### grade transformers already convert at least 95% of the electricity received into usable output power. However, because the transformers are in constant use, small efficiency improvements can lead to significant energy savings - and reduced utility bills - for owners and occupants. Transformers decrease the voltage of electricity received from the utility to the levels used to power lights, computers and other electric-operated equipment

. Most commercial
- and industrialDepending on the size of the transformer, an ENERGY STAR®- labeled transformer can save $100 to $500 each year at an electricity rate of $0.10/KWh.

15 97.0 2.8 years 30 97.5 2.1 years 45 97.7 1.7 years 75 98.0 2.1 years 112.5 98.2 1.9 years 150 98.3 1.8 years 225 or higher 98.5 1

.6 years * ENERGY STAR efficiency rating 

### Comparison of Lifecycle Cost for Dry-Type, Low-Voltage, 225kVA Transformer $35,000
$30,000 $25,000 $20,000 $15,000 $10,000 $5,000

Standard ENERGY STAR® 225 kVA Transformer
Total Energy Cost Total Purchase Cost 

# Efficiency Vermont 255 South Champlain Street, Suite 7, Burlington, VT 05401-4894 yourresourceforenergysauings 1-888-921-5990 ® www.efficiencyvermont.com



## ENERGY 

# ST

AR® 

# Transformers You've Purchased Transformer Size in (VA 

### Manufacturer Model # Quantity Installed Incentive

(each) Total

Incentive 15 $250 30 $275 45 $400 75 $450 112.5 $500 150 $700 225 or higher $1,200 

### TOTAL: Provide the information above and on the opposite side, cut at the dashed Line and return this portion with your invoices showing

equipment manufacturer , model number, vendor , amount paid

, and date of

purchase to: Efficiency Vermont, 255 South Champlain Street, Suite 7, Burlington, VT 05401-4894. 

### TransformerSize in kVA

15 30 

### 45 75 112.5 150 225 or higher Transformers decrease the voltage of electricity received from the utility to the levels used to power lights, computers and other electric-operated equipment. Most commercial- and industrialgrade transformers already convert at least 95% of the electricity received into usable output power. However, because the transformers are in constant use, small efficiency improvements can lead to significant energy savings

- and reduced utility bills

- for owners and occupants. Depending on the size of the transformer, an ENERGY STAR®- 

### labeled transformer can save $100 to $500 each year at an electricity rate of $0.10jKWh.
Transfori'riter**~Minimum** Typical Simple**~**

Size (kVA) Efficiency (0/0) 

## ***~ayl)ack** 15 I ;30 

### 45 .75 112.5 150 225

# dr higher * ENERGY STAR efficiency rating97.0 97!.5 97.7 2.8 

### years 

# 2.1**~eais** 1.7¥ears 2.1 

### years 1.9 

### yea;s 

### j.8 years 1.6yeais 

## Comparison of lifecyde Costfor Dry-Type, low-VoLtage,

225kVATransformer

_________ $35,000

______ $30,000

______ $25,000

______ $20,000 $15,000 $10,000 $5,000 $0 Standard ENERGY STAR@

225 kVA Transformer
Total Energy Cost
_ Total Purchase Cost 

## EfficiencyVermont yourresourceforenei]ysavings 255 South Champlain Street, Suite 7, Burlington, VT 05401-4894 1-888-921-5990
.. 

### www.efficiencyvermont.com



## ENERGY STAR® 

# Transformers You've Purchased Manufacturer Model 

### # Quantity I 

### Incentive Total Installed (each) Incentive $250 $275 $400 $450 $500 $700 $1,200 

### TOTAL: Provide the information 

### above and on the opposite side, cut at the dashed line and return this portion 

### withyourinvoices showing equipmentmanufacturer, modelnumber, vendor, amountpaid, anddate of purchase to: Efficiency Vermont, 255 South Champlain Street, Suite 7, Burlington, VT 05401-4894.APPLICATION OFFER: This incentive program covers threephase ENERGY STAR® transformers purchased and installed on or after January 1, 2003. Details of this program, including incentive levels, are subject to change without notice. ELIGIBILITY: Incentives are available for any project site in Vermont except in the City of Burlington. This form may be used for new installations only. ALL transformers must be three-phase, low-voltage, dry-type that meet NEMA Standard TP-1 (equivalent to ENERGY STAR®). PROOF OF PURCHASE: A sales slip or invoice itemizing the purchased transformers must accompany each incentive application form. The proof of purchase must indicate the seller, make, model and the date of purchase. PRE-APPROVAL AND VERIFICATION : ALL incentives are subject to approval by Efficiency Vermont. Efficiency Vermont reserves the right to verify sales transactions and to inspect the installation prior to issuing incentives. PAYMENT: Equipment must be purchased and installed before payment is issued. Falsifying any information may lead to cancellation of this incentive application asindicated above, as well as any future incentive applications, a claim by Efficiency Vermontfor the return of any incentive and/or referral for prosecution. Please allow 45 days for delivery of payment. If information is missing on the form, please be aware that check processing and delivery may take longer. ELIGIBLE EQUIPMENT: All equipment must be new and certified as ENERGY STAR® (NEMA TP-1). INCENTIVE AMOUNT: In no case will Efficiency Vermont pay more than the full purchase cost of any eligible transformer. Incentive amounts for similar products will be determined on a case-by-case basis. TAX LIABILITY: Efficiency Vermont will not be responsible for any tax liability imposed on the customer as a result of the payment of incentives. ENDORSEMENT: Efficiency Vermont does not endorse anyparticular vendor in promoting this product. Equivalent products must be pre-approved by Efficiency Vermont. SAFETY AND BUILDING CODES: Customer agrees that this measure complies with all federal, state, and Local safety, building and environmental codes. All products must be UL listed and installed per manufacturer's instructions. DISCLAIMER OF WARRANTIES: Efficiency Vermontneither expressly nor implicitly warrants the performance of installed equipment. Contact your contractor for details regarding equipment warranties. Contact Efficiency Vermont for details on other eligible measures and services or for answers to any questions you may have about equipment eligibility for this program.

