Whitewater Valley REMC
Commercial/Industrial Incentive Application
Whitewater Valley REMC provides cash incentives to help businesses purchase and install electric energy-saving equipment. The
incentives are available to all businesses, regardless the number of employees. These programs help you more effectively manage
energy usage and lessen the impact of increasing power costs. We can offer these programs to reduce the demand for power at amuch lower cost than building new power plants.
This fillable Acrobat form contains applications for the installation of energy efficient lighting, motors and HVAC equipment. A custom
application is also included for those measures that do not fit into any of these categories. A custom compressed air application isavailable on another form. Please contact us for that specific application.

Four Easy Steps: to receive your local electric cooperative incentive.
1. Is your project eligible?
• Customer has a valid Whitewater Valley REMC commercial account in our electric service territory.

•

Equipment must be new and installed in a commercial, industrial, institutional, educational, or municipal building, or incommon areas of a multi-family building.

2. Is the equipment you intend to buy eligible?
• Refer to the Technical Specifications for planned measures.
3. Complete and sign the application.
• Incomplete applications will delay review and payment. Please be sure to provide all requested information.
4a. If your total incentive request is less than $1,000:• Pre-approval is NOT required. Within 60 calendar days of installation completion date, submit the following:
1. Your signed application with all requested information filled in. Your printed name on Page 2 will act as an electronic
signature.
2. Manufacturer’s technical specification sheets (“cut sheets”) for each type of eligible equipment purchased.
3. A copy of your paid invoice showing the date and place of purchase and the quantity, model/part numbers and unit
price of the equipment installed.
4b. If your total incentive request is greater than $1,000:• Pre-approval IS required.

•Before you purchase and install the equipment, contact:
C&I Program Coordinator at rebates@hepn.com or (812) 876-2021 for pre-approval authorization and instructions.

Please note:• Each customer is eligible for maximum total incentive payments up to $50,000 per calendar year.

Links to Subsections:
Required Customer Information
Rules and Requirements

Lighting Incentive Worksheet
Motors Incentive Worksheet

HVAC Incentive Worksheet
Custom Incentive Worksheet

After completing this fillable form you may print and save it. To SUBMIT it electronically(recommended) click the button to the right and it will attach this document to an email message.
To submit via fax, print and fax to (888) 455-9291.
Thank you for your interest and participation in our Commercial/Industrial Incentive program.
FORM SUBMITTAL: Mail to: C&I Program Coordinator, Hoosier Energy, 7398 State Road 37 North, Bloomington, IN 47404
Email to: rebates@hepn.com
Fax to: (888) 455-9291
Page 1 of 18

Whitewater Valley REMC
Commercial/Industrial Incentive Application
This incentive application form is valid when received from Jan. 1, 2013 through Dec. 31, 2013.
This program is being coordinated by Hoosier Energy REC, Inc.

Project ID (internal use):

SECTION 1: CUSTOMER INFORMATION
Company Name

Electric Account #Mailing Address

City

State

Zip

Contact Name (print)
Email*

Phone

Customer signature ____________________________________________________________________________ Date __________________________

By typing your name above, you agree that you are electronically signing this application.

Customer hereby certifies that: 1. the customer is solely responsible for the accuracy of the information contained in this application; 2. all equipment installationis complete and operational prior to submitting payment request; and 3. all Rules and Requirements of this program have been followed. Further, the customer
acknowledges that participation in this incentive program shall impose no liability on Whitewater Valley REMC and Hoosier Energy REC, Inc. In particular,Whitewater Valley REMC and Hoosier Energy REC, Inc. shall not be liable for the work performed by the customer’s engineer, contractor, or vendor.
Pre-approval required for payments greater than $1,000. Contact the C&I Program Coordinator at rebates@hepn.com or(812) 876-2021 for pre-approval prior to equipment purchase.
Pre-Approval By _________________________________________________________ Pre-Approval Date ______________________* By providing your e-mail address, you are granting Whitewater Valley REMC and Hoosier Energy REC, Inc. permission to send further e-mails regarding our programs and services.

SECTION 2: PAYMENT INFORMATION
Make Incentive Check Payable to (Check ONE and complete information below): Customer (Section 1)

Total Amount Requested

Total Material Cost

$ 0.00 Contractor/Installer (Section 4)

Attention to:

Tax Status:  Corporation

 Exempt Other

Federal EIN or SSN:SECTION 3: JOB SITE INFORMATION (where equipment was installed)
Job Site Name

Operating Hours/YearJob Site Address (physical location)
City

Project Contact Name
Project Contact TelephoneState

Zip Code

Installation Completion Date

Project Contact Email

Type of business where equipment was installed (Check ONE): Agriculture Grocery Health Care Facility

