2019 El Paso Electric - Low Income Residential Energy Efficiency Program STEPS TO SUCCESS: Evaporative Cooling Rebate

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2019 El Paso Electric
Low Income Residential Energy Efficiency Program
STEPS TO SUCCESS: Evaporative Cooling Rebate

1. Program Overview
       • El Paso Electric will pay out an incentive to eligible customers within EPE’s service territory that
          install an eligible evaporative cooler (attached).
       • Rebate will run for the months of July and August.
       • Customers will reserve funding with El Paso Electric prior to purchasing the unit and will have 30
          days to complete the project (the last day to reserve funding is August 31st and September 30th for
          project submittal).
       • Submittals will be made through email at epeincentives@clearesult.com or mail to Clearesult office
          address (5822 Cromo).
       • Incentive amount is $700 or up to total project cost if less than $700.

2. Customer Eligibility
      • Customer must reside in Texas and receive electric service from El Paso Electric.
      • Single Family Homes only.
      • Customer must meet low-income requirements and complete the Self-Certification Form
         of Income Eligibility for approval (attached).

3. To Qualify
       • Evaporative Air Conditioners MUST be purchased and installed in the current program year and
          listed on the Evaporative Cooling Unit Eligibility List to be eligible for a rebate.
       • Must be permanently installed with a single duct or ducted air distribution system (portable units
          and window units are NOT eligible).
       • Limit of one (1) rebate per individually metered TX residential account per program year.

4. Reserving Funding
      • Customer must call El Paso Electric to reserve funding prior to purchase of unit.
      • This program is limited to 257 units. Once all funding is reserved, a waitlist will be opened.
      • Customer may choose a contractor of their choice or they may choose to do the work themselves.
         Contractor must provide the customer with a written quote that includes all work materials before any
         work is done. http://www.consumer.ftc.gov/articles/0242-hiring-contractor

5. Submit Required Documentation for Payment of Project
      • Customer must submit the following documents within the 30 period started from when the customer
         first reserved funding.
          o       Application Form.
                   Manufacturer, model trade/brand name, model and serial numbers must be listed on
                      application form.
                   Release of liability for both El Paso Electric and Clearesult included.
          o       Photographs of installed system, nameplate, and invoice/store receipt

6. Project Notification/Schedule Inspections

       •   Once project is submitted, El Paso Electric and/or Clearesult will perform an inspection to confirm
           project completion before paying out incentive.

7. Additional Information
      • Visit NREL Standard Work Specifications at https://sws.nrel.gov for guidelines to ensure quality
          installations based on national best practices.
                          CLEAResult at epeincentives@clearesult.com or (915) 255-4300

                         El Paso Electric at joyce.horton@epelectric.com or (915) 351-4268
Evaporative Cooling Unit Eligibility List
         Manufacturer                   Brand Name                 Model Number      Rebate
                                      Saturation Effectiveness > 85%
Essick Air                       Champion MasterCool            AD*C5112             $700.00
Essick Air                       Champion MasterCool          AD*C7112               $700.00
Essick Air                       Champion MasterCool          ADA5112                $700.00
Essick Air                       Champion MasterCool          ADA7112                $700.00
Essick Air                       Champion MasterCool          AS*C5112               $700.00
Essick Air                       Champion MasterCool          AS* C7112              $700.00
Essick Air                       Champion MasterCool          ASA5112                $700.00
Essick Air                       Champion MasterCool          ASA7112                $700.00
Essick Air                       Champion MasterCool          AU*C7112               $700.00
impco LLC                        Ducted Symphony Premium      HD48*UEA               $700.00
impco LLC                        Ducted Symphony Premium      HD48EA                 $700.00
impco LLC                        Ducted Symphony Premium      HD68*UEA               $700.00
impco LLC                        Ducted Symphony Premium      HD68EA                 $700.00
impco LLC                        Ducted Symphony Premium      HS48*UEA               $700.00
impco LLC                        Ducted Symphony Premium      HS48EA                 $700.00
impco LLC                        Ducted Symphony Premium      HS68*UEA               $700.00
impco LLC                        Ducted Symphony Premium      HS68EA                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PD423*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PD480*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PD623*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PD680*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PH423*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PH480*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PH623*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Pro Series          PH680*                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       HH/HD480*              $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       HH/HD680*              $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       TD4812                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       TH4812                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       TD6812                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       TH6812                 $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       TUP6812                $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       WCTD4812C              $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       WCTH4812C              $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       WCTD6812C              $700.00
Phoenix Manufacturing,Inc.       AeroCool Trophy Series       WCTH6812C              $700.00

