Fillable CityLights Rebate (City Water, Light, and Power)

Fill Online, Printable, Fillable, Blank CityLights Rebate (City Water, Light, and Power) Form

Use Fill to complete blank online CITY WATER, LIGHT, AND POWER pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

CityLights Rebate (City Water, Light, and Power)

On average this form takes 24 minutes to complete

The CityLights Rebate (City Water, Light, and Power) form is 4 pages long and contains:

  • 0 signatures
  • 1 check-box
  • 94 other fields

Country of origin: US
File type: PDF

Use our library of forms to quickly fill and sign your City Water, Light, and Power forms online.

BROWSE CITY WATER, LIGHT, AND POWER FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
CityLights Rebate
5 Steps to receive your Rebate:
1. Is your facility eligible?
Facility must be an existing non-residential business, or commercial building(s) that is routinely operated on
summer weekday afternoons and is serviced by CWLP under rate 40, 41, 42, 46, 47, or 48.
Governmental entities, except K-12 public schools, are not eligible under this program.
Customers may apply for incentives up to $10,000 per fiscal year, per facility. (CWLP’s fiscal year begins
March 1 and ends February 28.) Rebate is limited to 35% of project costs including outside labor.
2. Is your project eligible?
Only new interior qualifying LED lighting equipment installed in existing facilities is eligible. LED Products
must be ENERGY STAR Qualified, DesignLights™ Consortium Qualified or provide documentation to have
passed LM-79 testing by an independent testing lab. Exterior lighting is not eligible.
Qualifying retrofit kits must be Internal Driver/Line Voltage Lamp-Style Retrofit Kits (UL Type B) or External
Driver Lamp-Style Retrofit Kits (UL Type C) and cannot utilize any existing magnetic or electronic ballast. No
“Plug & Play” devices.
CWLP approval is REQUIRED BEFORE any lighting equipment is purchased or installed. See the
Terms and Conditions for details.
3. Complete this Application.
Complete the Citylights Project Worksheet to describe the existing systems and the replacement systems for
each project.
A project is defined as a group of similar original fixtures receiving the same type of retrofit. For example,
several 4-lamp 4-foot fluorescent fixtures (with similar operating hours) retrofitted to (or replaced with) 4-lamp
LED fixtures would be treated as one project.
Fill in all fields for each project and calculate the individual project rebates. All fields must be completed for
each project. If required wattage information is not known, refer to the Lighting Wattage Table or consult your
lighting contractor.
If there is not enough space to list all projects, use additional Worksheets and continue numbering the
projects sequentially.
Calculate the project rebate sub-totals for each Project Worksheet.
Add the sub-totals from all worksheets and write the amount in the “Total Rebate Requested” box on the
Rebate Application. Complete and sign the Rebate Application.
4. Submit Application for PRE-INSTALLATION APPROVAL.
Pre-approval is REQUIRED. Before you place any orders for lighting equipment, you must provide the following to
CWLP:
Completed and signed Rebate Application and all Project Worksheets.
Manufacturer’s technical specification sheets (“cut sheets”) including catalog/model numbers for each type of
eligible equipment/component to be purchased.
Detailed vendor proposals can also be submitted to assist in the CWLP review process.
Incomplete or inaccurate applications will delay review and may be returned.
If the project scope or equipment changes, submit a revision of the Rebate Application along with new “cut
sheets”.
CWLP will review the application and provide you with a pre-installation approval letter specifying the maximum rebate
offered. You then have 90 days to complete your project. Extensions may be granted if CWLP approves of
the progress being made on the project.
5. Submit completion documentation for rebate.
After you have completed your project, return the following to CWLP:
A copy of invoices showing the date, place of purchase and the cost, quantities and model numbers of the
qualifying lighting equipment installed and any associated costs (labor, disposal).