Call 888

-921-5990 toll

-free, or visit www.ejyYciencyvermont.com.

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- Cut at the dashed line, complete both sides of the application below, and return the application with copies of your detailed invoices to Efficiency Vermont. 

### i;^J rasr + ^ d ^, kvtiF3^ iT^

Contact Person Title Company Federal Tax ID # Street Address or PO Box Town/City ZIP Code Telephone # Fax # E-mail Address Name of Company/Property Owner where tranformer(s) installed
Site Address 

# E

# f idencyVermont Electric Utility Account # your resourceforenergy savings I certify that I meet the eligibility requirements of this program and that all statements made on both sides of this application, including invoices/ receipts, are correct to the best of my knowledge. I agree to the terms and conditions set forth above. 255 South Champlain Street, Suite 7 Burlington , VT 05401-4894 (888)921-5990 toff free 6 (802)658-1643 fax
Fa, Tntemaf Use 0504 Signature Date Efficiency Vermont Approval Tracking it 0504 APPLICATION OFFER: This incentive program covers threephase ENERGY STAR® transformers purchased and installed on or after January 1, 2003. Details ofthis program, including incentive levels, are subject to change without notice. ELIGIBILITY: Incentives are available for any project site in Vermont except in the City of Burlington. This form may be used for new installations only. All transformers must be three-phase, low-voltage, dry-type that meet NEMA Standard TP-1 (equivalent to ENERGY STAR®). PROOF OF PURCHASE: Asales slip or invoice itemizing the purchased transformers must accompany each incentive application form. The proof of purchase must indicate the seller, make, model and the date of purchase. PRE-APPROVAL AND VERIFICATION: All incentives are subject to approval by 

### Efficiency Vermont. Efficiency Vermont reserves the right to verify sales transactions and to inspect the installation prior to issuing incentives. PAYMENT: Equipment must be purchased and installed before payment is issued. Falsifying any information may lead to cancellation ofthis incentive application as indicated above, as well as any future incentive applications, a claim by 

### Efficiency Vermont for the return ofany incentive and/or referral for prosecution. Please allow 45 days for delivery ofpayment. Ifinformation is missing on the form, please be aware that check processing and delivery may take longer. ELIGIBLE EQUIPMENT: All equipment must be new and certified as ENERGY STAR® (NEMA TP-1). INCENTIVE AMOUNT: In no case will

### Efficiency Vermont pay more than the full purchase cost of any eligible transformer. Incentive amounts for similar products will be determined on a case-by-case basis. TAX LIABILITY: 

### Efficiency Vermont will not be responsible for any tax liability imposed on the customer as a result ofthe payment ofincentives. ENDORSEMENT: 

### Efficiency Vermont does not endorse any particular vendor in promoting this product. Equivalent products must be pre-approved by 

### Efficiency Vermont. SAFETY AND BUILDING CODES: Customer agrees that this measure complies with all federal, state, and local safety, building and environmental codes. All products must be UL listed and installed per manufacturer's instructions. DISCLAIMER OF WARRANTIES: 

### Efficiency Vermont neither expressly nor implicitly warrants the performance ofinstalled equipment. Contact your contractor for details regarding equipment warranties. 

### Contact 

### Efficiency Vermont for details on other eLigibLe measures and services or for answers to any questions you may have about equipment eligibility for this program. CaLL 888-921-5990 toLL-free, or visit 

### www.efficiencyvermont.com.
Cut at the dashed line, complete both sides ofthe application below, andreturn the application with copies of yourdetailed invoices to Efficiency Vermont.

Contact Person Title

StreetAddress or PO Box Town/City Telephone # Fax #
Name ofCompany/Property Owner where tranformer(s) installed
Site Address
Electric Utility Account# I certify thatI meet the eligibility requirements ofthisprogram and that all statements made on both sides ofthis application, including invoices/ receipts, are correct to the bestofmy knowledge. Iagree to the terms and conditionsset forth above.

Date Federal Tax ID #
ZIP Code
E-mail Address 

# EfficiencyVermont**yourresourceforene~sauings**

255 South Champlain Street, Suite 7 Burlington, VT 05401-4894 (888)921-5990 tollfree • (802)658-1643fax

ForInternal Use Efficiency Vermont Approval Tracking #