Fillable CWLP AIR CONDITIONER REBATE APPLICATION (City Water, Light, and Power)

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CWLP AIR CONDITIONER REBATE APPLICATION (City Water, Light, and Power)

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CWLP AIR CONDITIONER REBATE
APPLICATION
The online Air Conditioner Rebate Application can either be (a) filled in online then printed out or
(b) printed out and then filled in by hand. The application cannot be submitted electronically.
Both you and your HVAC contractor must sign the document.
The application must be accompanied by a detailed proof of purchase (preferably a sales receipt)
that includes the model numbers and SEER/EER.
Return the completed application by mail or in person to:
CWLP Energy Services Office
1008 E. Miller Street
Springfield, IL 62702
PLEASE PRINT CLEARLY
NAME :
DAY PHONE :
INSTALLATION ADDRESS :
CITY/STATE : ZIP : SQ. FT. :
MAILING ADDRESS (If dierent than above) :
DID YOUR HVAC CONTRACTOR PERFORM A LOAD CALCULATION? YES NO
CONDENSING UNIT MANUFACTURER : MODEL # :
MODEL # :
DOES THIS SYSTEM HAVE A VARIABLE SPEED BLOWER? YES NO
DATE INSTALLED : # OF SAME UNITS :
SEER: EER : COOLING CAPACITY :
HVAC CONTRACTOR :
PHONE :
(Check Only One)
WAS THIS AIR CONDITIONER INSTALLED IN : New Construction? An Existing Building?
WHAT TYPE OF COOLING SYSTEM DID THIS AIR CONDITIONER REPLACE?
No previous air conditioning Central Air Conditioner
Window Air Conditioner Heat Pump
Estimated age of the old system :
WAS THIS AIR CONDITIONER INSTALLED IN CONJUNCTION WITH A NEW HEATING SYSTEM?
YES NO
IF YES, WHAT TYPE OF NEW HEATING SYSTEM WAS INSTALLED? MODEL # :
GAS ELECTRIC
AND WHAT TYPE OF HEATING SYSTEM DID YOU REPLACE?
Gas Forced Air Electric Baseboard Heaters
Boiler Only
Electric Forced Air
Other (please specify) :
WHAT IS THE TOTAL HOUSEHOLD INCOME LEVEL? (optional)
$0 to $30,000 $30,001 to $60,000
$60,001 to $90,000
$90,001 to 120,000
Over $120,001
TOTAL NUMBER OF OCCUPANTS IN HOUSEHOLD :
1 to 2 3 to 4 5 to 6 7 to 8 Over 8
I have read the rules and regulations that govern this program. By signing below I arm that the information provided above is correct.
ATTACH DETAILED SALES RECEIPT
Please complete and sign this form. Unsigned or incomplete forms will be returned to you, delaying your rebate. Attach a copy of your sales receipt (containing the model
numbers and SEER/EER) to the application. Mail the completed application and receipt to CWLP Air Conditioner Rebate, 1008 E. Miller St Springeld, IL 62702.
Applications must be received by CWLP within one year of the installation date of your air conditioner. The form must be signed both by you and your Air Conditioner Contractor.
CUSTOMER’S
SIGNATURE
CONTRACTOR’S
SIGNATURE
F O R O F F I C E
U S E O N LY
REBATE AMOUNT :
DATE VERIFIED :
DR Rec’d :
NOTES :
VERIFICATION SOURCE:
ACCOUNT# :
SS : CLIENT# :
For New High Eciency A/C
Units Installed after 3/1/2020
INSIDE “A” COIL MANUFACTURER :
AHRI
REFERENCE NUMBER :
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WHY WORRY ABOUT EFFICIENCY?
An air conditioner’s eciency level is important. Switching to a system with a higher operating eciency will save you money each time
you turn it on. For example, if you now have a 20-year old 10 SEER 3 ton air conditioner that costs you $396 a year to operate, you could save almost
$148 a year in operating costs by replacing it with a new 16 SEER unit.
This chart compares estimated annual operating costs and rebate amounts for air conditioners with dierent SEER levels and cooling
capacities. Cost of operation is based on 1,000 hours of operation and an average cost of 11¢ per kwh.
COOLING CAPACITY 13.0 SEER 16.0 SEER 18.0 SEER
operating cost $203 $165 $147
rebate $0 $200 $200
operating cost $254 $206 $183
rebate $0 $250 $250
operating cost $305 $248 $220
rebate $0 $300 $300
operating cost $355 $289 $257
rebate $0 $350 $350
operating cost $406 $330 $293
rebate $0 $400 $400
operating cost $457 $371 $330
rebate $0 $450 $450
Calculati ng You r Ai r Conditi oner Rebate . . .
1. Only new central air conditioners with ratings equal to or greater than
16 SEER and 12.5 EER installed on or after 3/1/2020 qualify for a
rebate.
2. The rebate is available only for units installed in property that receives
CWLP metered residential electric service in the following rate
classes; 30, 31, 32, 33, 34, 35, 36 and 37. No commercial rated
buildings are eligible.
3. There are no restrictions regarding the number of units per property
that can qualify for rebates.
4. The schedule applies only to central air conditioners with
cooling capacities of less that 72,000 Btuh (6 tons).
5. In the case of replacement air conditioners, the system will qualify for
a rebate only if the condensing unit and the “A” coil are both replaced
at the same time. Furnace must be equipped with a variable speed
blower motor to meet the eciency requirements.
6. The central air conditioner must be installed by an HVAC contractor
licensed to operate in Springeld, IL. System capacities and
SEERs/EERs will be veried by ratings provided by the AHRI Directory
of Certied Unitary Equipment.
CWLP reserves the right to adjust the customer- or dealer-calculated
rebate amount to bring it in line with capacity and eciency ratings
provided by the AHRI.
7. In the case of unmatched systems where no ratings are provided by AHRI,
the HVAC contractor must provide manufacturer SEER/EER and cooling
capacity information.
8. All questions on the rebate application must be completed and the form
must be signed by both the customer and the HVAC contractor.
9. CWLP reserves the right to make on-site inspections of the Air Conditioner
installation.
10. Applications, accompanied by proof of purchase with purchase
cost, must be received by CWLP within one year of the installation date to
be eligible for the rebate.
11. Funding is limited and is available only to CWLP electric customers on a
rst-come, rst-served basis. This oering is subject to change without
notice. All air conditioner rebates will be issued in the form of a bill credit
once installation and information have been veried. NOTE: CWLP
account must be current, any amount due (older than 30days) will be
deducted from the rebate amount.
Air Co ndit ioner R ebate Program R ules and Re gulation s
Follow these steps to calculate your rebate amount:
÷ 12,000 =
cooling capacity
in Btuh
cooling capacity
in Tons
x $ 100 = $
cooling capacity
in Tons
rebate amount
(Step 1)
(Step 2)
Only new central air conditioners with ratings equal to or greater than 16.0 SEER and 12.5 EER installed on or after 3/1/2020 qualify for a rebate.
Divide the number of Btuh of your air conditioner’s cooling capacity by
12,000 to determine the cooling tons.
Multiply the cooling Tons by $100 to get Rebate amount.
2 ton | 24,000 Btu/hr
2.5 ton | 30,000 Btu/hr
3 ton | 36,000 Btu/hr
3.5 ton | 42,000 Btu/hr
4 ton | 48,000 Btu/hr
4.5 ton | 54,000 Btu/hr
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CWLP AIR CONDITIONER REBATE APPLICATION (City Water, Light, and Power)

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Completed 22 July 2021

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