2019-2021 Danville Utilities Home$ave Program Manual Version 011520

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2019-2021 Danville Utilities Home$ave Program Manual Version 011520
2019-2021 Danville Utilities Home$ave Program Manual
Version 011520

This Program Manual is intended to serve as a reference manual for the residential customers of Danville
Utilities that are interested in learning more about or participating in the Home$ave Program.

For more information, please call 434-857-3312 or visit www.danvillehomesave.com
2019-2021 Danville Utilities Home$ave Program Manual Version 011520
Table of Contents

Section 1. How to Participate..............................................................................................................3
Section 2. Program Overview..............................................................................................................4
Section 3. Program Measures..............................................................................................................5
  3.1     Qualifying Customers....................................................................................................................5
  3.2     Measure Eligibility and Rebates..............................................................................................5
  3.3     Rebate Limitations.....................................................................................................................5
  3.4     Measures, Eligibility Requirements and Rebate Amounts..................................................8
Appendix A Program Application....................................................................................................18
Appendix B HVAC Tune-Up Worksheet..........................................................................................23

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Section 1. How to Participate
In order to participate in Danville Utilities’ Home$ave Program, the applicant is required to complete
the Rebate Application and submit it with adequate supporting documentation. Rebates are available
to all residential customers that receive electric service from Danville Utilities on the “RS” Schedule 10
Residential Electric Service rate schedule. All equipment and/or services must be new and must be
purchased on or after July 1st, 2019 to be eligible for rebates. Natural gas rebate measures are available
to Danville Utilities Gas customers. Customers must be connected to a Danville Utilities gas line prior
to submitting an application for natural gas measures. The Rebate Application must be signed by
customer(s) that have an active residential electric or natural gas service account with Danville Utilities.
Rebate processing may take up to eight weeks from receipt of complete Rebate Application. Rebates
will not be paid for ineligible or incomplete Rebate Applications. Refer to the Terms and Conditions
section at the end of the Rebate Application in Appendix A for more detailed information. The steps for
participation are as follows:

1. Purchase and install a qualified product. To find out what products and services qualify, visit www.
   danvillehomesave.com or obtain a program application from your equipment dealer.
2. Complete all the information requested on the Rebate Application.
3. Review and sign the Acceptance of Terms.
4. Include sales receipt or invoice that includes all of the following information:
   • Retailer/Contractor name, address and phone number
   • Itemized listing of quantity, size, description, manufacturer, model number and other identifying
       information as appropriate
   • Purchase date and cost
   • Product installation date
   • Efficiency requirements documentation
5. Completed signed Rebate Application with all supporting documents may be
   • Mailed to: Danville Home$ave Program, 1040 Monument Street, Danville VA 24541
   • Emailed to: davisjc@danvilleva.gov

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Section 2. Program Overview
The Home$ave Program is a prescriptive rebate program1 that will offer rebates for qualifying measures
upon successful purchase and installation. Qualifying measures include those that target electric energy
savings for existing homes. Rebates will be paid directly to participating customers.

The program requires customers to submit a Rebate Application along with the required documentation
after the purchase of qualifying measures or after performing a tune-up service. All completed Rebate
Applications will be subject to review, phone inspection and/or on-site inspection. Upon successful
review, customers will receive cash rebates in the form of checks mailed directly to the address
associated with the customer account number.

1
    A program that has pre-defined rebates for the energy efficiency measures in its portfolio.

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Section 3. Program Measures
3.1 Qualifying Customers

All customers in Danville’s service territory that receive electricity from Danville Utilities on the residential
“RS” Schedule 10 electric service rate schedule2 are eligible to participate in the Home$ave Program.
Additionally, customer who receive natural gas from Danville Utilities are eligible to receive rebates for
natural gas measures.

3.2          Measure Eligibility and Rebates

Table 3-1 lists the energy-efficiency measures, eligibility requirements and rebate levels offered under the
Home$ave Program’s portfolio.

3.3          Rebate Limitations

•       Air Conditioning and Heat Pump Tune-Ups must be performed by a qualified contractor in order to
        qualify for rebates.
•       Dwelling unit must be located in Danville’s service territory and receive electricity and/or natural gas,
        as applicable, from Danville Utilities on the residential “RS” Schedule 10 electric or natural gas service
        rate schedule (i.e. meter set or account activated) at the time of the rebate payment.
•       Each rebate will be mailed to the mailing address and in the name of the Danville Utilities customer
        account unless a third party rebate authorization is submitted with the Rebate Application.
•       Rebate Applications must be received within 90 days of purchase of qualifying equipment or from the
        date of tune-up service, to qualify for rebates.
•       Serial number, itemized receipt, model number, a fully completed application and a fully completed
        tune-up form (for tune-up rebates) are required to qualify for rebates.

                   Table 3-1: Qualifying Measures, Efficiency Requirements and Rebate Levels

                                                                         Minimum
                                      Equipment Size
           Measure                                                       Required                 Unit                Rebates ($/Unit)
                                        Category
                                                                         Efficiency
       Tier 1 High-                                                      ≥ 15 SEER
                                         Split Systems
        Efficiency                                                        ≥ 12 EER
       Central Air
                                       Single Package
       Conditioner
                                           Equipment                                             Each                         $145
          (CAC)                                                          ≥15 SEER
                                        (Including Gas/
        (≥ 18,000                                                         ≥11 EER
                                       Electric Package
      BTU/h Cooling
                                              Units)
        Capacity)
                                       Split Systems or
       Tier 2 High-
                                       Single Package
      Efficiency CAC
                                           Equipment                     ≥ 16 SEER
          (≥ 18,000                                                                              Each                         $250
                                        (Including Gas/                   ≥ 12 EER
      BTU/h Cooling
                                       Electric Package
         Capacity)
                                              Units)

