Homes Businesses Industrial Water Conservation Energy Independence Act Power Hour Pay-It-Forward Home / Rebates / Homes / Insulated entry door rebates / Insulated Entry Door Rebate Form / Insulated Entry Door Rebate Form Chelan County PUD offers incentives to customers for energy efficiency improvements. Requests for incentives must be submitted within 6 months of product installation. Installations may be inspected prior to payment. Payment is by check mailed to the customer. Please allow 6 to 8 weeks for processing. Customer Information First Name or Company Name Click to add (?) Last Name Click to add (?) Primary Phone Click to add (with area code) (?) Email Click to add (?) Cell Phone Click to add (with area code) (?) Installation Address Address Click to add (?) City Click to add (?) State Washington Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia West Virginia Wisconsin Wyoming Zip Click to add (?) Mailing Address (If Different) Address Click to add (?) City Click to add (?) State Washington Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia West Virginia Wisconsin Wyoming Zip Click to add (?) Home Information Year Home Built Click to add (?) Square Footage Click to add (?) Electric Heat Type Forced Air FurnaceWall HeatersBaseboardsCeiling CableHeat PumpDuctless Heat Pump Entry Doors Old Door Type Un-insulatedSub-standard Explain Click to add (?) Manufacturer Click to add (?) Model Number Click to add (?) Square Footage Click to add (?) Date Complete Click to add (?) Installed Cost Click to add (?) Attach/Upload Documents Please take photos of or scan your documents, then upload them. Include a receipt for the purchase, plus the sticker showing the Energy Star certification (if available.) Upload Documents Confirmations and Customer Signature How did you hear about our program RadioLightly E-NewsletterContractorNewspaperOnline AdRetailerNewspaper OnlineSocial MediaTV AdPUD WebsiteFriends / FamilyConnections newsletterPUD RepresentativeMovie TheaterOther Please read the Energy Efficiency Incentive Agreement Conditions for Participation I have read the Energy Efficiency Rebate Agreement, and agree to the conditions for participation in this program. I understand that Chelan County PUD will make the final determination of any incentive that I may receive. I request an incentive for the items listed on this application. Signature Click to add This constitutes an electronic signature. (?) Date Click to add (?) If you cannot upload your receipts with this form, please mail them to: Chelan County PUD Conservation Dept. PO Box 1231 Wenatchee, WA 98807-1231 Questions? Email email@example.com or call (509) 661-8008 x Energy Efficiency Incentive Agreement DISCLAIMERS CHELAN COUNTY PUD HEREBY DISCLAIMS ANY AND ALL IMPLIED WARRANTIES (INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE) AND SHALL NOT BE RESPONSIBLE FOR ANY REPRESENTATION OR PROMISE WITH RESPECT TO THE EQUIPMENT, MATERIALS OR LABOR REQUIRED FOR THE INSTALLATION OF ENERGY EFFICIENCY MEASURES ON THE PREMISES, OR THE COST OF SUCH EQUIPMENT, MATERIALS AND LABOR. ADDITIONAL CONDITIONS The incentives listed are applicable to existing single- and multifamily residences (up to 10 units), including manufactured and modular homes. Each individually owned residence within a multifamily service address (condominium) is treated as a single family. A multi-family rental apartment complex is treated as a single service address. Incentives apply only to conditioned (heated/cooled) space used as a residence. Electric heating and cooling systems must be permanently installed. Homeowners are responsible for complying with all applicable codes and regulations. Customers doing the work themselves (without using a licensed contractor) will be subject to mandatory inspection by a PUD energy advisor at no charge prior to payment of incentives. Incentives are paid directly to the homeowner by check. Incentives application must be submitted within six months of completion of energy efficiency measure. Chelan County PUD reserves the right to inspect energy efficiency measures prior to payment and will coordinate inspection as applicable. Customers with a prior PUD conservation loan may not qualify; contact a PUD representative for more information. Allow 6-8 weeks for processing and payment of incentive. Any funding provided by Chelan County PUD under the agreement is at the request of the participant. Because of the variability and uniqueness of individual energy use, it is not possible to predict exact energy savings (if any) that may accrue to any particular participant. Chelan County PUD, by providing funding, does not warrant that the equipment will achieve any reduction in energy costs to the participant. RELEASE As part of the consideration for this agreement, participant hereby releases and shall indemnify, hold harmless and defend Chelan County PUD from any and all claims, losses, harm, costs, liabilities, damages and expenses (including attorney’s fees) of any nature whatsoever arising directly or indirectly out of or in connection with the installation of heating equipment, lighting, or weatherization measures at the premises or any material and labor required for such installation. ENTIRE AGREEMENT/APPLICABILITY/ASSIGNMENT The terms and conditions of Chelan County PUD’s energy efficiency programs, as mended from time to time, are incorporated into this Agreement as if fully set forth. ATTORNEY’S FEES If any action is brought to enforce this Agreement, the prevailing party in such shall be entitled, in addition to any other relief, to award of reasonable attorney’s fees and costs incurred in such action. VERIFICATIONS Chelan County PUD shall have the right to verify equipment and materials installed on the Participant Premises. These Residential Energy Efficiency Programs are ongoing as part of Chelan County PUD’s continued commitment to energy efficiency. RESERVATION Participant acknowledges and agrees that Chelan County PUD retains the sole and exclusive right, in its sole discretion, to reject, deny, adjust or amend any application and any incentive payments made pursuant to this Agreement and Chelan County PUD programs and policies. All incentive amounts, if any, shall be made or not made within Chelan County PUD’s sole discretion. Participation in this program does not guarantee any incentive payment. THE PROGRAMS AND THE TERMS AND CONDITIONS OF THIS AGREEMENT ARE SUBJECT TO CHANGE WITHOUT NOTICE.