 Lodging Manufacturing Office Retail Restaurant School Warehouse Multi-Family Building ______# of Bldgs, _____ Total # Units Other, Please Specify:

SECTION 4: CONTRACTOR/INSTALLER INFORMATION (equipment contractor/installer)
Contractor/Installer Business NameContractor/Installer Street Address
Contractor/Installer Contact Person

City
Contact TelephoneState

Zip Code

Contact EmailSECTION 5: APPLICATION CHECKLISTTo ensure an efficient and accurate processing of the application, please make sure you have provided the following:
Completed and Signed Application, Sections 1 – 4, Separate applications must be completed for each installation address.
Incentive Worksheet Completed.
Manufacturer’s Technical Specification Sheets are Attached, as required by the Technical Specifications.
Materials Invoice Attached, Must include itemized information including quantity, make and model number, and unit pricing for items installed.

FORM SUBMITTAL: Mail to: C&I Program Coordinator, Hoosier Energy, 7398 State Road 37 North, Bloomington, IN 47404
Email to: rebates@hepn.com
Fax to: (888) 455-9291
Page 2 of 18

Whitewater Valley REMC
Commercial/Industrial Incentive Application

Rules and Requirements

Whitewater Valley REMC provides energy-efficiency incentives for retrofit
projects of qualifying equipment in your existing building under the Rules andRequirements provided in this incentive application.

•

Whitewater Valley REMC reserves the right to inspect customer
facility(ies) for installation of materials listed on this incentive
application and will need access to survey the installed project.
If the inspection finds that you did not comply with program
rules and standards, any incentive you have received must be
returned to Whitewater Valley REMC.

•Whitewater Valley REMC reserves the right to refuse
payment and participation if the customer or contractor
violates program rules and procedures. Whitewater Valley
REMC is not liable for incentives promised to customers as aresult of a contractor misrepresenting the program.

Customer Qualifications
This program applies to customers with a valid Whitewater Valley REMC
commercial account in our electric service territory. Residential customers– please contact your local electric cooperative to find out about residential
energy efficiency programs.
Terms and Conditions•

The incentive programs may be changed or cancelled at any time without
notice. The customer and contractor are responsible for contacting
Whitewater Valley REMC to ask whether or not the program is still in
effect and to verify program parameters.

•

Incentive payments are available on a first-come, first-served basis while
program funding lasts.

•

Pre-approval is required for projects with incentive payments greater than
$1,000. Contact the C&I Program Coordinator at rebates@hepn.com or(812) 876-2021 for pre-approval prior to equipment purchase.

•

The maximum total incentive payment per customer for all eligible projects
and equipment types received during this calendar year is $50,000.

•

Incentives are available for retrofit of functioning equipment, replacementof failed or non-functioning equipment, or addition of new equipment
where none existed in an existing facility.

Disclaimers
Whitewater Valley REMC and Hoosier Energy REC, Inc.:•

Do not endorse any particular manufacturer, product orsystem design by offering these incentives;•

Will not be responsible for any tax liability imposed on thecustomer as a result of the payment of incentives;•

Do not expressly or implicitly warrant the performance ofinstalled equipment (contact your contractor for detailed
equipment warranties);•

Are not responsible for the proper disposal/recycling of any
waste generated as a result of this project;•

Are not liable for any damage caused by the operation or
malfunction of the installed equipment; and•Do not guarantee that a specific level of energy or cost savings
will result from the implementation of energy conservation
measures or the use of products funded under this program.

•

Incentive items must be installed on the electric account listed on theapplication.

•

All equipment must be new; used or rebuilt equipment is not eligible for an
incentive.

•

The incentive payment cannot exceed the total material cost.

How to Apply•

Equipment must be purchased, installed, and operating or capable ofoperating in the case of seasonal uses prior to submitting an application
for an incentive.

Pre-approval not required:•

A signed application and installation invoice(s) must be received by
Whitewater Valley REMC within 60 calendar days of the installation
completion date. A printed name in Section 1 will act as an electronic
signature when applications are submitted electronically. Invoice(s)submitted must include manufacturers’ make and model numbers for each
incentive item and/or original equipment manufacturer (OEM) specification
sheets. Incentives are paid as a one-time, one-program offer and cannot
be combined with incentive payments from other REMC programs.

•

All completed submissions become the property of Whitewater Valley
REMC and will not be returned. Keep a copy for your records.

•

Whitewater Valley REMC will issue incentives in the form of checks, notutility bill credits.

•

Equipment must meet the Technical Specifications listed in thisapplication form. Whitewater Valley REMC reserves the right to withhold
payment for products that do not meet the requirements.

Questions? Contact the C&I Program Coordinator
at rebates@hepn.com or (812) 876-2021••

Complete Page 2 of the application form in its entirety.
Fill out the equipment incentive amount, installed quantities, and otherrequired information on the Incentive Worksheet (s) and include
documentation required by the Technical Specifications.