2
    This information may be obtained from the customer’s utility bill.

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Minimum
                     Equipment Size
          Measure                         Required                Unit                Rebates ($/Unit)
                       Category
                                         Efficiency
                                         ≥ 8.3 HSPF
    Tier 1 High-
                       Split Systems     ≥ 15 SEER
   Efficiency Air-
                                          ≥ 12 EER
    Source Heat
                     Single Package
       Pumps                                                     Each                         $350
                         Equipment       ≥ 8.1 HSPF
      (≥ 18,000
                      (Including Gas/    ≥ 15 SEER
   BTU/h Cooling
                     Electric Package     ≥ 11 EER
     Capacity)
                            Units)
                                         ≥ 8.5 HSPF
   Tier 2 High-        Split Systems     ≥ 16 SEER
  Efficiency Air-                         ≥ 12 EER
   Source Heat       Single Package
                                                                 Each                         $500
      Pumps              Equipment       ≥ 8.5 HSPF
 (≥ 18,000 BTU/h      (Including Gas/    ≥ 16 SEER
 Cooling Capacity    Electric Package    ≥ 12.5 EER
                            Units)
    Tier 1 High-
                                         ≥ 8.5 HSPF
  Efficiency Mini-     Split System                           Per ½ Ton                        $50
                                         ≥ 16 SEER
 Split Heat Pumps
    Tier 2 High-
     Efficiency                          ≥ 10 HSPF
                       Split System                           Per ½ Ton                       $100
  Mini-Split Heat                        ≥ 19 SEER
       Pumps

   Tier 1 High-                           ≥ 15 SEER
    Efficiency         Split Systems       ≥ 12 EER
 CAC with Natural                        ≥ 80% AFUE
       Gas
                     Single Package                              Each                        $1,250
     Furnace
                         Equipment        ≥ 15 SEER
   (Replacing
                      (Including Gas/      ≥ 11 EER
  CAC with Strip
                     Electric Package    ≥ 80% AFUE
     Heating)
                            Units)
   Tier 2 High-
    Efficiency
 CAC with Natural
                     Split Systems and    ≥ 16 SEER
       Gas
                      Single Package       ≥ 12 EER              Each                        $1,400
     Furnace
                         Equipment       ≥ 95% AFUE
   (Replacing
  CAC with Strip
     Heating)

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Minimum
                       Equipment Size
          Measure                                     Required                      Unit                Rebates ($/Unit)
                         Category
                                                     Efficiency
                         Must Replace               WiFi Enabled
    Single Family                                                                                                 $75
                           Non-WiFi                   and Either
       Smart                                                                                                   (limit 2
                          Thermostat                 Occupancy                     Each
   Programmable                                                                                                   per
                       See pre-approved list on    Sensing or Self
     Thermostat                                                                                               address)
                      www.danvillehomesave.com      Programming
                                                       Program
                      Existing CAC and
                                                       Qualified                                       $55 per unit every
   HVAC Tune Up          Heat Pump                                                 Each
                                                     Contractor                                              3 yrs
                          Units only
                                                      Required
   ENERGY STAR                                     U-Factor ≤0.30
                            Any Size                                                 Ft²                          $1
     Windows                                        SHGC ≤0.40
                                                    Add Minimum
                                                     R-18 (Final
                       Existing R-20 or
   Attic Insulation                                   Insulation                     Ft²                        $0.10
                             Less
                                                    Value R-38 or
                                                       greater)
                                                    Add minimum
                          No existing               of R-13 (Final
   Wall Insulation      insulation prior              Insulation                     Ft²                        $0.45
                         to installation            Value R-13 or
                                                       greater)
                           No existing              Add minimum
  Floor Insulation     insulation prior to        R-19 (Final of R-19                Ft²                        $0.15
                            installation             or greater)
                           No existing              Add minimum
     Crawl Space
                       insulation prior to        R-19 (Final of R-19                Ft²                        $0.15
      Insulation
                            installation             or greater)
   Instantaneous          Must replace
                                                    Energy Factor
    Natural Gas         electric storage                                           Each                         $200
                                                       ≥ 0.75
    Water Heater          water heater
   High Efficiency        Must replace
                                                   Energy Factor ≥
    Natural Gas         electric storage                                           Each                         $200
                                                        0.67
    Water Heater          water heater
    Condensing            Must replace
                                                   Energy Factor ≥
    Natural Gas         electric storage                                           Each                         $200
                                                        0.80
    Water Heater          water heater
    Natural Gas           Must replace
                                                        None                       Each                         $100
       Range              electric range
                          Must replace
     Natural Gas                                  Combined Energy
                         electric clothes                                          Each                         $100
    Clothes Dryer                                  Factor ≥ 3.48
                               dryer
 Natural Gas Logs               —                       None                       Each                          $50

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3.4          Measures, Eligibility Requirements and Rebate Amounts

3.4.1 Tier 1 High-Efficiency Central Air Conditioner

Measure Description. Rebates are available for qualifying central air conditioners, split systems or
single package equipment (including gas/electric package units).

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Units must have a cooling capacity of ≥ 18,000 BTU/h.
Tier 1 High Efficiency Central Split System Air Conditioners must meet or exceed 15 SEER (Seasonal
Energy Efficiency Ratio)3 and 12 EER (Energy Efficiency Ratio) and Tier 1 High Efficiency Single
Package equipment (including gas/electric package units) must meet or exceed 15 SEER3 and 11
EER as determined by Air Conditioning, Heating, and Refrigeration Institute (AHRI) Standard 210/240
(formerly ARI Standard 210/240). Equipment must be a newly purchased and installed air-source split
or packaged unitary air conditioner. Split system equipment must include a new matched condensing
unit and a new evaporator coil. To be eligible for a rebate, the installation must be a properly matched,
complete system recognized by AHRI and have an official AHRI rating. Systems that do not have
an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by a standardized
method. Both split systems and package systems are eligible. Room Air Conditioners and Central
Air Conditioners that use a third party (or independent) coil, three-phase equipment, and products
rated above 65,000 Btu/hr are not eligible for rebates. The rebate for Tier 1 High-Efficiency Central Air
Conditioners is $145 per unit.

Items to Submit with Rebate Application:

•       Dated and detailed sales receipt/invoice and a copy of a properly calculated cooling load for your
        home (contact a participating HVAC contractor for this information)
•       Model number and serial number of both the installed and replaced equipment
•       Photos of the unit nameplate for both the installed and replaced equipment

3.4.2 Tier 2 High-Efficiency Central Air Conditioner

Measure Description. Tier 2 High-Efficiency Central Air Conditioner includes units with higher energy
efficiency rating.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Units must have a cooling capacity of ≥ 18,000 BTU/h. Tier 2
High-Efficiency Central Air Conditioners must meet or exceed 16 SEER and 12 EER as determined by
AHRI Standard 210/240 (formerly ARI Standard 210/240). Equipment must be a newly purchased and
installed air-source split or packaged unitary air conditioner. Split system equipment must include a new
matched condensing unit and a new evaporator coil. To be eligible for a rebate, the installation must be
a properly matched, complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by
a standardized method. Both split systems and package systems are eligible. Room Air Conditioners
and Central Air Conditioners that use a third party (or independent) coil, three-phase equipment, and

3
    Efficiency based on 2015 Federal Regional Standards for Heating and Cooling Products.

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products rated above 65,000 Btu/hr are not eligible for rebates. The rebate for Tier 2 High-Efficiency
Central Air Conditioners is $250 per unit.