                * Indicates a character position that can be replaced by any value
Texas Low Income Residential

  2019 Evaporative Cooling Rebate
  APPLICATION FORM

  All applications are due 30 days after initial reservation. Application must include self-certification form of income eligibility.

                                        1   EPE CUSTOMER INFORMATION

  In order to be eligible for                EPE Account Number for Install Location: (10 digits)
  rebates, rebate forms may be
  mailed or emailed along with a             Customer/Resident Name:
  copy of receipt or contractor              Owner/Landlord Name: (if renter occupied)*
  invoice to the addresses below.
  Rebate processing takes                    Telephone:                                             Applicant’s E-mail:
  approximately 4–6 weeks. Terms
                                             Account Address:
  and conditions subject to change
  without notice.                                          City:                                    State:                                ZIP:
  CLEAResult                                 Mailing Address: (if different)**
  5822 Cromo Dr. Ste #201
  El Paso, TX 79912                                        City:                                    State:                                ZIP:

                                             Property Type:           Single Family      Duplex        Condominium              Mobile Home            Apartment
  epeincentives@clearesult.com
                                             (Check one)

                                             Check one:               Owner Occupied		                 Renter Occupied		                         Vacant
* Rebate check will be made out to           Estimated Annual Gross                       $0-$24,980               $24,981-$33,820               $33,821-$42,660
  landlord if entered
                                             Household Income: (Check one)                $42,661-$51,500          $51,501-$60,340               $60,341-$69,180
** Rebate check will be mailed to the                                                     $69,181-$78,020          $78,021-$86,860               $86,861 or greater
   account address unless a different
   mailing address is provided               Number of Occupants in Home:

                                             Existing Cooling System Age:
                         Home
                                             Existing Cooling Type:
                 Characteristics                                                         Refrigerated Air         Evaporative Cooling		                   None

  Please provide photo of heating system     Existing Heating Type:                      Gas            Electric Resistance          Heat Pump            None
       nameplate for homes with Electric     Existing Water Heater Type :                Gas            Electric Resistance          Heat Pump            None
       Resistance or Heat Pump heating

                                        2   INSTALLATION INFORMATION (Must complete all fields)

                      Evaporative            Project Completion Date:                                                 Reservation Number:

                         Cooling                                                  Model Trade or
                                                      Manufacturer                                                    Model #                       Serial #
                                                                                   Brand Name
      Please provide photo of installed
         system nameplate or include
           system model # on invoice

                                        3   CONTRACTOR INFORMATION

                      OPTIONAL               Company Name:                                                   License #: (if applicable)
                 (Property owner must
              complete only if rebate is     Contact Person:                                                 Phone:
            to be issued to contractor)

                                                                                                                                                                      Page 1
Texas Low Income Residential

2019 Evaporative Cooling Rebate
APPLICATION FORM

                                        4 APPLICANT ACKNOWLEDGEMENT

                     Please refer to      By signing below, I acknowledge that: (1) the measure installation listed herein has been installed to my satisfaction;
         www.epelectric.com/tx/
                                          (2) if contacted by EPE or Clearesult, I agree to allow access to my property to inspect the measure installation;
   residential/energy-efficiency-         (3) neither EPE nor Clearesult assumes any liability whatsoever relating to the measure installation or performance;
              links for additional        (4) all information provided in this rebate form is accurate to the best of my knowledge and (5) I acknowledge that
           information regarding          the project would not have been accomplished or would have been completed with a lower level of efficiency
     eligibility criterea (Signed by      without the assistance of the EPE Energy Efficiency Program.
                       EPE customer
               if owner occupied or       Applicant Signature:                                                                 Date:
         landlord if renter occupied)