Upon receipt of completed documentation, CWLP staff will conduct a post-installation inspection for verification
purposes. CWLP will then calculate the rebate amount and apply a bill credit to the account number listed on
the application. If rebate exceeds $1000, a rebate check may be requested if customer provides a completed
W-9 Form (Request for Taxpayer ID Number).
CUSTOM MEASURES: CL0621-1
Annual Hours
of Operation
Project #
Description of System
Number of
Fixtures
Wattage
Per Fixture*
Total Wattage
All Fixtures
EXISTING
Example
(do not include
in rebate)
NEW
EXISTING
NEW
1
Total Watt
Reduction
Unit
Incentive
Project
Rebate $
=
X
EXISTING
NEW
2
Total Watt
Reduction
Unit
Incentive
Project
Rebate $
=
X
EXISTING
NEW
3
Total Watt
Reduction
Unit
Incentive
$0.25
Project
Rebate $
=
X
EXISTING
NEW
4
Total Watt
Reduction
Unit
Incentive
$0.25
Project
Rebate $
=
X
5
EXISTING
NEW
Total Watt
Reduction
Unit
Incentive
$0.25
Project
Rebate $
=
X
CityLights Project Worksheet
Sub-total of all project rebates for this worksheet.
Maximum rebate given cannot exceed $10,000
1,000
E X A M P L E O N L Y
2,8004-lamp 4 foot fluorescent fixture 25 112*
2600
4-lamp 4 foot LED Fixture
2600
25 40*
Total Watt
Reduction
1,800
Unit
Incentive
$0.25
Project
Rebate $
=
$450.00
X
* From wattage table
$0.25
$0.25
$_____________
0
0
0
$ 0.00
0
0
0
0
0
0
0
0
0
$ 0.00
0
0
0
$ 0.00
Existing Fluorescent
System (T8)
Fluorescent
Wattage LED Replacement LED Wattage
Watts
saved
1-Lamp 2' 16 1-Lamp 2' LED 8 8
2-Lamp 2'
32
2-Lamp 2' LED
16
16
3-Lamp 2'
45
3-Lamp 2' LED
24
21
4-Lamp 2'
61
4-Lamp 2' LED
32
29
1-Lamp 2' U-bend
28
1-Lamp 2' U-bend LED
15
13
2-Lamp 2' U-bend
56
2-Lamp 2' U-bend LED
30
26
1-Lamp 4'
28
1-Lamp 4' LED
10
18
2-Lamp 4'
56
2-Lamp 4' LED
20
36
3-Lamp 4'
84
3-Lamp 4' LED
30
54
4-Lamp 4'
112
4-Lamp 4' LED
40
72
1-Lamp 8' (F96)
83
1-Lamp 8' LED
43
40
2-Lamp 8' (F96)
138
2-Lamp 8' LED
86
52
3-Lamp 8' (F96)
221
3-Lamp 8' LED
129
92
4-Lamp 8' (F96)
276
4-Lamp 8' LED
172
104
HID Lighting
HID
Wattage LED Replacement LED Wattage
Watts
saved
100 HPS or MH 128 LED Replacement Lamp 40 88
150 HPS or MH
188
LED Replacement Lamp
50
138
175 HPS or MH
205
LED Replacement Lamp
60
145
250 HPS or MH
295
LED Replacement Lamp
100
195
400 HPS or MH
455
LED Replacement Lamp
150
305
Incandescent Exit Sign 40 LED Exit Sign 2 38
WATTAGE TABLE FOR USE IN REBATE CALCULATIONS
CWLP CityLights
Rebate Application
CL0421-1
Internal Use Only
Received Date: _______________________________ Initial Revised Final
Mail/E-mail Application to: CWLP Energy Services Office
1008 E. Miller St, Springfield, IL 62702 E-Mail: nrgxprts@cwlp.com
Questions: Call (217)789-2070 Ext. 2082
Company Name:
Mailing Address (Include City, State & Zip)
Contact Name & Title: Telephone:
Email:
Company Name: Electric Account Number. (i.e. 123456789-12345678):
Facility Service Address: Zip: Total Facility Sq. Ft.:
Facility Type For This Project: (please circle one)
OF-Office RS-Restaurant RT-Retail GR-Grocery WH-Warehouse SC-School AU-Auto Repair
HF-Health Facility HO-Hotel/Motel IM-Industrial/Mfg MF-Multi-family OT-Other ____________________________________
Mailing Address (if different from above): City: Zip: State:
Retrofit Area Sq. Ft.:
CITY WATER, LIGHT & POWER CUSTOMER INFORMATION
LIGHTING CONTRACTOR INFORMATION
Primary Contact Person & Title: Primary Contact e-mail & phone number:
Facility Contact e-mail & phone number (if different from above):
Rebate Preference (if over $1000):