Items to Submit with Rebate Application:

•       Dated and detailed sales receipt or invoice, and a copy of a properly calculated cooling load for your
        home (contact a participating HVAC contractor for this information)
•       Model number and serial number of both the installed and replaced equipment
•       Photos of the unit nameplate for both the installed and replaced equipment

3.4.3 Tier 1 High-Efficiency Air-Source Heat Pumps

Measure Description. ENERGY STAR models have higher SEER and EER ratings, as well as a higher
heating seasonal performance factor (HSPF) than standard models, making them about 9% percent
more efficient than standard new models. Rebates are available for the purchase of High-Efficiency Air-
Source Heat Pumps.

Applicability. Retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Units must have a cooling capacity of ≥ 18,000 BTU/h.
Qualifying split system equipment must meet or exceed 8.3 HSPF4, 15 SEER44, and 12 EER. Qualifying
single package equipment (including gas/electric package units) must exceed 8.1 HSPF4, 15 SEER4 and
11 EER. Equipment must be purchased as a new unit. To be eligible for a rebate, the installation must
be a properly matched, complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified
by a standardized method. Both split systems and package systems are eligible. The rebate for High-
Efficiency Air-Source Heat Pumps is $350 per unit.

Items to Submit with Rebate Application:

•       Dated and detailed sales receipt or invoice, and a copy of a properly calculated cooling load for your
        home (contact a participating HVAC contractor for this information)
•       Model number and serial number of both the installed and replaced equipment
•       Photos of the unit nameplate for both the installed and replaced equipment

3.4.4 Tier 2 High-Efficiency Air-Source Heat Pumps

Measure Description. ENERGY STAR models have higher SEER and EER ratings, as well as a higher
HSPF than standard models, making them about 9% percent more efficient than standard new models.
Rebates are available for the purchase of High-Efficiency Air-Source Heat Pumps.

Applicability. Retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Units must have a cooling capacity of ≥ 18,000 BTU/h.
Qualifying split system equipment must meet or exceed 8.5 HSPF, 16 SEER, and 12 EER. Qualifying
single package equipment (including gas/electric package units) must exceed 8.5 HSPF, 16 SEER and
12.5 EER. Equipment must be purchased as a new unit. To be eligible for a rebate, the installation must
be a properly matched, complete system recognized by AHRI and have an official AHRI rating. Systems

4
    Efficiency based on 2015 Federal Regional Standards for Heating and Cooling Products.

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that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified
by a standardized method. Both split systems and package systems are eligible. The rebate for High-
Efficiency Air-Source Heat Pumps is $500 per unit.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, and a copy of a properly sized calculated cooling load for
     your home (contact a participating HVAC contractor for this information)
•    Model number and serial number of both the installed and replaced equipment
•    Photos of the unit nameplate for both the installed and replaced equipment

3.4.5 Tier 1 High-Efficiency Mini-Split Heat Pumps

Measure Description. High efficiency models have higher SEER and HSPF than standard level units
reducing the kWh used each year. Rebates are available for the purchase of High-Efficiency Mini-Split
Heat Pumps.

Applicability. Retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Qualifying split system equipment must meet or exceed 8.5
HSPF and 15 SEER. Equipment must be purchased as a new unit. To be eligible for a rebate, the
installation must be a complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by a
standardized method. The rebate for Tier 1 High-Efficiency Mini-Split Heat Pumps is $50 per half ton.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, and a copy of a properly sized calculated cooling load for
     your home (contact a participating HVAC contractor for this information)
•    Model number and serial number of the installed and replaced equipment
•    Photos of the unit nameplate for both the installed and replaced equipment

3.4.6 Tier 2 High-Efficiency Mini-Split Heat Pumps

Measure Description. High efficiency models have higher SEER and HSPF than standard level units
reducing the kWh used each year. Rebates are available for the purchase of High-Efficiency Mini-Split
Heat Pumps.

Applicability. Retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Qualifying split system equipment must meet or exceed 10
HSPF and 18 SEER. Equipment must be purchased as a new unit. To be eligible for a rebate, the
installation must be a complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by a
standardized method. The rebate for Tier 2 High-Efficiency Mini-Split Heat Pumps is $100 per half ton.

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Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, and a copy of a properly sized calculated cooling load for
     your home (contact a participating HVAC contractor for this information)
•    Model number and serial number of both the installed and replaced equipment
•    Photos of the unit nameplate for both the installed and replaced equipment

3.4.7 Tier 1 High-Efficiency Air Conditioner with Natural Gas Furnace (Replacing Central Air
Conditioner with Strep Heat)

Measure Description. High-efficiency models have higher SEER and models which use gas and have a
high annual fuel utilization efficiency (AFUE) are more efficient than strip heating.

Applicability. Retrofit installations which replace a central air conditioner with strip heating are eligible
for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Qualifying split system equipment must meet or exceed 15
SEER, 12 EER, and 80% AFUE. Qualifying single packaged equipment must meet or exceed 15 SEER,
11 EER, and 80% AFUE. Equipment must be purchased as a new unit. To be eligible for a rebate, the
installation must be a complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by
a standardized method. The rebate for Tier 1 High-Efficiency Central Air Conditioner with Natural Gas
Furnace is $1,250 per unit.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice and a copy of a properly calculated cooling load for your
     home (contact a participating HVAC contractor for this information)
•    Model and serial number of both the installed and replaced equipment
•    Photos of the unit nameplate for both the installed and replaced equipment

3.4.8 Tier 2 High-Efficiency Central Air Conditioner with Natural Gas Furnace (Replacing
Central Air Conditioner with Strip Heat)

Measure Description. High-efficiency models have higher SEER and models which use gas and have a
high AFUE are more efficient than strip heating.