•

Attach a copy of the paid, itemized invoice(s). Be sure that the quantity,
make, model number and unit price of each item appears on the invoice.

Pre-approval required:•Contact the C&I Program Coordinator at rebates@hepn.com or(812) 876-2021 for pre-approval authorization and instructions
prior to equipment purchase.
•

A completed application must be submitted including the

Incentive W orksheet (s) and documentation required by theTechnical Specifications. Vendor quotations are also

required.
NOTE:•

Sending inadequate documentation or incomplete/incorrect forms
will delay incentive approval and payment.

•

Make a copy of this document for your records.

•

Submit form to your key accounts manager or the C&I Program
Coordinator at Hoosier Energy.

FORM SUBMITTAL: Mail to: C&I Program Coordinator, Hoosier Energy, 7398 State Road 37 North, Bloomington, IN 47404
Email to: rebates@hepn.com
Fax to: (888) 455-9291
Page 3 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

A. Fluorescent High-Performance T8 Lamps with Electronic Ballasts
Fluorescent T5 Lamps with Electronic Ballasts
EQUIPMENT

4 foot or
less

SPECIFICATIONS

1-4 lamp

JOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

QTY

Replaceincandescent or T12
systems with HighPerformance 32W
T8, T5 or T5HO
systems.

TOTAL INCENTIVEINCENTIVE/
UNIT

TOTAL
INCENTIVE$ 13$ 0.00$ 13$ 0.00$ 13$ 0.00$ 13$ 0.00$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
Incentives are available for retrofit of interior lighting equipment in existing facilities only. We recommend Illuminating Engineering
Society (IES) light levels. See http://www.iesna.org. Fluorescent lamps and ballasts must be Underwriters Laboratory (UL) listed with apower factor ≥0.90 and total harmonic distortion ≤20% at full lighting output.
A. Fluorescent High-Performance 32W T8 Lamps with Electronic Ballast OR Fluorescent T5 Lamps with Electronic Ballast:
Incentives are based on one-for-one replacement of incandescent fixtures or fluorescent T12 lamps controlled by magnetic ballasts.
For High-Performance T8 fluorescent systems please include product specs for lamp and ballast.
For a list of Qualified Products, see most recent file at
http://library.cee1.org/content/commercial-lighting-qualifying-products-lists
For Specifications, see www.cee1.org/com/com-lt/com-lt-specs.pdf
All High-Performance T8 systems must meet the following CEE specifications•
Lamps: produce at least 3,100 initial lumens; color-rendering index (CRI) ≥80; mean lumens per watt ≥90 for instant
start ballasts or ≥88 for programmed rapid start ballasts; lamp life ≥24,000 hours (at 3 hrs/start); and lumen
maintenance ≥94%.
•
Ballasts: must have a ballast efficacy factor (BEF) at least as high as the factors shown in the table below.
INSTANT START BALLAST (BEF)
Lamps
1
2
3
4

Low (BF ≤0.85)
3.08
1.60
1.04
0.79

Normal (0.85<BF≤ 1.0)
3.11
1.58
1.05
0.80

High (BF≥1.01)
3.03
1.55
1.04
0.77

PROGRAMMED RAPID START BALLAST (BEF)
Lamps
1
2
3
4

Low (BF ≤0.85)
2.84
1.48
0.97
0.76

Normal (0.85<BF≤ 1.0)
2.84
1.47
1.00
0.75

High (BF≥1.01)
2.95
1.51
1.00
0.75

For T5 or T5HO systems, all lamps and ballasts meet qualifying specifications; however, each line measure must result in electricity
savings to qualify for incentives.
Page 4 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

B. Low-wattage Fluorescent T8 Lamps with Low BF Electronic Ballasts

EQUIPMENT

4 foot4 footSPECIFICATIONS

1-4 lamp

1-4 lamp

JOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Install ≤28W T8replacing T12,
Proposed HPT8
ballast must havea ballast factor of
0.85 or less.

Install ≤28W T8replacing 32W,
Proposed HPT8
ballast must havea ballast factor of
0.85 or less.

QTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$ 15$ 0.00$ 15$ 0.00$ 15$ 0.00$ 15$ 0.00$0.75/ lamp

$ 0.00$0.75/ lamp

$ 0.00$0.75/ lamp

$ 0.00$0.75/ lamp

$ 0.00TOTAL INCENTIVE$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
Incentives are available for retrofit of interior lighting equipment in existing facilities only. We recommend Illuminating Engineering
Society (IES) light levels. See http://www.iesna.org. Fluorescent lamps and ballasts must be Underwriters Laboratory (UL) listed with apower factor ≥0.90 and total harmonic distortion ≤20% at full lighting output.
B. Low-wattage Fluorescent T8 Lamps with Low BF Electronic Ballasts:
Incentives are based on one-for-one replacement of fluorescent T12 lamps controlled by magnetic ballasts or 32W T8, replacementof high-performance T8 systems are not eligible. For electronic ballasts please include product specs listing the ballast factor whichmust be 0.85 or less to qualify.
For Reduced Wattage High-Performance T8 fluorescent systems please include product specs for lamp and ballast.
All Reduced Wattage High-Performance T8 systems must meet the following CEE specifications
For a list of Qualified Products, see most recent file at
http://library.cee1.org/content/commercial-lighting-qualifying-products-lists
For Specifications, see http://www.cee1.org/com/com-lt/lw-spec.pdf

Page 5 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

C. Fluorescent T8 Lamps with Electronic Ballasts

EQUIPMENT

5 foot to 8foot

5 foot to 8
foot

SPECIFICATIONS

1-lamp2-lampJOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Replaceincandescent or
T12 systems with
T8 systems.

Replaceincandescent or
T12 systems with
T8 systems.

TOTAL INCENTIVEQTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$8$ 0.00$8$ 0.00$8$ 0.00$8$ 0.00$ 16$ 0.00$ 16$ 0.00$ 16$ 0.00$ 16$ 0.00$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
Incentives are available for retrofit of interior lighting equipment in existing facilities only. We recommend Illuminating Engineering
Society (IES) light levels. See http://www.iesna.org. Fluorescent lamps and ballasts must be Underwriters Laboratory (UL) listed with apower factor ≥0.90 and total harmonic distortion ≤20% at full lighting output.
C. Fluorescent T8 Lamps with Electronic Ballast:
Incentives are based on one-for-one replacement of incandescent fixtures or fluorescent T12 lamps controlled by magnetic ballasts.
T8 systems may include 1 lamp 8’ or 2 lamp 4’ configurations. 7KLVLQFHQWLYHUHIHUVWR¶VWDQGDUG7DQG¶+LJK3HUIRUPDQFH7V\VWHPVPage 6 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

D. High-bay Fluorescent fixtures with Electronic Ballasts

EQUIPMENT

2-lamp T5HO, 3lamp T5HO,
4-lamp T8

3-lamp T8VHO, 4to 6-lamp T5HO,
6- to 8-lamp T8

6-lamp T8VHO, 8lamp T5HO,
12- to 16-lamp T88-lamp T8VHO,
10-lamp T5HO,
18- to 20-lamp T8

SPECIFICATIONS

JOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Replace HID 250W lamp
systems.

Replace HID 310-400W lamp
systems.

Replace HID 750W lamp
systems.

Replace HID 1000W lamp
systems.

TOTAL INCENTIVEQTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$ 50$ 0.00$ 50$ 0.00$ 50$ 0.00$ 75$ 0.00$ 75$ 0.00$ 75$ 0.00$ 100$ 0.00$ 100$ 0.00$ 100$ 0.00$ 125$ 0.00$ 125$ 0.00$ 125$ 0.00$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
Incentives are available for retrofit of interior lighting equipment in existing facilities only. We recommend Illuminating Engineering
Society (IES) light levels. See http://www.iesna.org. Fluorescent lamps and ballasts must be Underwriters Laboratory (UL) listed with apower factor ≥0.90 and total harmonic distortion ≤20% at full lighting output.
D. High-bay Fluorescent Fixtures with Electronic Ballasts:
Incentives are based on a one-for-one replacement of HID fixtures (including mercury vapor, high pressure sodium, metal halide,ceramic metal halide and pulse-start metal halide) ranging in size from 250W to 1000W. Incentives are available for T8, T8VHO
systems or T5HO systems as shown on the Incentive Worksheet. For electronic ballasts please include product specs listing theballast factor. All High-Performance T8 systems must meet the above CEE specifications.

Page 7 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

E. Volumetric Recessed Indirect Fixtures

EQUIPMENT

1-3 lamp T5

1-3 lamp T5

SPECIFICATIONS

JOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Replace T12 systems with T5 or
T5HO indirect fixtures, Overall
fixture efficiency must exceed
80%.

Replace T8 systems with T5 or
T5HO indirect fixtures, Overall
fixture efficiency must exceed
80%.

QTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$ 25$ 0.00$ 25$ 0.00$ 25$ 0.00$ 25$ 0.00$ 20$ 0.00$ 20$ 0.00$ 20$ 0.00$ 20$ 0.00TOTAL INCENTIVE$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
Incentives are available for retrofit of interior lighting equipment in existing facilities only. We recommend Illuminating Engineering
Society (IES) light levels. See http://www.iesna.org. Fluorescent lamps and ballasts must be Underwriters Laboratory (UL) listed with apower factor ≥0.90 and total harmonic distortion ≤20% at full lighting output.
E. Volumetric Recessed Indirect Fixtures:
Volumetric lighting provides high efficiency and low glare design. Incentives are based on one-for-one retrofit kits of fluorescent
T12 lamps controlled by magnetic ballasts or T8 systems. Overall fixture efficiency must exceed 80%.
For T5 or T5HO systems, all lamps and ballasts meet qualifying specifications; however, each line measure must result in electricity
savings to qualify for incentives. Lamps typically used are 14W T5 (22”) or 24W T5HO (22”).

Page 8 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

F. Pulse-Start Metal Halide Fixtures

EQUIPMENT176W to 319W

SPECIFICATIONS

JOB
TYPE*

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Replace incandescent, mercury
vapor, high pressure sodium,or metal halide systems withpulse-start metal halidesystems.

TOTAL INCENTIVEQTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$ 50$ 0.00$ 50$ 0.00$ 50$ 0.00$ 50$ 0.00$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
F. Pulse-Start Metal Halide Fixtures:
Incentives are based on one-for-one replacement of incandescent, mercury vapor, high pressure sodium, or metal halide fixtures.
Pulse-start lamp wattage must be lower than existing lamp wattage.

Page 9 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

G. Automatic Controls
JOB
TYPE*

FIXTURETYPE**

WATTS
CONTROLLEDSENSORQTY

INCENTIVE/UNIT

EQUIPMENTSPECIFICATIONSINCENTIVE

VacancySensorWall or ceiling mounted.
Sensors must operate on amanual on/automatic off basis.

$ 18$ 0.00Occupancy
SensorRemote or ceiling mounted.
Sensors must operate on an
automatic on/automatic offbasis.

$ 36$ 0.00

HIF Controls

Fixture mounted sensor for lowbay or high-bay applications.
Sensors must operate on an
automatic on/automatic offbasis.

$ 18$ 0.00TOTAL INCENTIVE$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
G. Automatic Controls:
Sensors must be permanently installed. Sensors may be wall or ceiling mounted, passive infrared, ultrasonic, or dual technology
sensors. All sensors must control a minimum of 125 Watts in order to qualify.
Vacancy sensors:
Wall switchplate mounted or ceiling mounted sensors, must operate on a manual on/automatic off basis.
Occupancy sensors:
Either remote or ceiling mounted, must operate on an automatic on/automatic off basis. Wall switchplate mounted sensors are
not eligible.
Controls for HIF Systems:
Fixture mounted sensors for low-bay and high-bay High Intensity Fluorescent systems. Must operate on an automatic
on/automatic off basis, and provide for continuous dimming or stepped dimming of at least 50%.

Page 10 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheet

H. Light Tube Commercial Skylight
EQUIPMENTSPECIFICATIONS*Light Tube
Commercial
Skylight

21" per light tube, At least one
light fixture must be controlled by"daylight" sensor, no additional
sensor incentive applies.

JOB
TYPE*

EXISTINGNEWFIXTURETYPE

FIXTURE
TYPE

WATTS
CONTROLLED

QTY

INCENTIVE/UNIT

INCENTIVE$ 100$ 0.00TOTAL INCENTIVE$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
H. Light Tube Commercial Skylight:
Incentives are based on 21” per light tube with a minimum of one fixture controlled by a “daylight” sensor. The sensor will not
qualify for an additional sensor incentive.

Page 11 of 18

Whitewater Valley REMC
Commercial/Industrial Lighting Incentive Application

I ncentive W orksheetI.

LED and Induction Lighting

EQUIPMENT

JOB
TYPE*

SPECIFICATIONS

Wall Packs –Exterior

Product must be DLC listed, new fixture
wattage must be ≤250W.

Parking
GarageProduct must be DLC listed, system must
operate 24/7.

Refrigerator
Case LED

Product must be
DLC listed.

EXISTINGFIXTURETYPE**NEWQTY

FIXTURETYPE**

Without occupancy
sensor, incentives
are per door.
With occupancy
sensor, incentives
are per door.

Screw-in LED
Lamps

Product must be Energy Star listed.

LED Exit
Signs

Visit
www.energysavers.coop/exitsignprogram

Induction

New induction wall pack, parking garage
or mid to high bay fixtures or retrofit
kits. New wattage cannot exceed 60% of
the existing fixtures.