Mailed Check (attach W-9 form) Bill Credit
Facility Contact Person & Title (if different from above):
Account Number or Address to apply bill credit (if different from above):
Ward:
Customer Signature Required: Estimated Project
Completion Date:
Total Rebate Requested:
(from worksheets)
$
Pre-approved: date _______________________
Amount $_______________ Approved by: _____
Electric Rate: _____________
Account Current?
Final Inspection Date: ________________________ Inspector’s Initials _______
Approved for Payment Date: ________________________________
Amount $__________________________ Approved by: ________________
Account Current?
CUSTOMER CERTIFICATION: By signing below, I acknowledge that I have read and appr ove of this Application, and I
agree to be bound by all program Terms and Conditions, and certify that the information provided on this page is correct. Falsifying
any of the information in this Application will void this rebate application and any future rebate applications.
Estimated Project Cost:
$
CWLP CityLights Rebate Program - Terms and Conditions
Effective 04/01/21
CL0421-1
1. ELIGIBILITY: CWLP will provide rebates
in the form of bill credits or checks to
Eligible Customers (defined below) for the
purchase and installation of Qualifying
Lighting Equipment, subject to these Terms
and Conditions.
a) Qualifying Lighting Equipment:
(1) Unless explicitly preapproved,
Qualifying Lighting Equipment must be
new, warrantied LED Products that are
ENERGY STAR Qualified, DesignLights™
Consortium Qualified or have
documentation provided to have passed
LM-79 testing by an independent testing
lab. (2) Qualifying Lighting Equipment that
replaces existing lamps cannot operate
utilizing the existing equipment ballast.
These products require rewiring of the
existing fixture to bypass the ballast and
send line voltage directly to the lamp
holders. (3) New, dedicated LED exit signs
replacing existing incandescent or
fluorescent exit signs are eligible. (4)
Energy-efficient lighting equipment or
services purchased, contracted for or work
conducted prior to receiving pre-approval
for Rebates are not eligible for Rebates
under the CWLP CityLights program.
Exceptions can be made for qualifying
lighting equipment purchased and installed
prior to pre-approval for demonstration
purposes.
b) “Ineligible Lighting Equipment”
includes but is not limited to Exterior
Lighting, fluorescent lighting equipment and
equipment that is not routinely operated on
summer weekday afternoons or
technologies that purport to save energy
through reduction of voltage, demand, or
power conditioning.
c) “Eligible Customers” are directly
metered customers of CWLP who fall under
Rate 40, 41, 42, 46, 47, or 48 at the
installation address and who have no
accounts past due more than 30 days.
Customers that are supported by public tax
funds (either federal, state or local) other
than K-12 schools are not eligible. CWLP
Rebates are awarded to Eligible Customers
only for equipment that is owned by them
and installed in existing buildings in the
CWLP service area at the location identified
in this Application, and such Customers are
ultimately responsible for compliance with
these Terms and Conditions.
d) CityLights Program fiscal year is
defined as March 1- February 28.
Customers that have previously been pre-
approved for CityLights Rebates may have
additional applications for the next program
fiscal year delayed until after April 1.
