Oil & Propane Heating Rebates Heating Equipment Water Heating Equipment Wireless Enabled Thermostats Weather Responsive Controls Terms And Conditions Customer Eligibility: You must be eligible for and participate in the Mass Save Home Energy Services Program. You must be a residential Eversource customer installing equipment between January 1, 2015 and December 31, 2015. Equipment must have been installed in a 1–4 family home with an active residential Eversource Electric account. Conservation Services Group (the “Vendor”) must receive application and required documents listed within 30 days of installation. Post-Installation Verification: Prior to offering any rebate, Eversource (the “Company”), reserves the right to conduct an onsite 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 Company determines that the equipment installed does not meet the program specifications as described in the application, the Company reserves the right to refuse to pay the rebate. Rebates: Subject to these Terms and Conditions, the Company, through its contractual Vendor, will pay rebates to eligible Massachusetts Eversource customers for the installation of equipment in Eversource’s service territory. Rebate Application: The Customer is responsible for completing all required information on the Rebate Application. Rebate applications will not be processed if they are not properly filled out. Applications must include: Eligibility n Y ou must be a residential Massachusetts Eversource customer n You must be eligible for and participate in the Mass Save® Home n n n n A pplications must be received within thirty (30) days of installation n R ebate does not apply to new home construction or additions n n n n Energy Services Program E ligible equipment must be installed in a 1–4 family home R ebate is valid for purchases and installations made between January 1, 2015 and December 31, 2015 Installation of equipment must be completed by a licensed contractor A pplications must include a dated receipt/invoice noting completion of installation. Only original applications will be accepted W ork is subject to post-installation verification A dditional restrictions may apply. For more information, call 1-866-397-3355 P rogram subject to change without notice Indirect Water Heater q D ated receipt/invoice/work order noting completion of installation High-Efficiency Oil or Propane Heating System q D ated receipt/invoice/work order noting completion of installation q A copy of the manufacturer’s specifications sheet for the installed heating system to verify the size and AFUE rating of the equipment On-Demand Water Heater q D ated receipt/invoice/work order noting completion of installation q A copy of the manufacturer’s specifications sheet for the installed On-Demand Water Heater Weather Responsive Controls for Oil or Propane Forced Hot Water Heating Systems q D ated receipt/invoice/work order noting completion of installation Wireless Enabled Thermostat q D ated receipt/invoice/work order noting completion of installation No Warranties: The Company and the Vendor do not make any representation of any kind regarding the results to be achieved by the equipment or the adequacy of such equipment. Eversource expressly disclaims 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. Changes in the Rebate Program: The program and these Terms and Conditions may be changed by the Company and the Vendor at any time without notice. Contractor Insurance: The Company 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 & Release: The Company is not liable for any Customer damages that may occur as a result of the termination of this program beyond the amount of the rebate. As part of the consideration for participating in the program, the participant hereby releases and shall indemnify, hold harmless and defend Eversource, its member utilities, and the Vendor from any and all claims, losses, harm costs, liabilities, damages and expenses (including attorneys’ fees) of any nature whatsoever arising directly or indirectly out of or in connection with the installation of the thermostat(s) at the premises or any material and labor required for such installation. By your signature on the reverse side of this form and acceptance of energy efficiency incentive(s) you acknowledge that the data collected through the use of the wireless enabled thermostat may be shared with your electric and/or gas distribution company. No Tax Liability to Eversource and Rebate Administrator: Eversource and the Rebate Administrator are not responsible for any tax liability which may be imposed as a result of receipt of the rebates by the electric utility to the customer. Eversource recommends that customers seek multiple contractor estimates for the installation of the rebate eligible, energy efficient equipment, and services for the products listed on this