TOTAL INCENTIVEQTY

INCENTIVE/
UNIT

TOTAL
INCENTIVE$ 100$ 0.00$ 100$ 0.00$ 150$ 0.00$ 150$ 0.00$50/door$ 0.00$50/door$ 0.00$60/door$ 0.00$60/door$ 0.00$ 10.00$ 0.00$ 10.00$ 0.00-$ 75$ 0.00$ 75$ 0.00$ 0.00* Job Types: RET = retrofit of functioning equipment, ROB = Replacement of failed or non-functioning equipment, NEW = Addition of new equipment where none existed.
** Fixture Type: Briefly describe the type of fixtures including quantity and type of lamps (e.g. 4-lamp 4’ T12 or 1-lamp 400W metal halide)

Technical Specifications
I. LED and Induction Lighting:
LED products must meet DesignLights Consortium criteria (unless notes otherwise), seewww.designlights.org/solidstate.about.QualifiedProductsList_Publicv2.php for the excel file of approved products.
Wallpacks – Exterior – Product must be DLC approved product, new fixture wattage must be 250W or less and the product cost must be$775 or less.
Parking Garage - Product must be DLC approved product. System must operate 24/7.
Refrigerator Case LED - Product must be DLC approved product. Incentives are based on per door basis, with and without installed
occupancy sensors.
Screw-in LED Lamps – Product must be Energy Star approved product, seewww.energystar.gov/index.cfm?fuseaction=iledl.display_products_html for the approved products list.
LED Exit Signs – Free LED exit signs are available for replacement of incandescent signs. For more information visit
www.energysavers.coop/exitsignprogram.
Induction Lighting – Applies only to complete, new induction fixtures or retrofit kits for exterior wall packs, parking garage fixturesand mid to high bay installations. Retrofit kits must have the ballast separate from the lamp. New wattage cannot exceed 60%of the existing fixtures. The induction lighting system must have a minimum 5 year warranty.

Page 12 of 18

Whitewater Valley REMC
Commercial/Industrial Motor Incentive Application

I ncentive W orksheet

A. THREE PHASE ELECTRIC MOTORS, 10 HP to 500 HP
End
AnnualManufacturer /ODP orEfficiency
RPM
use
OperatingModel#
TEFC
**
code+
hours

Existing
HP

New
HP

Qty

Subtotal=
HP x Qty

Incentive
per HP

Incentive

NEMA Premium®

0.0%

0.0

$4

$ 0.00

0.0%

0.0

$4

$ 0.00

0.0%

0.0

$4

$ 0.00

0.0%

0.0

$4

$ 0.00

0.0%

0.0

$6

$ 0.00

0.0%

0.0

$6

$ 0.00

0.0%

0.0

$6

$ 0.00

0.0%

0.0

$6

$ 0.00Total Section A$ 0.00Enhanced NEMA Premium®

B. VARIABLE FREQUENCY DRIVES (VFD), 1 HP to 200 HP CONTROLLED
End
Annualuse
Manufacturer
Model #
Operating
code+
hours

HP
Controlled

Qty

Subtotal=
HP x Qty

Incentive
per HP

Incentive

0.0

$ 30

$ 0.000.0$ 30$ 0.000.0$ 30$ 0.000.0$ 30$ 0.00Total Section B$ 0.00(SECTION A + B)

$ 0.00* Mark invoices with row number to ensure that the program matches the equipment description and incentive to the correct invoice.
** Nominal efficiency at full load+

MOTOR END USE APPLICATION CODES

Please select one of the typical motor end use (codes) below, and include it on your application.

Process

Conveyors

Cooling

Pumps

HVAC Air Handling

Process Non-Cooling (PNC)

Belts (B)

Process Cooling (PC)

Waste Water Pump (WP)

Air Handlers (AH)

HVAC Condensing (HC)

Cooling Pump (CP)Supply Fans (SF)Heating Pump (HP)

Exhaust Fans (EF)FORM SUBMITTAL: Mail to: C&I Program Coordinator, Hoosier Energy, 7398 State Road 37 North, Bloomington, IN 47404
Email to: rebates@hepn.com
Fax to: (888) 455-9291
Page 13 of 18

Whitewater Valley REMC
Commercial/Industrial Motor Incentive Application

Technical Specifications

Three Phase Electric Motors
The electric motor incentive program requires single-speed, three-phase, 10 HP to 500 HP, 1200, 1800 and 3600 RPM, squirrel cage
induction motors, NEMA Design A or B, continuous rates. Eligible motors must meet or exceed the nominal energy efficiency levels
presented below (based on IEEE Standard 112, Method B). Incentives do not apply to rewound or repaired motors. You must replace
an existing three phase motor with a new qualifying motor of the same or smaller size. Customers must scrap the previous motor
themselves or have it scrapped by their installer. The older inefficient motor cannot be rewound, repaired or brought back into
circulation. Motors must operate a minimum of 1,500 hours per year. Pre-approval is not required.