2. PRE-INSTALLATION ANALYSIS,
APPROVAL AND SURVEY:
a) CWLP is not obligated to award any
Rebates unless it pre-approves the
Customer’s Rebate Application, through a
Pre-Installation Approval Letter, and
completes a pre-installation survey of the
Customer’s facilities, unless CWLP has
waived this latter requirement.
b) CWLP may independently review the
Rebate Application and analysis to verify
the energy saving and demand reduction
potential, and the project installation cost
estimates. CWLP reserves the right to
reject or modify any Customer estimates or
calculations, based on its analysis.
c) CWLP has the discretion to approve or
disapprove of any proposed Qualifying
Lighting Equipment.
3. PRE-INSTALLATION APPROVAL
LETTER: After a Rebate Application is
approved, the Customer will receive written
notification, through a Pre-Installation
Approval Letter, of a maximum pre-
approved Rebate amount. CWLP will not
pay Rebates for any Lighting Equipment
ordered prior to the date of the Pre-
Installation Approval Letter. The pre-
approved Rebate funds are reserved for a
period of 90 days from the date of the Pre-
Installation Approval Letter. After 90 days
CWLP may revoke the Pre-Installation
Approval Letter and associated Rebate
funds.
4. POST-INSTALLATION VERIFICATION:
CWLP is not obligated to pay any pre-
approved Rebates until it has performed a
satisfactory post-installation verification
visit, unless it has waived this requirement.
If CWLP determines that Qualifying Lighting
Equipment was not installed in a manner
consistent with the approved application, or
unapproved Lighting Equipment was
installed, or the installation was not
consistent with generally accepted
engineering practices, it may require
modifications before making payment.
5. INDEPENDENT TESTING: CWLP
reserves the right to deny Rebates for any
Lighting Equipment that has not been
favorably assessed or approved by
recognized, independent public authorities,
such as the Underwriter’s Laboratory (UL).
CWLP may, at its discretion, require the
Customer to undertake, at their own
expense, testing of Lighting Equipment that
does not carry the Listing Mark by UL, or an
equivalent independent testing facility
approved in advance by CWLP, in order to
be considered Qualifying Lighting
Equipment.
6. REBATE AMOUNTS:
a) The Rebate Amount is based on $0.25
per watt saved with the Qualifying Lighting
Equipment versus the Existing equipment.
Wattage of Existing fixtures will be based
on actual measured wattage or federal
minimum efficiency standards, whichever is
lower. For example, in the case of T-12
fluorescent fixtures, the wattage of the
equivalent T-8 fixture will be used, based
on the Lighting Wattage Table.
b) The maximum Rebate is $10,000 per
facility per program fiscal year. The total
Rebate will not exceed 35% of the
Incremental Lighting Project Cost, defined
as the cost to purchase the Qualifying
Lighting Equipment materials and the non-
internal labor cost to install the Qualifying
Lighting Equipment and the disposal of
removed lighting equipment. A facility is
defined as a contiguous property for which
a single customer is responsible for paying
the CWLP electric bills.
c) CWLP reserves the right to adjust and/or
negotiate the Rebate amount, based upon
its independent assessment of appropriate
savings or cost estimates.
d) Once a Rebate Application is pre-
approved, through a Pre-Installation
Approval Letter, CWLP will pay no more
than the pre-approved Rebate amount.
CWLP has the right to lower the Rebate
amount if the quantity and/or cost of
Qualifying Lighting Equipment actually
installed by the Customer differ from the
pre-approved amounts. CWLP has the
right to seek a refund for Rebates paid if, at
any time, it learns that the Lighting
Equipment was not actually and properly
installed or were subsequently
disconnected within 48 months after
installation.
e) Rebates in amounts less than $1000 will
be issued in the form of a bill credit. For
rebates greater than $1000, the customer
may request a rebate in the form of a
check. The customer must provide a
completed W-9 (Request for Taxpayer ID
Number) form in order for the rebate check
to be processed. (Handling of a customer’s
SSN within CWLP will comply with the
policies of the Illinois Identity Protection
Act.)