Applicability. Retrofit installations which replace a central air conditioner with strip heating are eligible
for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Qualifying system equipment must meet or exceed 16 SEER,
12 EER, and 95% AFUE. Equipment must be purchased as a new unit. To be eligible for a rebate, the
installation must be a complete system recognized by AHRI and have an official AHRI rating. Systems
that do not have an AHRI rating will not qualify for the rebate since the efficiency cannot be verified by
a standardized method. The rebate for Tier 2 High-Efficiency Central Air Conditioner with Natural Gas
Furnace is $1,400 per unit.

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Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, and a copy of a properly calculated cooling load for your
     home (contact a participating HVAC contractor for this information)
•    Model number and serial number of both the installed and replaced equipment
•    Photos of the unit nameplate for both the installed and replaced equipment

3.4.9 Single Family Smart Programmable Thermostat

Measure Description. Smart programmable thermostats connect to home WiFi and are either
occupancy sensing or self-programming for ease of use.

Applicability. Rebates are available when replacing an existing thermostat.

Equipment Eligibility & Rebate Level. Smart programmable thermostats must be WiFi enabled and
either occupancy sensing or self-programmable. Only two thermostats per single family home qualify for
rebate. The rebate for Smart Programmable Thermostats is $75 per thermostat. There is a list of pre-
approved Single Family Smart Programmable Thermostats on the Danville Home$ave website, or please
contact Danville Utilities to ensure the unit purchased is eligible.

Items to Submit with Rebate Application:

•    Post-installation picture of the thermostat
•    Invoice/receipt with a cost greater than or equal to $75

3.4.10 HVAC Tune-Up

Measure Description. HVAC tune-ups maintain the efficiency of cooling equipment, allowing the unit to
use less electricity while keeping your home comfortable.

Applicability. Rebates are available on existing residential central air conditioners and heat pump
systems only.

Equipment Eligibility & Rebate Level. HVAC tune-ups must be completed by a qualified contractor.
The tune-up contractor must complete a program tune-up worksheet. Rebates are limited to one tune-
up rebate per unit for every three years. Rebate Application and required documents must be received
within 90 days of completed service. The rebate for HVAC Tune-Ups is $55. Furnaces do not qualify for a
tune-up rebate.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice and program tune-up worksheet as shown in Appendix B

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3.4.11 ENERGY STAR Windows

Measure Description. Installing ENERGY STAR windows can help improve home energy savings
through cutting down heating and cooling losses.

Applicability. Retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. ENERGY STAR windows with U-factors less than or equal to
0.30 and SHGC less than or equal to 0.40 are eligible for a rebate of $1 per square foot.

Items to Submit with Rebate Application. Dated and detailed sales receipt or invoice for the installed
windows. Specification sheet indicating the U-factor and SHGC for the installed windows.

3.4.12 Attic Insulation

Measure Description. Increasing the insulation in your attic provides a stronger barrier between the
inside of your home and the elements outside. When air flows through insulation, the effectiveness of the
insulation is greatly reduced. For this reason, we strongly recommend that air sealing is performed prior
to installation of insulation in a home.

Applicability. Only retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Must be installed in a qualifying space, which separates
conditioned from unconditioned space. A rebate of $0.10 per square foot (surface area) of insulation
installed is offered for the addition of a minimum R-18 insulation to achieve a final insulation value of R-38
or greater. Insulation is not eligible for rebate on new construction or home addition projects.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, indicating the R-value of insulation added and the final
     installed R-value of the attic insulation

3.4.13 Wall Insulation

Measure Description. The Wall Insulation measure here refers to insulating the cavities between
internal and external wall faces, and is one of the most effective ways to save energy through insulation.
When air flows around and through insulation, the effectiveness of the insulation is greatly reduced. For
this reason, we strongly recommend that air sealing is performed prior to installation of insulation in a
home.

Applicability. Only retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Must be installed in a qualifying space, which separates
conditioned from unconditioned space. Installing a minimum of R-13 insulation creating a minimum final
insulation value of R-13 or greater will result in a rebate of $0.45 per square foot. Insulation is not eligible
for rebate on new construction or home addition projects. There can be no existing insulation prior to
installation.

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Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, indicating the R-value of insulation added and the final
     installed R-value of the wall insulation

3.4.14 Floor Insulation

Measure Description. Floor insulation deals with the areas of the house covered by flooring including
the floors between the stories of a home. The primary purpose of floor insulation is to reduce thermal
conduction through a home’s floors, which in turn will reduce the heating/cooling energy costs. When
air flows through insulation, the effectiveness of the insulation is greatly reduced. For this reason, we
strongly recommend that air sealing is performed prior to installation of insulation in a home.

Applicability. Only retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Must be installed in a qualifying space, which separates
conditioned from unconditioned space. For the installation, adding a minimum of R-19 insulation
creating a minimum final insulation value of R-19 or greater will result in a rebate of $0.15 per square
foot. Insulation is not eligible for rebate on new construction or home addition projects. There can be no
existing insulation prior to installation.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, indicating the R-value added, and the final total installed
     R-value of the floor insulation

3.4.15 Crawlspace Insulation

Measure Description. Crawlspaces are areas underneath a home and most are open to the elements
and not sealed by the foundation. If the crawlspace is a conditioned area or the insulation is sprayed
foam, increasing the insulation in the crawl space of a home ensures a strong barrier to prevent
infiltration and energy loss through the crawl space, and additionally will protect pipes or wires being
run through the space. When air flows through insulation, the effectiveness of the insulation is greatly
reduced. For this reason, we strongly recommend that air sealing and rim joist sealing is performed prior
to installation of insulation in a home.

Applicability. Only retrofit installations are eligible for rebate via a post-purchase application process.

Equipment Eligibility & Rebate Level. Must be installed in a qualifying space, which separates
conditioned from unconditioned space. Adding a minimum of R-19 insulation creating a minimum final
insulation value of R-19 or greater will result in a rebate of $0.15 per square foot. Insulation is not eligible
for rebate on new construction or home addition projects. There can be no existing insulation prior to
installation.

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Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice, indicating the R-value added, and the final total installed
     R-value of the crawl space insulation

3.4.16 Instantaneous Natural Gas Water Heater

Measure Description. Instantaneous or tankless natural gas water heaters provide hot water instantly
as water flows through the unit.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing electric storage water heater of at
least 40 gallons or more. Qualifying system equipment must meet or exceed an Energy Factor of 0.75.
Equipment must be purchased as a new unit. The rebate for a Instantaneous Natural Gas Water Heater
is $200 per unit.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

3.4.17 High Efficiency Natural Gas Water Heater

Measure Description. High Efficiency natural gas water heaters have a higher Energy Factor and are
more efficient than standard gas water heaters.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing electric storage water heater of at
least 40 gallons or more. Qualifying system equipment must meet or exceed an Energy Factor of 0.67.
Equipment must be purchased as a new unit. The rebate for a High Efficiency Gas Water Heater is $200
per unit.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

3.4.18 Condensing Natural Gas Water Heater

Measure Description. Condensing natural gas water heaters are more efficient than standard water
heaters because they capture exhaust heat and use it to help heat the water.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.