                                    5     PAYMENT RELEASE AUTHORIZATION

                  OPTIONAL                By signing below, I am authorizing the payment of the rebate to the contractor (named below), and I understand that
                                          I will NOT be receiving the incentive payment from El Paso Electric.
   (Property owner must complete
          and sign only if rebate is      Applicant Signature:                                                                 Date:
        to be issued to contractor)
                                          Contractor Company Name: (for payment)

                                          Mailing Address:                                 City:                      State:           ZIP:

                                                                                                                                              REV. 6/25/2019    Page 2
Public Utility Commission of Texas
                                     Self-Certification Form of Income Eligibility
                                     for Full Incentive Energy Efficiency Services

This statement is made to verify my household income. The Public Utility Commission of Texas has authorized
energy efficiency programs to reduce the utility bills of income eligible households. Contractors participating in the
programs receive higher incentive payments when you are income eligible. The purpose of the higher payment is to
enable the contractor to provide the improvements at very low cost or at no cost to you.
Name

Street Address                                                                         Apartment Number

City                                                                                             Zip Code
                                                                                        TX
Phone Number w/Area Code                                               Number of Persons in Household

I currently qualify in one of the following categories.     Check the appropriate category box.

Category 1

       I receive benefits from one or more of the programs listed below (   check each box that applies):

        Food Stamps                                 Temporary Assistance to Needy Families
        Medical Assistance                          Children’s Health Insurance Program
        Supplemental Security Income                Qualified Medicare Beneficiary

        Public Housing, Section 8 Housing, or Other Housing Authority Assistance

Participating in this program will not affect your eligibility for other program benefits. If you checked one or
more of the boxes in Category 1, please sign and date the form

Category 2

   My total household income before taxes is at or below the amount shown in the table below as determined by
completing the Income Calculation Worksheet below. (Do not check this box before completing the worksheet.)

Rev. 02/2019                                                                                                Page 1 of 2
INCOME CALCULATION WORKSHEET

Step 1-Fill out the Income Calculation Worksheet.

Instructions: Do not complete this worksheet if you checked any of the boxes in Category 1. To accurately
determine your household income you must include the income of all persons residing in your home from all
sources. To determine the amount of income in each category enter the amount(s) on the check or benefit statement.

                                                                           Amount per:    week    month     year

Wages from full or part-time employment as shown on paystub or W-2 form                     ______________________
Unemployment or Worker’s Compensation                                                       ______________________
Social Security                                                                             ______________________
Retirement Income                                                                           ______________________
Child Support and/or Alimony                                                                ______________________
All other earnings                                                                          ______________________
TOTAL HOUSEHOLD INCOME                                                                      ______________________
(Add the amount entered on each line to figure your total household income.)

Step 2. Compare your total household income per week, month or year to the amount shown in the table below for
        the number of persons in your household. If your total household income is equal to or less than the
        amount shown in the table you are income eligible. Please check the box next to Category Two and sign
        and date the form.
                                            200% of HHS Poverty

         Size of Family Unit              Annual Income                  Monthly Income          Weekly Income
                  1                          $24,980                         $2,082                   $480
                  2                          $33,820                         $2,818                   $650
                  3                          $42,660                         $3,555                   $820
                  4                          $51,500                         $4,292                   $990
                  5                          $60,340                         $5,028                  $1,160
                  6                          $69,180                         $5,765                  $1,330
                  7                          $78,020                         $6,502                  $1,500
                  8                          $84,860                         $7,238                  $1,670
           Each Additional
             Person Add:                        $8,840                         $737                  $170

* Notice: Income ceilings are for February 1, 2019 – January 31, 2020 Annual
  updates are posted on http://www.puc.texas.gov/industry/electric/forms/

SIGN BELOW: Under penalty of perjury, I certify that the above declaration is true and correct. I
understand that the information is subject to audit and investigation by the Public Utility Commission of TX.

Applicant signature                           Date              Contractor signature                   Date

The information provided on this form will be used solely for the purpose of determining whether your
household is eligible for this program and will be kept confidential by the contractor and by the Public Utility
Commission of Texas. It will not be sold or provided to any other party.
Keep a copy of this form for your records.

Rev. 01/2018                                                                                         Page 2 of 2
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