ENERGY SMART REBATE PROGRAM APPLICATION

Clay Electric Cooperative, Inc. PO Box 308, Keystone Heights, FL 32656 Solar Water Heating – $ 0.01 per output BTU Maximum $600.00 Ì This rebate is offered to encourage the use of Solar Water Heating either by a passive or active system. Ì The system shall be installed at a residence or facility receiving electrical service from CEC. Ì The proposed solar system must meet the Florida Solar Energy Center (FSEC) specifications and be installed by a contractor certified to install solar water heating systems by the Florida Department of Professional Regulation Construction Industry Licensing Board. Ì The solar system’s FSEC performance certification must be current, because the rebate is awarded based on system British Thermal Unit (BTU) output. ($0.01 per Btu) Maximum rebate $600. Ì The collector must be positioned for optimum performance and guaranteed against freeze damage. Ì A means for controlling electrical heating elements, located in the storage tank, must be installed to prevent these elements from normally energizing during non-solar collecting hours. Ì The contractor must pull a permit within the county in which the CEC customer resides. General Information The customer agrees to hold CEC harmless from any problems arising from the installations and the operation of these systems or from any energy saving claims, as these are solely the responsibility of the installer/seller. Ì A rebate request form and accompanying documents must be submitted to the Energy Services Division of CEC within 180 days of work completion for existing homes or facilities, or 180 days from the date the permanent service is connected in the applicant’s name for a newly constructed home/facility or newly installed manufactured home/facility. Ì The rebate will be awarded after verification by a CEC representative that the work has been completed and the county has made its final inspection. Ì The rebate amount will be credited to the member’s account or a check will be written to the party paying for the solar water heater installation. If the rebate is used in conjunction with a CEC Energy Loan, the rebate will be applied to the principal balance. Ì The rebated dollar amounts are subject to change without notice. Ì A rebate may be used in conjunction with other CEC rebate programs.
Name (as it appears on electric bill) _________________________________ Customer Number_______________ Mailing Address ________________________________________________________________________________ Telephone (_______)_____________________________________ Email _________________________________ Brand/Model__________________________________________________________________________________ FSEC Certification Number _________________________ Rated BTU output ______________________________ Date of purchase ___________________ Date of installation___________________ Installation Cost $_____________________ Contractor Company name ______________________________________________________________________ Applicant's Signature __________________________________________ Date ___________________________

_____________________OFFICE USE ONLY: DO NOT WRITE BELOW THIS LINE________________________ ___Approved for Rebate ________________ ___Total Rebate(s) Not Approved ______________ $ __________________________ Premise Number: _____________________ Date ___________________

CEC Energy Services Manager ________________________________________

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