15 of 19                                                          Danville Utilities Home$ave Program Manual | Version 020420
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing electric storage water heater of at
least 40 gallons or more. Qualifying system equipment must meet or exceed an Energy Factor of 0.80.
Equipment must be purchased as a new unit. The rebate for a Condensing Gas Water Heater is $200
per unit.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

3.4.19 Natural Gas Range

Measure Description. A natural gas range uses natural gas instead of electricity for cooking.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing electric range. Equipment must be
purchased as a new unit. The rebate for a gas range is $100.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

3.4.20 Natural Gas Clothes Dryer

Measure Description. Efficient natural gas clothes dryers use up to 20% less energy than standard
dryers.

Applicability. Retrofit installations are eligible for a rebate via a post-purchase application process.
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing electric clothes dryer. Qualifying
system equipment must meet or exceed a combined Energy Factor of 3.48 (lbs/kWh).

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

16 of 19                                                       Danville Utilities Home$ave Program Manual | Version 020420
3.4.21 Natural Gas Logs

Measure Description. Natural gas fireplaces.

Applicability. Retrofit installations are eligible for a rebate via and post-purchase application process.
Customers must be connected to Danville Utilities’ Natural Gas Service prior to submitting application.

Equipment Eligibility & Rebate Level. Must replace an existing fireplace. Equipment must be
purchased as a new unit. The rebate for natural gas logs is $50.

Items to Submit with Rebate Application:

•    Dated and detailed sales receipt or invoice
•    Model number and serial number of both the installed and replaced equipment

17 of 19                                                        Danville Utilities Home$ave Program Manual | Version 020420
Appendix A
Program Application
Rebate Application

Application Instructions
Before you begin:
    Ensure your eligibility                                                         Important: Incomplete applications will not be processed and will be returned
     Refer to Eligibility Rules on Page 4, and fully read the program manual         for correction to the submitting party.
     for measure requirements.
                                                                                     Read carefully and comply with all the Terms and Conditions. Complete
    Review all Terms and Conditions                                                 all parts of the application that are applicable. Note the following required
         Refer to Terms and Conditions on Page 4.                                    information which is often overlooked: Customer information including Danville
                                                                                     Utilities account number and customer numbers (Danville Utilities account
    Purchase a qualifying product or service                                        number and customer number are displayed on customer bills together,
         Refer to Step 2 for qualifying products and services.                       separated by a hyphen), name and service address as shown on Danville
                                                                                     Utilities bills.

Keep in mind:
    Review the Rebate Application                                                       Fill everything out in four easy steps!
     Review your Rebate application form and confirm your eligibility with your            All form fields are required unless noted as optional. Serial number,
     retailer. They can help you find qualifying products or services, required            itemized receipt and model number are required to process your
     documentation and help you complete your application.                                 application. Incomplete applications and applications not including
                                                                                           required documentation will result in denied or delayed rebates.
    Application assistance
     Call 434-857-3312 for answers to any questions you have about your                   Make a copy
     application or rebate.                                                                After completing your Rebate Application, make and keep a copy for your
                                                                                           records.
    90-day submission deadline
     Completed form and itemized receipt must be received within 90 days of               Check delivery
     purchase or tune-up service to meet eligibility criteria. Purchase or tune-           Rebate checks are issued within 45 days upon receipt of your completed
     up service must occur on or after July 1, 2019.                                       and approved Rebate Application.

 1       Customer Information (all fields are required unless noted as optional)
         Please note that the rebate check will be issued to the primary name on the utility account.
         Danville Utilities Account-Customer number     ____________________________ - ________________________________

         To locate your account - customer number, please refer to top left corner of your utility bill or contact Danville Utilities’ Customer Service at 434-799-5155.

         Name on account    ________________________________ Daytime phone (____) __________________
         Installation address   _________________________________ City _____________________ State _______ Zip ________
         Mailing address   ____________________________________ City _____________________ State _______ Zip ________

         Email address   _____________________________________                                    Email is the best way to contact me.

1. Did you buy the eligible equipment or services because of Danville’s              3. How did you learn about Danville’s rebates?
   rebates?
                                                                                               Bill Inserts                             Social Media
        Yes                                                                                   Newspaper ads                             (Facebook,Twitter, etc.)
        No                                                                                    Magazine ads                             Contractors
                                                                                               TV/Radio                                 Other ____________
2. Did the new equipment:
        Replace old but operational equipment                                       4. What type of lighting does the majority of your house have?
        Replace old and non-operational equipment                                             Incandescent (Old Edison lamp)             LED
        Did not replace old equipment                                                         CFL (Spiral Lamp)                          Other ____________

 2       Rebates for Qualifying Products and Services
         Serial number, photos, itemized receipt and model number are required to process your applications.

                                                                                            Manufacturer and Model                                          Photos of
                       Product                               Rebate       Qty      Tons       number (required)            Serial number (required)        old and new
                                                                                                                                                           name plates
                                                                                            Old Equipment:                 Old Equipment:
Tier 1 High-Efficiency Central Air Conditioner
(≥ 18,000 BTU/h Cooling Capacity)
                                                              $145
Split system: ≥ 15 SEER and ≥ 12 EER                         per unit                                                                                            
                                                                                            New Equipment:                 New Equipment:
Single package equipment (including gas/electric
package units): ≥ 15 SEER and ≥ 11 EER

Danville Utilities Home$ave Rebate Application 011520                                                                                                      Page 1 of 4
Rebate Application

 2       Rebates for Qualifying Products and Services (cont.)
         Serial number, photos, itemized receipt and model number are required to process your applications.

