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Silicon Valley PowerResidential Rebate Application

Please keep a copy of all documents submitted; documentation will not be returned.

SILICON VALLEY POWER REBATE PROGRAM1601 Civic Center Drive, Suite 200

Santa Clara, CA 95050

Qualifications:

Qualifying measures and their rebate values are subject to change. Visit http://www.siliconvalleypower.com/rebatesor call (408) 244-SAVE (7283) to verify your efficiency measure qualifies for a rebate BEFORE purchase or installation.

When applicable, obtain necessary permit through the City of Santa Clara Permit Center. Please visithttp://santaclaraca.gov/community/pc_license.html or call (408) 615-2400. City of Santa Clara permit must have finalapproval (for requested measures only) in order to receive rebate.

Qualifying products must be installed and operating in a residence receiving electricity in the City of Santa Clara fromSilicon Valley Power.

Offer is valid on new product sales beginning July 1, 2010 until available funds run out.

Silicon Valley Power reserves the right to verify both the new product sale/installation and (if applicable) the recycling

of the old product before a rebate is issued.

Application Form must be signed and postmarked within 60 days from date of purchase.

Applicant must submit the Application Form and Rebate Calculation Section along with a copy of the receipt, paidinvoice, or contract for the product being installed to:

Please Note:

Rebate will appear as a one time credit on the Silicon Valley Power portion of the City of Santa Clara MunicipalUtilities bill or in the case of insulation, whole house fans, solar attic fans, and pool pumps a check will be given uponinspection of the product.

Please allow 1 to 2 billing cycles from mailing date for bill credit. If your credit has not been received after two(2) billing cycles, please contact SVP at (408) 244-SAVE (7283), Monday through Friday, 8:00 a.m. to 5:00 p.m., oremail questions to [email protected].

Discrepancies can invalidate the rebate application.

Silicon Valley Power is not responsible for items delayed or lost in the mail.

Silicon Valley Power disclaims any and all liability for any loss or damage which may arise as a result of theapplicants participation in this program, and makes no expressed or implied representation or warranty that theinstallation of the product will result in a reduction of your electric utility bill.

Offer void where prohibited, taxed, or restricted by law.

This program is subject to change or termination without prior notice.


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REFRIGERATOR PURCHASE AND RECYCLING

REFRIGERATOR/FREEZER RECYCLING PROGRAM

CEILING FAN

ATTIC INSULATION

REBATE DESCRIPTIONS AND REQUIREMENTS

Replace and recycle a preexisting refrigerator with a newENERGY STAR qualified model and receive a combined$85 rebate.

- Old refrigerator must be in working order.- Old refrigerator must be recycled through the CITY OFSANTA CLARA RECYCLING PROGRAM at:

- Old refrigerator cannot be kept, resold or donated.- Offer is only valid for replacing an existing refrigerator with

a new ENERGY STAR

qualified model

- New housing is ineligible. Replacement refrigerator only.See below for refrigerator replacement and recycling rebate.

One (1) rebates per Silicon Valley Power utility account forrefrigerator replacement and recycling rebate.

Up to two (2) Refrigerator/Freezer Recycling rebatesper Silicon Valley Power utility account.

JACO ENVIRONMENTAL

1-877-577-0510

www.jacoinc.net

JACO ENVIRONMENTAL

1-877-577-0510

www.jacoinc.net

Insulate your homes attic to receive a rebate up to $175.

- Rebate amount is equal to receipt amount or $175,whichever is less.

- Insulation must be installed in at least 50% of thetotal attic space.

- Customers may install the attic insulation themselvesor hire a contractor for that service.

- Projects that involve remodeling, tearing down walls, etc.,will require a building permit. It is the applicantsresponsibility to determine and meet any inspection andbuilding requirements.

- Metallic foil, radiant barrier, reflective, or foil insulation doesnot qualify. If the home has a flat roof (with no attic), rigidfoam board installed when a new roof is installed qualifiesfor the rebate.

- SVP will retain no liability for contractor nonperformanceor late installation.

- Rebate on the improvement of existing homes only.

- New construction is not eligible.

Projects will be inspected to verify installation prior tocheck issuance.

One (1) attic insulation rebate per Silicon Valley Powerutility account.

- Recycle your old refrigerator and/or freezer and receivea $35 rebate.

- No application required for recycling only.- Old refrigerators/freezers must be in working order and

must be recycled through the CITY OF SANTA CLARA

RECYCLING PROGRAM at:

Purchase an ENERGY STAR qualified ceiling fanand receive a $35 rebate per fan.