Open Drip-Proof (ODP)
HP
10 HP
15 HP
20 HP
25 HP
30 HP
40 HP
50 HP
60 HP
75 HP
100 HP
125 HP
150 HP
200 HP
250 HP
300 HP
350 HP
400 HP
450 HP
500 HP
Largerthan 500

1200
RPM
91.7
91.7
92.4
93
93.6
94.1
94.1
94.5
94.5
95
95
95.4
95.4
95.4
95.4
95.4
95.8
96.2
96.2
Not eligible

1800
RPM
91.7
93
93
93.6
94.1
94.1
94.5
95
95
95.4
95.4
95.8
95.8
95.8
95.8
95.8
95.8
96.2
96.2

3600
RPM
89.5
90.2
91
91.7
91.7
92.4
93
93.6
93.6
93.6
94.1
94.1
95
95
95.4
95.4
95.8
95.8
95.8

“Enhanced”
NEMA Premium®
To qualify for an
Enhanced motor
incentive, themotor’s nominal
efficiency at fullload must be atleast 1% greaterthan the efficiency
listed on thesetables.
Examples:“Enhanced”
efficiency must be
at least 91.2%.
“Enhanced”
efficiency must be
at least 95.1%.
“Enhanced”
efficiency must be
at least 96.4%.

HP
10 HP
15 HP
20 HP
25 HP
30 HP
40 HP
50 HP
60 HP
75 HP
100 HP
125 HP
150 HP
200 HP
250 HP
300 HP
350 HP
400 HP
450 HP
500 HP
Largerthan 500

Totally Enclosed Fan-Cooled(TEFC)
1200
1800
3600
RPM
RPM
RPM
91
91.7
90.2
91.7
92.4
91
91.7
93
91
93
93.6
91.7
93
93.6
91.7
94.1
94.1
92.4
94.1
94.5
93
94.5
95
93.6
94.5
95.4
93.6
95
95.4
94.1
95
95.4
95
95.8
95.8
95
95.8
96.2
95.4
95.8
96.2
95.8
95.8
96.2
95.8
95.8
96.2
95.8
95.8
96.2
95.8
95.8
96.2
95.8
95.8
96.2
95.8
Not eligible

The REMC confirms products and efficiencies using information obtained via the manufacturer’s Website.

VARIABLE FREQUENCY DRIVES (VFD)
Drives between 1 HP and 200 HP controlled applied on HVAC fans, pumps, cooling towers, and industrial fans, and that operate morethan 3,000 hours per year qualify for prescriptive incentives. Redundant or back-up units do not qualify. Routine replacement ofexisting VFDs does not qualify. VFD speed must be automatically controlled by differential pressure, flow, temperature, or othervariable signal. The system controlled must have significant load diversity that will result in savings through motor speed variation.
Pre-approval is required for VFD incentives > $1,000.

Page 14 of 18

Whitewater Valley REMC
Commercial/Industrial HVAC Incentive Application

I ncentive W orksheet

Incentives on a Per Ton Basis
Equipment
Type*

Manufacturer andModel number** SEER HSPF

 EER

 COP

Tons/Unit(cooling)A

Quantity
B

Incentive/
ton +C

Incentive =AxBxC$ 0.00$ 0.00$ 0.00$ 0.00Total Section A*Equipment Type:
AC-U Air Cooled Unitary Packaged AC
AC-S
Air Cooled Split System AC
HP-U Air-to-Air Heat Pump Packaged
HP-S
Air-to-Air Heat Pump Split System

GEO$ 0.00

Geothermal Heat Pump

Incentives on a Per Unit Basis
Equipment
Type*

Manufacturer andModel number** SEER HSPF

 EER

 COP

Btuh/Unit(cooling)

QuantityA

Incentive/
Unit +
B

Incentive =AxB$ 0.00$ 0.00$ 0.00$ 0.00*Equipment Type:
AC-U1 Air Cooled Unitary Packaged AC, Single Phase
AC-S1 Air Cooled Split System AC , Single Phase
HP-U1 Air-to-Air Heat Pump Packaged, Single Phase
HP-S1 Air-to-Air Heat Pump Split System, Single Phase

Total Section B$ 0.00TOTAL (SECTION A + B)

$ 0.00PTHP Packaged Terminal Heat Pump
SPMS Single Phase Mini-Splits
T-STAT Programmable Thermostat** Split systems must include model numbers for outdoor unit and indoor unit
+ See Technical Specifications for Incentive amounts
Page 15 of 18

Whitewater Valley REMC
Commercial/Industrial HVAC Incentive Application

Technical Specifications
Incentives on a Per Ton Basis

HVAC UNIT COOLING CAPACITY
Tons
AC-U, AC-S

Btuh

LEVEL 1Minimum Efficiency
for Incentives

Incentive/
Ton

LEVEL 2
Minimum Efficiency
for Incentives

Incentive/Ton

Air Cooled Unitary Packaged AC and Split Systems (new condenser and new coil)< 5.4< 65,000