                                                                                      Manufacturer and Model                               Photos of
                       Product                              Rebate       Qty   Tons     number (required)      Serial number (required)   old and new
                                                                                                                                          name plates
                                                                                      Old Equipment:           Old Equipment:
Tier 2 High-Efficiency Central Air Conditioner
(≥ 18,000 BTU/h Cooling Capacity)                            $250
                                                            per unit                                                                          
Split systems and single package equipment (including                                 New Equipment:           New Equipment:
gas/electric package units): ≥ 16 SEER and ≥ 12 EER

Tier 1 High-Efficiency Air-Source Heat Pump                                           Old Equipment:           Old Equipment:
(≥ 18,000 BTU/h Cooling Capacity)
                                                             $350
Split system: ≥ 8.3 HSPF, ≥ 15 SEER and ≥ 12 EER            per unit                                                                          
                                                                                      New Equipment:           New Equipment:
Single Package Equipment (including gas/electric package
units): ≥ 8.1 HSPF, ≥ 15 SEER and ≥ 11 EER

Tier 2 High Efficiency Air-Source Heat Pump                                           Old Equipment:           Old Equipment:
(≥ 18,000 BTU/h Cooling Capacity)
                                                             $500
Split System: ≥ 8.5 HSPF, ≥ 16 SEER and ≥ 12 EER            per unit                                                                          
                                                                                      New Equipment:           New Equipment:
Single Package Equipment (including gas/electric package
units): ≥ 8.5 HSPF, ≥ 16 SEER and ≥ 12.5 EER

                                                                                      Old Equipment:           Old Equipment:

Tier 1 High Efficiency Mini-Split Heat Pumps                  $50
Split Systems: ≥ 8.5 HSPF, ≥ 16 SEER                       per 1/2 Ton                                                                        
                                                                                      New Equipment:           New Equipment:

                                                                                      Old Equipment:           Old Equipment:

Tier 2 High Efficiency Mini-Split Heat Pumps                 $100
Split Systems: ≥ 10 HSPF, ≥ 19 SEER                        per 1/2 Ton
                                                                                                                                              
                                                                                      New Equipment:           New Equipment:

Tier-1 High-Efficiency CAC with Natural Gas                                           Old Equipment:           Old Equipment:
Furnace (Replacing CAC with Strip Heating)
                                                            $1,250
Split system: ≥ 15 SEER, ≥ 12 EER, and ≥ 80% AFUE
                                                            per unit                                                                          
                                                                                      New Equipment:           New Equipment:
Single Package Equipment: ≥ 15 SEER, ≥ 11 EER, and ≥
80% AFUE
                                                                                      Old Equipment:           Old Equipment:
Tier-2 High-Efficiency CAC with Natural Gas
Furnace (Replacing CAC with Strip Heating)                  $1,400
                                                            per unit                                                                          
≥ 16 SEER, ≥ 12 EER, and ≥ 95% AFUE                                                   New Equipment:           New Equipment:

                                                                                      Old Equipment:           Old Equipment:

Instantaneous Natural Gas Water Heater                       $200
                                                            per unit                                                                          
Energy Factor ≥ 0.75                                                                  New Equipment:           New Equipment:

                                                                                      Old Equipment:           Old Equipment:

High Efficiency Natural Gas Water Heater                     $200
                                                            per unit                                                                          
Energy Factor ≥ 0.67                                                                  New Equipment:           New Equipment:

                                                                                      Old Equipment:           Old Equipment:

Condensing Natural Gas Water Heater                          $200
                                                            per unit                                                                          
Energy Factor ≥ 0.80                                                                  New Equipment:           New Equipment:

                                                                                      Old Equipment:           Old Equipment:

                                                             $100
Natural Gas Range                                                                                                                             
                                                            per unit                  New Equipment:           New Equipment:

Danville Utilities Home$ave Rebate Application 011520                                                                                     Page 2 of 4
Rebate Application

    2      Rebates for Qualifying Products and Services (cont.)
           Serial number, photos, itemized receipt and model number are required to process your applications.

                                                                                                              Manufacturer and Model                                                     Photos of
                             Product                                     Rebate          Qty       Tons         number (required)                  Serial number (required)             old and new
                                                                                                                                                                                        name plates
                                                                                                              Old Equipment:                      Old Equipment:

Natural Gas Glothes Dryer                                                 $100
                                                                         per unit                                                                                                           
Combined Energy Factor ≥ 3.48                                                                                 New Equipment:                      New Equipment:

HVAC Tune-up                                                               $55
Existing CAC and Heat Pump Units only. Program qualified
                                                            per unit                                       # of systems: ______  Heat Pump  Central Air Conditioner
contractor required. Must complete HVAC Tune-up Worksheet
available for download at www.danvillehomesave.com.       (every 3 yrs)

ENERGY STAR Windows                                                        $1
                                                                                                         Width______ft x Height_______ft x Qty_______ = ________ sq ft
U-Factor ≤ 0.30 and SHGC ≤ 0.40                                          per sq ft

Single Family Smart Programmable Thermostat
                                                                                                                                     # of units: ______
Must be WiFi enabled and either occupancy sensing or                      $75
self-programming (Limited to 2 units per address)                        per unit
                                                                                                   Occupancy Sensing                Self-Programming               Post-Install Photos
See pre-approved list at www.danvillehomesave.com

                                                                          $50
Natural Gas Logs                                                                                    # of fireplaces: ______                          Serial Number: ___________________
                                                                         per unit