- ENERGY STAR logo from packaging must beattached with the application.

- For all purchases/units please complete one line onthe Application Form under Section 2: Rebate

Product Information.

Projects may be inspected to verify installation priorto bill credit.

Up to three (3) ceiling fan rebates per Silicon ValleyPower utility account.

- Must meet a minimum insulation value of R-30 or greater.

Install a solar attic fan and receive a $100 rebate.

- The solar attic fan must be purchased and installed to

receive the rebate.- Rebate on the improvement of existing homes only.- Applicable building permits from the City of Santa ClaraPermit Center may be required.


One (1) solar attic fan rebate per Silicon Valley Powerutility account.

SOLAR ATTIC FAN


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REBATE DESCRIPTIONS AND REQUIREMENTS

Replace and recycle a preexisting room air conditionerwith a new ENERGY STARqualified room airconditioner and receive a combined $50 rebate.

- Old room air conditioner must be in working order.- Old unit must be recycled through the CITY OF SANTA

CLARA RECYCLING PROGRAM at:

- Old air conditioner cannot be kept, resold or donated.- Offer is only valid for replacing an existing room air

conditioner and only in conjunction with recycling of thepreexisting air conditioner.

- Room air conditioner must be a window unit, not a mobileunit.

One (1) rebate per Silicon Valley Power utility accountfor the room air conditioner replacement and recycling rebate.

One (1) rebate per Silicon Valley Power utility account.

JACO ENVIRONMENTAL

1-877-577-0510

www.jacoinc.net

JACO ENVIRONMENTAL

1-877-577-0510

www.jacoinc.net

Cool your house with a whole house fan and get up to a$200 rebate. Rebate will be paid at actual cost of fan andinstallation or $200, whichever is less.

- The whole house fan must move at least 1,000 cubic feetof air per minute (CFM) and be permanently installed tobe eligible for a rebate.

- Rebate on the improvement of existing homes only.

- New construction is not eligible.

- Applicant is responsible for obtaining building permitsfrom the City of Santa Clara Permit Center.


One (1) whole house fan rebate per Silicon Valley Powerutility account.

- Recycle your old room air conditioner and receivea $25 rebate.

- No application required for recycling only.

- Old room air conditioner must be in working order and

must be must be recycled through the CITY OF SANTACLARA RECYCLING PROGRAM at:

Replace an existing pool pump and motor with a new highefficiency two-speed or a new high efficiency variablespeed motor to receive a $200 rebate.

- All pumps and motors must be new.- Equipment and materials must meet or exceed allapplicable local, state, and federal standards.

- Rebates are for motors 3 horsepower or less installed onexisting in-ground pools only.

- Above-ground pool, pond, pool cleaner/booster, spa andwater feature pumps do not qualify for the rebate.

- Rewinding of motors does not qualify.


One (1) pool pump rebate per Silicon Valley Powerutility account.

ROOM AIR CONDITIONER PURCHASE & RECYCLING

ROOM AIR CONDITIONER RECYCLING

POOL PUMP

WHOLE HOUSE FAN


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Silicon Valley Power Residential Application Form1601 Civic Center Drive, Suite 200, Santa Clara, CA 95050

(408) 244-SAVE (7283)

SECTION 1: CUSTOMER INFORMATION

000CITY OF SANTA CLARA MUNICIPALUTILITIES ACCOUNT NUMBER

APPLICANT NAME

DAYTIME PHONE NUMBER

ADDRESS OF INSTALLATION

MAILING ADDRESSIF DIFFERENT

CITY, STATE, ZIP CODE

REQUIRED

SECTION 2: PRODUCT INFORMATION

REBATE TYPE

Insulation

Whole House Fan

FOR UTILITY USE ONLY

Verification Date Date Sent to Muni Svcs

Ceiling Fan

New Refrigerator

Replacement

Room AC

Replacement

Pool Pump

Solar Attic Fan

PURCHASEDATE

INSTALLDATE

JACOPICKUP DATE MANUFACTURER MODEL #

COST$

not applicable

not applicable

not applicable

not applicable

APPLICANTS SIGNATURE DATE

_ _ _ _ _ - _ _

Please complete this form and mail with copy of receipt(s) and postmarked within 60 days from date of purchase.

R-Value (Circle One)

R-30 R-38 R-49

Old Recycled

Refrigerator

Existing Location

Inside House / Garage / Other

not applicable

not applicable

Res Rebates 10

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