7. LIGHTING EQUIPMENT COSTS: The
Customer must provide copies of all
invoices or other reasonable documentation
that verify the quantities and costs of
purchasing and installing the Qualifying
Lighting Equipment, including all materials,
labor, and equipment discounts. Internal
customer labor costs are not eligible as
CWLP CityLights Rebate Program - Terms and Conditions
Effective 04/01/21
CL0421-1
expenses when calculating the Incremental
Lighting Project Cost. Invoices must
indicate a verifiable breakout of all
Qualifying Lighting Equipment purchased
for installation under this Rebate
Application.
8. REBATE PAYMENT:
a) CWLP will process Rebate Applications
after Lighting Project completion. Lighting
Project completion requires: (1) submission
of all verification documentation to CWLP;
(2) completed installation of the approved
Qualifying Lighting Equipment; and (3) a
satisfactory post-installation verification
performed by CWLP, all in accordance with
the specifications outlined elsewhere in
these Terms and Conditions.
b) If the Customer is more than 30 days
past due, CWLP reserves the right to delay
rebate payment until past due amount owed
is paid.
c) Customer will be informed of the
calculated Final Rebate Amount through a
Rebate Notification Letter.
9. MONITORING AND EVALUATION
FOLLOW-UP VISITS: CWLP reserves the
right to visit the Customer’s facility during
the 48 months following the Lighting Project
completion, at a time convenient to the
Customer, with at least one-week advance
notice. The purpose of the visit(s) is to
review the operation of the Qualifying
Lighting Equipment for program evaluation
purposes, including monitoring energy
performance. The scope of review is limited
to determining whether program conditions
have been met. The Customer must allow
access to the Qualifying Lighting Equipment
and related project documentation.
10. PROGRAM CHANGES/
CANCELLATION:
a) CWLP may change the program
requirements, Rebates, or Terms &
Conditions at any time without notice,
including suspending acceptance of Rebate
Applications or terminating the program.
CWLP is not obligated to approve any
submitted Rebate Application that may
result in CWLP exceeding its program
budget.
b) In the event of program change, pre-
approved Rebate Applications will be
processed to completion under the Terms &
Conditions in effect at the time of the Pre-
Installation Approval Letter.
c) Submission of a completed Rebate
Application does not entitle the Customer to
program participation.
d) Rebates under the CWLP program are
offered on a first-come, first-served basis
and are subject to project and Customer
eligibility, and the availability of funds.
11. PUBLICITY OF CUSTOMER
PARTICIPATION: CWLP may wish to
publicize information relating to the
Customer’s participation in the program,
including such data as projected project
energy savings and Rebate amount. CWLP
will obtain Customer permission before
making such information public.
12. INSTALLATION SCHEDULE
REQUIREMENTS:
a) If the Customer has not engaged in
installation of the Qualifying Lighting
Equipment, within 90 days from the date of
the Pre-Installation Approval Letter, CWLP
may cancel this Rebate Application without
liability.
b) Customer may request an extension to
the 90 day Project completion deadline.
CWLP may, at its discretion, grant the
extension if, in CWLP’s judgment,
satisfactory project progress is ongoing.
c) A Customer who fails to advise CWLP
that a project is complete, or who fails to
provide required Lighting Project
completion documentation as described
elsewhere in these Terms and Conditions,
within 60 days of Lighting Project
completion may be denied Rebate
payment.
