or termination
without notice at the discretion of Peoples Gas and North Shore Gas.
13. L
ogo Use: Customers or trade allies may not use the Peoples Gas or
North Shore Gas program names or logos in any marketing, advertising, or
promotional material without written permission.
14. D
isclaimers: The Customer will defend, hold harmless, and release The
Peoples Gas Light and Coke Company and North Shore Gas Company
and each company’s affiliates, officers, directors, shareholders, agents,
employees, contractors, and representatives from any and all claims,
liabilities, fines, interest, costs, expenses, and damages (including attorneys
fees and court costs) incurred by the Customer or its contractors or any
third party for any damage, injury, death, loss, or destruction of any kind
to persons or property, to the extent the damage, injury, death, loss, or
destruction arises out of or is related to the acts or omissions of Peoples
Gas or North Shore Gas or either company’s affiliates, officers, directors,
shareholders, agents, employees, contractors, or representatives or to
the rebate program. Neither Peoples Gas nor North Shore Gas endorses
any particular manufacturer, product, labor, or system design by offering
these programs.
NEITHER PEOPLES GAS NOR NORTH SHORE GAS EXPRESSLY OR
IMPLICITLY WARRANTS THE PERFORMANCE OF ANY EQUIPMENT
OR ANY CONTRACTOR’S QUALITY OF WORK. NO WARRANTY OF
ANY KIND, WHETHER STATUTORY, WRITTEN, ORAL, OR IMPLIED
(INCLUDING WARRANTIES OF FITNESS FOR A PARTICULAR PURPOSE
OR MERCHANTABILITY) WILL APPLY.
Contact your contractor or equipment supplier for any warranties.
15. R
elease of Customer Information: Customer agrees to the release by
Peoples Gas or North Shore Gas of any Customer data, including personally
identifiable information, to any contractor or other vendor providing
services or support under the program.
16. Verification: Any Customer receiving a rebate check may be contacted
by an evaluator to verify service/equipment installation or be asked to
complete a Customer survey.
andlord Participant Requirements: If you are applying for a rebate
L
for a property you own, but the Peoples Gas or North Shore Gas account
number is in your tenant’s name, you must provide the following:
• On Page 2, include the tenant’s natural gas account number and
signature.
• O
n Page 3, provide the landlord’s contact information and have the tenant
sign to release the payment to the landlord.
Questions? peoplesgasrebates.com | northshoregasrebates.com | 855-849-8928
© 2017 Peoples Gas and North Shore Gas
prescriptive_053117
Valid June 1, 2016 - December 31, 2017
Page 11 of 11