form. Eligible Equipment Rebate Indirect Water Heater Propane $400/Oil $300 The new indirect water heater must be attached to an oil- or propane-fired heating system. Must be replacing freestanding or tankless water heater. Solar storage tanks are not eligible. High-Efficiency On-Demand Water Heater $800 Propane Only 94% EF (Energy Factor) or greater with Electronic Ignition High-Efficiency Oil or Propane Heating System All replacement heating systems must have an Annual Fuel Utilization Efficiency (AFUE) equal to or greater than the value noted in the following table. Existing system being replaced must be fueled by oil or propane and the new system must be fueled by oil or propane. Fuel Type System Rebate Amount AFUE Oil Furnace with ECM* Blower $250 85% Oil Steam Boiler $400 84% Oil Hot Water Boiler $500 86% Propane Furnace with ECM* Blower $500 95% Propane Hot Water Boiler $1,000 90% Propane Condesing Boiler w/ On-Demand Hot Water $1,200 90% *Electronic Commutated Motor Wireless Enabled Thermostat $100 Limit 2 per account Weather Responsive Controls for Oil or Propane Forced Hot Water Heating Systems $100 • One per heating system • After-market add on unit attached to an oil or propane forced hot water boiler High Efficiency Oil or Propane Heating System Rebate Existing Heating System: Type: Steam Boiler Warm Air Furnace Fuel: Oil High-Efficiency Oil or Propane Heating System Checklist q Dated receipt/invoice/work order noting completion of installation Hot Water Boiler Other _________________________ qA copy of the manufacturer’s specifications sheet for the installed heating system to verify the size and AFUE rating of the equipment Propane New Heating System: Heating Equipment Fuel Type Date Oil/Propane Installed (circle one) Steam Boiler O/P Hot Water Boiler O/P Furnace with E.C.M. O/P Condesing Boiler w/ On-Demand Hot Water P Manufacturer Model No. Total BTUH Output AFUE Rating Installed Price High-Efficiency On-Demand Water Heater — Propane Only Existing Water Heater Information: Type: Freestanding Tank On-Demand Water Heater Checklist qD ated receipt/invoice/work order noting completion of installation Tankless New Water Heater Information: Manufacturer Model Number Total Cost Install Date q A copy of the manufacturer’s specifications sheet for the installed On-Demand Water Heater Wireless Enabled Thermostat Thermostat Information: Wireless Enabled Thermostat Checklist q Dated receipt/invoice/work order Manufacturer Installed By: Self noting completion of installation Model Number Contractor Does Your Home Have a Central Air Cooling System? Yes No Weather Responsive Controls for Oil or Propane Forced Hot Water Heating Systems Type Of Heating System Control Installed: Weather Responsive Controls Checklist Outdoor Reset Control q Dated receipt/invoice/work order noting completion of installation Manufacturer Model Number Total Cost Install Date Contractor Information: to be filled out by Licensed Contractor Licensed Contractor: Please fill out and sign Incomplete information will delay application processing. Contractor Name Address City State Zip Business Phone Fax Email I certify that the described equipment has been installed in accordance with all program guidelines and applicable codes. Contractor Signature Date 2200-35-2/15 Tear Here For quicker rebate processing, apply online at: -OREversourceRebates.efi.org Please fill out all applicable information below and send to: Eversource’s Rebate Program, c/o EFI, 40 Washington Street, Suite 2000, Westborough, MA 01581 For questions regarding this program, call 1-866-397-3355 Customer Information Customer: Please fill out and sign Customer Name (name where equipment was installed)Eversource Electric Account No. (required) Address (where equipment was installed) MA City Home Phone State Zip Business Phone Email Landlord/Owner Name (where rebate is to be mailed if different from above) Tax ID # (required if owner is incorporated) Address City Phone State Zip Business Phone Email Customer/Owner Signature Date Additional restrictions may apply. For more information, call 1-866-397-3355. Installation Information Licensed Contractor: Please fill out and sign Incomplete information will delay application processing. Indirect Water Heater Rebate Existing Water Heater Information: Indirect Water Heater Checklist qD ated receipt/invoice/work order noting completion of installation Type: Freestanding Tank Tankless Fuel: Oil Propane New Indirect Water Heater Information: Indirect Water Heater Manufacturer Model Number Size (gallons) Total Cost New Indirect Water Heater Connected To: New heating system AFUE rating ____________________________________ Existing heating system Estimated age __________________________________ Please see other side for heating system and hot water equipment. Install Date
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