13. LIMITATION OF LIABILITY AND
INDEMNIFICATION:
a) CWLP liability under this Rebate
Application will be limited to the Rebate
amounts specified in this Rebate
Application. CWLP and any of its affiliates
or contractors shall not be liable to the
Customer for any special, indirect,
consequential or incidental damages or for
any damages in tort (including negligence)
caused by any activities associated with
this Rebate Application. By participating in
the CWLP program, Customer agrees to
waive any claims and fully releases CWLP
from any damages, of any kind.
b) Customer hereby irrevocably and
unconditionally waives any right such party
may have to a trial by jury or to initiate or
become a party to any class action claims
in respect of any action, suit or proceeding
directly or indirectly arising out of or relating
to this application or the transactions
contemplated by this application.
c) The Customer shall protect, indemnify,
and hold harmless CWLP from and against
all liabilities, losses, claims, damages,
judgments, penalties, causes of action,
costs and expenses (including, without
limitation, attorney’s fees and expenses)
incurred by or assessed against CWLP
arising out of or relating to the performance
of this Rebate Application.
14. NO WARRANTIES:
a) CWLP nor its consultants do not
endorse, guarantee, or warrant any
particular manufacturer or product, and it
provides no warranties, expressed or
implied, including any implied warranty of
merchantability or implied warranty of
fitness for any product or services. CWLP is
not liable or responsible for any act or
omission of any contractor (if any). The
customer’s reliance on warranties is limited
to any warranties that may be provided by
contractors, vendors, etc.
b) Neither CWLP nor its consultants are
responsible for assuring that the installation
of the lighting equipment is proper or
complies with any particular laws, codes, or
industry standards. CWLP does not make
any representations of any kind regarding
the results to be achieved by the Qualifying
Lighting Equipment or the adequacy or
safety of such measures.
15. CUSTOMER MUST PAY ALL TAXES:
Rebates received by the Customer under
this Rebate Application may be taxable by
the federal, state, and local government.
The Customer is responsible for declaring
and paying all such taxes.
16. VENDOR SELECTION: The Customer
may select any vendor or contractor
licensed by the City of Springfield to
perform the work contemplated by this
Rebate Application. In the situation where
multiple contractors are bidding on the
same job, only the Rebate Application of
the firm doing the work will be reviewed. In
addition, if there is a change in contractor
after Pre-Installation Approval Letter has
been granted, then an updated Rebate
Application must be submitted to reflect
possible changes in the Rebate amount,
change in completion date, and to allow
CWLP to verify Qualifying Lighting
Equipment.
17. REMOVAL OF EQUIPMENT: The
Customer agrees, as a condition of
participation in the program, to remove and
dispose of the equipment being replaced by
the Qualifying Lighting Equipment in
accordance with all laws, rules, and
regulations. The Customer agrees not to
reinstall any of this equipment anywhere in
CWLP service territory, or transfer it to any
other party for installation in CWLP service
territory.
18. MISCELLANEOUS:
a) The entire agreement between the
Customer and CWLP is composed of an
approved, signed Rebate Application, these
CWLP CityLights Rebate Program - Terms and Conditions
Effective 04/01/21
CL0421-1
Terms and Conditions and any Pre-
Installation Approval Letters from CWLP.
b) Paragraph headings are for the
convenience of the parties only and are not
to be construed as part of these Terms and
Conditions.
c) The Customer acknowledges that the
only individuals authorized to bind CWLP
under the CWLP program are CWLP staff.
d) If any provision of the Terms and
Conditions is deemed invalid by any court
or administrative body having jurisdiction,
such ruling shall not invalidate any other
provision, and the remaining Terms and
Conditions shall remain in full force and
effect in accordance with their terms.
e) If a dispute arises out of, or relates to this
Application, or the breach thereof, the
dispute will be settled through negotiation.
Otherwise, resolution of disputes
concerning these Terms and Conditions, or
any other requirement of this Application or
condition of Rebate, resolution will be
governed in all respects by the laws,
statutes, and regulations of the State of
Illinois.
f) Customer shall not assign any rights it
may have under this Rebate Application
without the prior written consent of CWLP.
Any assignment in violation hereof shall be
deemed null and void.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

CityLights Rebate (City Water, Light, and Power)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 July 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document