# Design plus 

# Dry Type ,'i ' Narragansett Electric A Matisanai f;rkl Company 

## 2005 Project Information Form This Project Information Form provides a template to collect project systems and equipment information and specifications. In addition, this form serves as a guide to terms for Dry Type Transformers and identifies energy efficiency improvement products and incentives. Contact your Business Services representative to complete an application and to determine the incentive for this project. Customer Facility Name: Date of Application: Sq. Ft. Covered by Application: Contact Person: Design 2000plus Project Type: * (see below for details) Street Address: Federal ID Number: City: Company Type: q Incorporated q Exempt State: Zip: q Not Incorporated Facility Description: Phone Number: Customer of Record Information: LOC ID *Design 2000phis Project Type (select one) q Change in the use or Function of the Building Space q New Building q New Equipment for New Process or Expanded Operation q Renovation of Existing Equipment

'U E-mail Address: Internal Use only q Expansion of an Existing Building q New Controls for Improved Operations q Planned Replacement of Equipment q Replacement of Failed Equipment Installation Performed By:** q Customer q Installation Contractor q Project Expediter q Other (Vendor) Complete this section if installation is not by the customer Installation Company: Street Address: Contact Person: City: E-mail Address: State: Zip: ** If contractor has not been selected, select Customer Phone Number:

Y Application Funding Type q AAP q Other Internal Use only Expected Completion Date q Customer Proposed Incentive Recipient q Customer (Account Credit or Check) q Installation Contractor*** q Other (Vendor)*** *** Complete this section if Installation Contractor or Other has been selected Federal ID Number: Company Type: q Incorporated q Exempt q Not Incorporated

Name: Phone Number:

Phone: 1-800 -787-1706 E-mail Address:
Internet: www.narragansett.com NECo/D2/Dry Type Transformer -2005 Page 1 of 3 

## Electric 

# esign 2 OOplus A National Grid Company 

# DryType Transformers 2005ProjectInformation Form This Project Information Formprovides a template to collectproject systems and equipment information and specifications. In addition, this form serves as a guide to terms for Dry Type Transformers and identifies energy efficiency improvementproducts and incentives. Contactyour Business Services representative to complete an application and to determine the incentive for this project.

Customer FacilityName:__________________ _ Date ofApplication:__________ _ Sq. Ft. Coveredby Application:_______ _ Contact Person: _____________________ _ Design 2000plus ProjectType:* (see below for details) StreetAddress: ______________________ _ Federal ID Number: __________ _ City: _______________________ _ CompanyType: 0 Incorporated 0 Exempt State: ______________Zip: _______ _ 

# o Not Incorporated Facility Description: ___________________ _ Phone Number: ____________ _ E-mail Address:____________ _ Customer ofRecord Information: LOC ID __________ _ 

### Internal Use only *Design 2000plllS ProjectType 

### (select one)



# o Change in the use or Function ofthe Building Space 

# o Expansion ofan Existing Building 

# o New Building 

# o New Controls for Improved Operations 

# o New Equipment for New Process orExpanded Operation 

# o Planned Replacement ofEquipment 

# o Renovation ofExisting Equipment 

# o Replacement ofFailed Equipment Installation Performed By:** 0 Customer 

# o Installation Contractor 0 Project Expediter 0 Other (Vendor) 

### Complete this section iOnstallation is notbv the customer Installation Company: ___________________ _ Street Contact Person: ______________________ _ City:______________ _ E-mail Address:_____________________ _ State:________Zip:______ _ ** 

## if contractor has not been selected, select Customer Phone Number: _____________ _

___________ 0 Customer Expected Completion Date Proposed Incentive Recipient 

# o Customer 

### (Account Credit or Check) 0 Installation Contractor*** 0 Other (Vendor)*** *** 

### Complete this section if Installation Contractor or Otherhas been selected Federal ID Number: CompanyType: 0 Incorporated 

# o Exempt 

# o Not Incorporated

Name:



### -------------------------------------------- Phone Number: _______________ _ E-mail Address:

Phone: 1-800-787-1706 Internet: www.narragansett.com NECo/D2/DryType Transformer -2005 Page 1of3For definition of terms or information on eligibility requirements and other program details, see page three of this document. Review the

proposed equipment specifications to confirm your equipment meets the minimum efficiency requirements . Fill in the proposed equipment in the table below. Building and Equipment Identification (Installation Site): Installation Location Transformer Nlanufactnrer Transformer Model No. Size k\A NEN1A Nominal

Efficiency ^a:a3^tity

Note: After dry type transformer is installed, provide an invoice (proof of purchase) showing where it was purchased, the make, model, size, date of purchase, core losses and copper losses, to your Narragansett Electric Business Services representative. zj1ISl NEMA: National Electrical Manufacturers Association NENIA Nominal Efficiency : 35114, of the nameplate load

NECo/D2/Dry Type Transformer -2005 Page 2 of 3 

### For definition ofterms or information on eligibility requirements and otherprogram details, see page three ofthis document. Review the proposed equipment specifications to confirm your equipment meets the minimum efficiency requirements. Fill in the proposed equipmentin the table below. Building and EquipmentIdentification (Installation Site): 

### Installation

Location Transformer Manufacturer Transformer Model No. Size kVA NEMANominal Efficiency Quantity

Note: After dry type transformer is installed, provide an invoice (proofofpurchase) showing where it was purchased, the make, model, size, date ofpurchase, core losses and copper losses, to your Narragansett Electric Business Services representative.