Insulation (Existing Homes Only)
Type of Insulation:
           Attic ($0.10 / sq ft)                              Wall ($0.45 / sq ft)                             Floor ($0.15 / sq ft)                         Crawlspace ($0.15 / sq ft)
Existing Insulation1,2                             Existing Insulation1                               Existing Insulation1                               Existing Insulation1
Please provide the information below
for your existing insulation. Insulation           The wall insulation measure requires               The floor insulation measure requires              The crawlspace insulation measure
installations require an existing insulation       that no existing insulation amounts may            that no existing insulation amounts may            requires that no existing insulation
amount of R-20 or less.                            exist for rebate qualification.                    exist for rebate qualification.                    amounts may exist for rebate
                                                                                                                                                         qualification.
Pre-existing type: ____________
Pre-existing inches: __________
Pre-existing R-Value: _________
                                                   Newly Installed Insulation1                        Newly Installed Insulation1                        Newly Installed Insulation1
                                                   Please provide the information below for           Please provide the information below for           Please provide the information below for
                 REQUIRED                          newly installed insulation. Add minimum            newly installed insulation. Add minimum            newly installed insulation. Add minimum
                                                   R-13 (Final Insulation value R-13 or               R-19 (Final Insulation value R-19 or               R-19 (Final Insulation value R-19 or
                                                   greater).                                          greater).                                          greater).
              Applicant Initials                   New insulation type: __________                    New insulation type: __________                    New insulation type: __________
                                                   New insulation inches: ________                    New insulation inches: ________                    New insulation inches: ________
             Contractor Initials3                  New insulation R-Value: _______                    New insulation R-Value: _______                    New insulation R-Value: _______
                                                   Total number of insulation                         Total number of insulation                         Total number of insulation
                                                   bags used to complete                              bags used to complete                              bags used to complete
Newly Installed Insulation1,2                                                                                                                            installation:_________________
                                                   installation:_________________                     installation:_________________
Please provide the information below for
newly installed insulation. Add minimum R-18       Total combined R-Value of existing                 Total combined R-Value of existing                 Total combined R-Value of existing
(Final Insulation value R-38 or greater).          and newly installed insulation:                    and newly installed insulation:                    and newly installed insulation:
                                                   __________________                                 __________________                                 __________________
New insulation type: __________
                                                   Total sq ft of new insulation installed:           Total sq ft of new insulation installed:           Total sq ft of new insulation installed:
New insulation inches: ________                    ___________________                                ___________________                                ___________________
New insulation R-Value: _______                    Total estimated rebate:                            Total estimated rebate:                            Total estimated rebate:
Total number of insulation                         __________________________                         __________________________                         __________________________
bags used to complete
installation:_________________
Total combined R-Value of existing
and newly installed insulation:
__________________
Total sq ft of new insulation installed:
___________________
Total estimated rebate:
__________________________
1
  Must be installed in a qualifying space, which separates conditioned from unconditioned space. Insulation is not eligilbe for rebate on new construction or home addition projects.
2
  Attic insulation measures are only available for units that have not previously qualified for the same rebate.
3
  If installed by a contractor.

Danville Utilities Home$ave Rebate Application 011520                                                                                                                                   Page 3 of 4
Rebate Application

Rebare Release Information (Third-Party Rebate Assignment)
Note: Complete this section only if rebate payment is to be directed to someone other than the Danville Utilities customer as indicated on Page 1.
Check should be made to the payee below:                    Contact name:                                               Contact phone:
                                                                                                                        (    )
Payee mailing adress:                                       City:                                                       State:                        Zip:

I am authorizing this rebate payment to the third party named above and I understand that I will not be receiving the rebate payment check from Danville Utilities. I also
understand that my release of payment to the third party does not exempt me from the rebate requirements outlined in the application. Danville Utilities Home$ave
participant may be responsible for the tax reporting to the IRS of any rebate payments directed to third parties.

         Authorized by (Please Print Name)                                  Signature of Authorized                                               Date

Terms and Conditions
I certify that the information provided on this application form is accurate and complete. I understand that the proposed rebate payment from Danville Utilities is subject
to change based on availability and approval. I understand that Danville Utilities reserves the right to revise rebate levels and/or qualifying efficiency levels at any time. I
understand that I must attach acceptable forms of proof of purchase and installation details to application and submit to Danville Utilities within 90 days after installation
in order to be eligible for a rebate. Acceptable forms of proof of purchase include paid invoices or receipts. The documentation must show item numbers, and quantities.
Additionally, the post-installation documentation must include manufacturers’ specifications that list the efficiency ratings of the equipment. I understand that Danville
Utilities may, at its sole discretion, accept other forms of proof of purchase. I understand that all installed measures must be new. No refurbished measures will be
accepted. All new installations must replace existing fixtures. I understand that installation must be performed by a licensed contractor or self-installed. I understand
that the proposed rebate payment is subject to change, based on site verification or verification by phone and Danville Utilities’ approval. I agree to Danville Utilities’
verification of both the sales transaction and equipment installation, which may include a site inspection by a Danville Utilities’ representative or Danville Utilities’ agent. I
understand I will receive only one rebate for each qualifying measure. I understand no rebate can exceed the cost of the equipment. I also understand my participation
in the program may be taxable and that I am solely responsible for paying all such taxes. I hereby agree to indemnify, hold harmless and release Danville Utilities and
its affiliates from any actions or claims in regard to the installation, operation and disposal of equipment (and related materials) covered herein including liability from
any incidental or consequential damages. I understand that equipment must be installed and/or tune-up services provided at the service address connected with listed
Account Customer number.
Danville Utilities does not endorse any particular manufacturer, vendor, product or system design within this program; does not expressly or implicitly warrant the
performance of the installed equipment (contact your contractor for details regarding equipment warranties); and is not liable for any damages caused by the installation
and/or operation of the equipment nor for any damage caused by the malfunction of the installed equipment.
A customer’s election to participate in the Program means that the customer is consenting to the possibility of Danville Utilities sharing that customer’s pertinent
information with Danville Utilities’ agents, contractors, wholesale power suppliers and PJM LLC. Pertinent customer information includes, but is not limited to account
holder name, address, other contact information and other information necessary to implement and monitor the Program. Rebate amounts are subject to regulatory
modifications without notice and Program availability until fully subscribed. Projects must be complete before rebates will be paid. Rebates cannot be reserved.
Eligibility Rules
1. Customer must comply with all Terms and Conditions above.
2. Customer must be classified as and served under a Danville Utilities “RS” Schedule 10 Electric Service rate for electric measures. For natural gas measures, the
    customer must be a Danville Utilities Natural Gas customer prior to submission of application.
3. Equipment and/or insulation material must be purchased on or after July 1, 2019 to be eligible.
4. HVAC Tune-ups must be performed in accordance with the HVAC Tune-up Worksheet (available for download at www.danvillehomesave.com) and performed on or
    after July 1, 2019.
5. New construction homes are not eligible for Insulation Rebates.
6. Danville Home$ave Program is effective from July 1, 2019 through June 30, 2021.
7. Include sales receipt or invoice containing the following information: Retailer/Contractor name, address and phone number; Itemized listing of quantity, size,
    description, manufacturer, model number, name plate photos, thermostat photos, and other identifying information as appropriate; Purchase date and cost; Product
    installation date; Efficiency requirements documentation.