Split 3ph14.0 SEER & 12.0 EER$60

15.0 SEER & 12.5 EER

$75

< 5.4

< 65,000

Packaged 3ph

14.0 SEER & 11.6 EER$60

15.0 SEER & 12.0 EER$75≥ 5.4 to < 11.25≥65,000 to < 135,000

11.5 EER$60

12.0 EER$75≥ 11.25 to < 20

≥ 135,000 to < 240,000

11.5 EER$60

12.0 EER$75≥ 20 to < 63

≥ 240,000 to < 760,000

10.5 EER$60

10.8 EER

$75

≥ 63

≥ 760,000

9.7 EER$40

10.2 EER$60

HP-U, HP-S

Air-to-Air Heat Pumps< 5.4< 65,000

Split 3ph

< 5.4

< 65,000

Packaged 3ph

14.0 SEER & 12.0 EER& 8.5 HSPF
14.0 SEER & 11.6 EER& 8.0 HSPF

$60
$60

15.0 SEER & 12.5 EER& 9.0 HSPF
15.0 SEER & 12.0 EER
8.5 HSPF$75$75≥ 5.4 to < 11.25≥65,000 to < 135,000

11.5 EER & 3.4 COP$60

12.0 EER & 3.4 COP$75≥ 11.25 to < 20

≥ 135,000 to < 240,000

11.5 EER & 3.2 COP$60

12.0 EER & 3.2 COP

$75

≥ 20

≥ 240,000

10.5 EER & 3.2 COP$60

10.8 EER & 3.2 COP$75

14.1 EER & 3.3 COP$150

16.2 EER & 3.6 COP

$175

GEO

Geothermal Heat Pumps< 11.25 *< 135,000*Geothermal heat pumps above 11.25 tons are a custom program.

Incentives on a Per Unit Basis
Tons (Cooling)
AC-U1, AC-S1< 5.4
HP-U1, HP-S1
< 5.4
PTHP

Btuh (Cooling)

Minimum Efficiency for Incentive

Incentive / Unit

Air Cooled Air Conditioner, Split System or Packaged, Single Phase< 65,000

15.0 SEER
16.0 SEER
17.0 SEER

$200
$250
$300

Air to Air Heat Pump, Split System or Packaged, Single Phase< 65,000

15.0 SEER
16.0 SEER
17.0 SEER

$300
$350
$400

Packaged Terminal Heat Pump
<8,000≥12.1 EER and ≥3.4 COP$508,000–9,999≥11.5 EER and ≥3.2 COP$50

10,000–12,999≥13,000≥10.9 EER and ≥3.1 COP≥9.8 EER and ≥3.1 COP

$50
$50

17.0 SEER

$250

SPMS

Single Phase Mini-Splits

T-STAT

Programmable Thermostat
Programmable Thermostat< 65,000$30/thermostat

Page 16 of 18

Whitewater Valley REMC
Commercial/Industrial HVAC Incentive Application

Technical Specifications

Equipment must meet the nominal efficiency level based on the size category (1 ton = 12,000 Btuh).
Eligibility is based on ratings published in the AHRI Directory of Certified Performance (www.ahridirectory.org).
Water-cooled systems, evaporative coolers, and water source heat pumps (with the exception of Geothermal systems) do not qualify
for incentives under this program. Window air conditioners are not eligible.
Split System A/C: both the condenser and evaporator must be replaced with matching outdoor/indoor units; model numbers must be
provided.
Geothermal Heat Pumps: residential applications do not qualify; replacement of existing geothermal heat pumps not included; programis intended to promote the installation of new systems (in retrofit projects); systems qualify only if geothermal heat exchanger is used
for space heating and cooling; system designer must be a Certified GeoExchange Designer (CGD) or be a licensed professional
engineer who has successfully completed an accredited geothermal design course.
Mini-splits: Single-phase only, three-phase does not qualify. Heat pump only.

Page 17 of 18

Whitewater Valley REMC
Commercial/Industrial Custom Incentive Application

I ncentive W orksheet

PROJECT DESCRIPTION Please give a brief description of the proposed project. Attach spec sheets, price quotes,
manufacturer/vendor calculations for energy savings, and any additional information.

EXISTING EQUIPMENT
Description:

Hours of Operation (per day, week): ____________________________________________________________________
Estimated or Measured Annual Kilowatt Hours: __________________________________________________
Estimated or Measured Monthly Kilowatt Demand: _______________________________________________________NEW EQUIPMENT
Description:

Hours of Operation (per day, week): ____________________________________________________________________
Estimated Annual Kilowatt Hours: ______________________________________________________________________
Estimated Monthly Kilowatt Demand: __________________________________________________________________________
Page 18 of 18