NEMA: National Electrical Manufacturers Association NEMA NominalEfficiency: 35% ofthe nameplate load

NECo/D2/DryType Transformer -2005 Page 2 of3

## I® Dry Type Transformer Eligibility euire eats and Incentive Details

Qualifying Dry Type Transformer Eligibility Requirements: 1. Must meet or exceed efficiencies listed in Table 1 below. 2. Must meet the NEMA Dry Type Transformers Standard TP1-1996. 3. Transformers must meet EPA's Energy Star Guidelines. 4. Transformers must be installed in Narragansett Electric service territory. 5. Pre-approval from Narragansett Electric is required if the incentive totals more than $7,500. 6. Narragansett Electric reserves the right to verify sales transactions and to inspect the transformer installed under this program, prior to issuing incentives or at a later time, for monitoring and evaluation purposes. 7. A sales slip itemizing the new purchased equipment must be sent to the Narragansett Electric Business Services representative in order to receive an incentive. The sales slip must indicate type, size, make, model number of the transformer and date of purchase. 8. This incentive program covers products purchase and installed after January 1, 2005. To be eligible, all Project Information Forms and required attachments must be received by December 31, 2005. Table 1: Dry Type Energy Efficient Transformers Incentives Three Phase Transformer Size in KVA Minimum Low Voltage (600 Volts Class) efficiency * Incentive Per Transformer (See notes below for eligibility) 15 97.0% $130 30 97.5% $190 45 97.7% $250 75 98.0% $440 112.5 98.2% $520 150 98.3% $560 225 98.5% $1,150 ® Efficiencies are measured at 75°c and at 35% of nameplate load 

## II. Terms and Conditions Details ® Tax Liability - The Narragansett Electric Company will not be responsible for any tax liability that may imposed on the customer as a result of the payment of incentives. All customers must supply their Federal Tax ID Identification Number or Social Security number in order to receive an incentive. ® Endorsement - The Narragansett Electric Company does not endorse any particular manufacturer, product, or system design in promoting this program. o Limitation of Liability - The Narragansett Electric Company does not warrant the performance of installed equipment, expressly or implicitly. o Assignment - Customer may assign payment to a qualified vendor. o Owner's Certification - Owner certifies that he/she has purchased and installed the equipment listed herein on the defined location. Owner agrees that all information is true and that he/she has conformed to all initiative and equipment requirement levels. Owner has verified that the units listed herein have been installed correctly. NECo/D2/Dry Type Transformer -2005 Page 3 of 3 

## I. 

## Dry Type Transformer Eligibility Requirements and Incentive Details Qualifying Dry Type Transformer Eligibility Requirements: 1. Must meet or exceed efficiencies listed in Table 1below. 2. Must meet the NEMA Dry Type Transformers Standard TPl-1996. 3. Transformers must meet EPA's Energy Star Guidelines. 4. Transformers must be installed in Narragansett Electric service territory. 5. Pre-approval from Narragansett Electric is required ifthe incentive totals more than $7,500. 6. Narragansett Electric reserves the right to verify sales transactions and to inspect the transformer installedunder this program, priorto issuing incentives or at a later time, for monitoring and evaluationpurposes. 7. A sales slip itemizing the newpurchased equipment must be sent to the Narragansett Electric Business Services representative in order to receive an incentive. The sales slip must indicate type, size, make, model number ofthe transformer and date of purchase. 8. This incentive program covers products purchase and installed afterJanuary 1,2005. To be eligible, all Project Information Forms andrequired attachments must be received by December 31, 2005. 

### Table 1: DryTypeEnergyEfficientTransformersIncentives Three Phase Transformer Minimum Low Voltage Incentive Per Transformer Size in KVA (600 Volts Class) efficiency* (See notes below for eligibility) 15 97.0% $130 30 97.5% $190 45 97.7% $250 75 98.0% $440 112.5 98.2% $520 150 98.3% $560 225 98.5% $1,150 • Efficiencies are measured at 75°C and at 35% ofnameplate load 

## H. Terms and Conditions Details
• Tax Liability

- The Narragansett Electric Company will not be responsible for any tax liability that may imposed on the customer as aresult ofthe payment ofincentives. All customers must supply their Federal Tax ID Identification Number or Social Security number in order to receive an incentive. • Endorsement

- The Narragansett Electric Company does not endorse any particular manufacturer, product, or system design in promoting this program. • Limitation ofLiability

- TheNarragansett Electric Company does not warrant the performance ofinstalled equipment, expressly or implicitly. • Assignment

- Customer may assign payment to a qualified vendor. • Owner's Certification

- Owner certifies that he/she has purchased and installed the equipment listed herein on the defined location. Owner agrees that all information is true and thathe/she has conformed to all initiative and equipmentrequirement levels. Ownerhas verified that the units listed herein have been installed correctly. NECo/D2/DryType Transformer -2005 Page 3 of3