 3        Acceptance of Terms

              I certify that the information provided on this application form is accurate and complete and that I agree to the Terms and Conditions as listed
              above.
          Customer name (please print): ___________________________________________________________________________

          Customer signature:     _________________________________________________                                        Date: __________________________

 4        Submit Your Application

          Before mailing this form, please remember to:

           Fill out the application form completely; all fields are required unless            Attach a copy of all applicable itemized receipts and UPC codes to
              otherwise noted.                                                                      show proof of purchase.
           Review terms and conditions and sign the acceptance of terms.                       Keep a copy of the completed application for your records.
                                 Application and required documentation must be received within 90 days of purchase or installation.
            Mail to: Danville Home$ave Program, 1040 Monument Street, Danville, VA 24541 | phone 434-857-3312 • email davisjc@danvilleva.gov
                                                            www.danvillehomesave.com

Danville Utilities Home$ave Rebate Application 011520                                                                                                               Page 4 of 4
Appendix B
HVAC Tune-Up Worksheet
HVAC Tune-Up Worksheet

Instructions
1) HVAC tune-ups must be performed in accordance with the requirements specified within this document and the Danville
   Home$ave Program Manual.
2) HVAC contractors/technicians are required to complete all applicable sections of this form. Incomplete worksheets will not be
   eligible for rebates.
3) This form must be signed by the service technician who performed the system measurements and verified all data.
4) A completed copy of this form, a completed Program Application and all required supplemental documentation must be
   mailed to 1040 Monument Street, Danville, VA 24540 or emailed to davisjc@danvilleva.gov for rebate processing. Please
   contact 434.857.3312 for additional information.
5) HVAC tune-ups are intended to reduce energy consumption through improved efficiency. All deficiencies of the HVAC
   equipment must be repaired or replaced in order to qualify for rebate.
6) HVAC units only qualify for a tune-up rebate once every three years.
Contractor/Technichian Information                                     Customer Information
HVAC Contractor Name                                                   Customer Name
Technician Name (printed)                                              Danville Utilities Account #
Date of Tune-up                                                        Customer Phone #
Service Address                                                        Number of units tuned-up

Step 1 - Enter Information for Outdoor Condensing Unit (Split Systems) or Package Unit
                                                                                                                         Heat Pump
                                                                                                              Cooling
Unit                                                                                                  Age                 Heating
       Make (Brand)       Model Number          Unit Location or Description and Area Served                  Capacity
No.                                                                                                   (yrs)               Capacity
                                                                                                               (Tons)
                                                                                                                           (BTUh)
  1
  2

Step 2 - Enter Information for Indoor Air Handler for Air Conditioning or Heat Pump
Unit                                                                                                              Cooling Capacity
       Make (Brand)       Model Number                      Air Conditioner or Heat Pump Location
No.                                                                                                                    (Tons)
  1
  2

Step 3 - Enter Information for Controls
                                                                                                             If Yes, was customer
                                                     Does T-stat         If No, was
                                                                                         Is T-stat mounted   advised to move heat
        Cooling        Heating       Measured       turn unit on/           T-stat
Unit                                                                                    near a heat source     source away from
        Set Point      Set Point      Control         off at set       calibrated or
No.                                                                                     or on outside wall?   T-stat or was T-stat
          (°F)           (°F)        Volts (V)         points?           repaired?
                                                                                             (Enter Y/N)    insulated from outside
                                                     (Enter Y/N)        (Enter Y/N)
                                                                                                                wall? (Enter Y/N)
  1
  2

 _________________________________________________________________________________________________________________
 Danville Utilities Home$ave Rebate Program — HVAC Tune-Up Worksheet 073019                                               Page 1 of 2
HVAC Tune-Up Worksheet

Step 4 - Air Flow and Temperature
                            Measured                           Was airflow                                      Does the condensate
          Measured                            Current                               Was the       Was the
                          Temperature                        adjusted to 350-                                    drain have P-Traps
Unit       Indoor                             CFM per                             Indoor Coil      Filter
                         Difference (TD)                     425 CFM per Ton                                       and is the flow
No.        Airflow                             Ton of                              Cleaned?     Replaced?
                         Across Indoor                         of Cooling?                                      unrestricted? (Enter
           (CFM)*                             Cooling                             (Enter Y/N)   (Enter Y/N)
                              Coil**                            (Enter Y/N)                                             Y/N)
    1
    2
* Approved airflow measuring methods are: Static Pressure & Blower Table; Flow Hood; Anemometer (with manufacturer’s
return grille free area); pressure matching (duct blaster).
** Check TD after 5-10 minutes of cooling run time. If TD across evaporator coil is less than 17°F or greater than 21°F (and
airflow is within range), please check refrigerant charge using one of the three methods in STEP 5. All Heat Pumps must be
checked for compressor discharge temperature (during heating mode) when the outdoor temperature is below 55°F.
Otherwise proceed to STEP 6.

Step 5 - Refrigerant Charge Check (Required if Evaporator Coil Cooling TD is less than 17°F or Greater than 21°F)
                                              METHOD 1                     METHOD 2                           METHOD 3
                                                                     Measured                                 Discharge
                                  Measured                                                                               Refrigerant
                                                                        Sub-                                 Temp minus
                                  Super-Heat Mfr. listed                          Mfr. listed Compressor                  added or
                                                                      Cooling                                  Outdoor
Unit      Refrigerant     Outdoor   Temp.      Super-                                Sub-      Discharge                  removed
                                                                       Temp.                                  Temp. (in
No.          Type          Temp     (in °F)1 Heat Temp.                            Cooling Temp. (in °F)3                   (Enter
                                                                       (in °F)2                                  °F)4
                                   (before/    (in °F)                              (in °F)   (before/after)            “Added” or
                                                                      (before/                                 (before/
                                     after)                                                                             “Removed”)
                                                                        after)                                  after)
    1
    2
1
  Recommended for units with fixed orifice metering device (record super-heat temperature before and after any refrigerant
charge change)
2
  Recommended for units with Thermal Expansion Valve (record sub-cooling temperature before and after any refrigerant charge
change)
3
  Required for Heat Pumps in heating season when outdoor temperature is less than 55°F (record compressor discharge
temperature before and after any refrigerant charge change)
4
  Compressor discharge temperature minus the outdoor temperature should be in the 110°F-125°F range

Step 6 - Technician’s Signature
I hereby certify that all HVAC equipment has been serviced by me in accordance with the manufacturer’s guidelines, and that all
the above information is accurate. I understand that Danville Utilities requires a signed completed copy of this document and all
essential supplemental information in order to facilitate processing of customer rebates.

Signature                                                                           Date

    _________________________________________________________________________________________________________________
    Danville Utilities Home$ave Rebate Program — HVAC Tune-Up Worksheet 073019                                             Page 2 of 2
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