C&I Incentive Application Business Lighting

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SECTION 1: Utility Member Information

(as it appears on electric utility bill)




SECTION 2: Job Site Information


(first and last name)


Enter your 10-digit phone number without the dashes.

Enter your 10-digit phone number without the dashes.


(where equipment is installed)




(found on monthly bill)




SECTION 3: Trade Ally (Contractor) Information








SECTION 4: Payee and Mailing Address

(By checking Landlord or Trade Ally, member is authorizing payment to the third party indicated. See Third-Party Payees section of Terms and Conditions for details.)





SECTION 5: Payee IRS Form W-9 Information


The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Attach the payee’s IRS Form W-9 below

General Requirements

  • The specifications for eligible equipment are listed within each lighting technology on this form. If the technology you are installing is specified differently than how it is listed on this form, please call to verify eligibility. Custom incentives are available for many technologies not listed. Replacements are one-for-one unless specified. Replaced equipment must be removed from service.
  • All projects must comply with all applicable electrical, safety, and energy codes. Electrical permits are required for most lighting projects including lamp replacements in some cases. Contact your local authority having jurisdiction for more information.
  • Post-installation light levels are expected to meet current IESNA (Illuminating Engineering Society of North America) recommendations.
  • Fixtures must be UL or CSA listed and either ENERGY STAR® or DesignLights Consortium® (DLC) qualified as noted.
  • Incentive will not exceed 75 percent of the project cost as defined in the Terms & Conditions.
  • Measures marked with an asterisk ‘*’ are eligible for new construction projects with pre-approval.


Incandescent, Halogen, and CFL Replacement Lamps

  • For lamps used indoors and for outdoor lamps not falling into the Exterior Lighting category.
  • Lamp-types and base-types not covered by ENERGY STAR-certified light bulbs or light fixtures lists are not included in this section. LED lamps should appear on the ENERGY STAR-certified light bulbs list. Refer to energystar.gov for qualified product lists.


LED Lamp or Downlight Replacing CFL
ENERGY STAR-qualified LED lamp or downlight (all lamp types listed below) replaces compact fluorescent lamp (CFL).




LED A-Lamp
ENERGY STAR-qualified LED A-lamp (general purpose incandescent shape) with 450 to 2600 lumen output replaces existing incandescent or halogen A-lamp. Not for replacing CFLs.

















LED Candelabra or Globe Lamp
ENERGY STAR-qualified LED globe lamp or decorative candelabra-type lamp replaces incandescent or halogen lamp.




LED MR16 Lamp
ENERGY STAR-qualified LED MR16 lamp replaces incandescent or halogen MR16 lamp.




LED Reflector Lamp
ENERGY STAR-qualified LED PAR, R, or BR lamp replaces incandescent or halogen PAR, R, or BR lamp.




Florescent Fixture Relamping with Tubular LED(TLED) Lamps
  • Replace fluorescent lamps in existing fluorescent fixture with new tube-shape LED lamps (TLED).
  • This measure is for TLEDs that use traditional fluorescent-type “tombstone” lamp sockets. Other replacements/retrofits should use the Interior Non-High Bay Fixture Replacement or custom lighting measures.
  • LED tubes appearing in the Linear Replacement Lamps category of the DLC Qualified Products list are required. Refer to designlights.org.
  • Incentives for TLED lamps used in High Bay fixtures may be submitted using the High Bay Lighting category.



One T12 2 ft lamp replaced by one TLED 2 ft lamp:




One T12 3 ft lamp replaced by one TLED 3 ft lamp:




One T12 4 ft lamp replaced by one TLED 4 ft lamp. Includes both straight and u-bend lamps:




One T12 8 ft lamp replaced by two TLED 4 ft lamps:




One T12 8 ft lamp replaced by one TLED 8 ft lamp:




One T8 2 ft lamp replaced by one TLED 2 ft lamp:




One T8 3 ft lamp replaced by one TLED 3 ft lamp:




One T8 4 ft lamp replaced by one TLED 4 ft lamp. Includes both straight and u-bend lamps:




One T8 8 ft lamp replaced by two TLED 4 ft lamps:




One T8 8 ft lamp replaced by one TLED 8 ft lamp:




One T5 2 ft lamp replaced by one TLED 2 ft lamp:




One T5 3 ft lamp replaced by one TLED 3 ft lamp:




One T5 4 ft lamp replaced by one TLED 4 ft lamp:




Downlight Fixtures and Exit Signs
  • LED downlight fixture replaces existing incandescent or halogen downlight fixture. If replacing CFL downlight, use LED Lamp or Downlight Replacing CFL measure.
  • Replace incandescent fixture with complete replacement luminaire unit or retrofit kit including trim, reflector, lens, heat sink, driver, and light source.
  • LED recessed downlights should appear on the “ENERGY STAR Certified Light Fixtures” list, and fixture type must contain the word “downlight”.

New fixture or retrofit kit.








Fluorescent Delamping
  • Permanently reduce the number of lamps as part of tubular LED (TLED) lighting upgrade. Unused lamps, lamp holders, and ballasts must be permanently removed.
  • Existing fluorescent system must be upgraded to TLED system.


T12 4 ft lamp removal as part of TLED relamping project



T12 8 ft lamp removal as part of TLED relamping project



T8 4 ft lamp removal as part of TLED relamping project



Interior Non-High Bay Fixture Replacement
  • Incentive is $0.20 per watt reduced.
  • For replacement of troffer, surface mount, or suspended linear fluorescent equipment with LED.
  • Replacement of other architectural or specialty interior low-bay lighting equipment may also qualify.
  • Complete new fixtures and retrofit kits are eligible.
  • Equipment should appear on the ENERGY STAR or DesignLights Consortium® (DLC) Qualified Products list.
  • Refer to the wattage guide tables which offer suggested values for common existing lighting equipment. If project-specific values are available, use them instead of values from the table and provide documentation/evidence of wattage. Do not use the suggested wattage tables for the new equipment—use actual spec sheet or DLC values  https://www.gtlakes.com/lighting-wattage-guide/
  • For new construction projects, a fluorescent equivalent baseline will be used for the Existing Fixture wattage.
  • Watts Reduced = (AxB) - (CxD)









Subtotal:










Subtotal:










Subtotal:










Subtotal:


Interior Fixture 5








Subtotal:


High Bay Lighting
  • Rebate rates (indicate rate in each section below):
    • » Commercial operating hours and 2-shift operating hours (less than 8,000 hrs/yr):                   $0.30 per watt reduced
    • » 3-shift operating hours (minimum 8,000 hrs/yr): $0.60 per watt reduced
  • Proof of high operating hours may be requested.
  • For energy-efficient high bay lighting technologies.
  • Indoor applications only. Fixture mounting height 15 feet or higher above the floor. For retrofit or new construction projects.
  • Equipment should appear on the ENERGY STAR or DesignLights Consortium® (DLC) Qualified Products list. Refer to designlights.org.
  • The Watts/Fixture value in the table refers to the fixture input wattage, not just the bulb wattage.
  • Refer to the wattage guide tables which offer suggested values for common existing lighting  equipment. If project-specific values are available, use them instead of values from the table and provide documentation/evidence of wattage. Do not use the suggested wattage tables for the new equipment—use actual spec sheet or DLC values. https://www.gtlakes.com/lighting-wattage-guide/
  • For new construction projects, a fluorescent equivalent baseline will be used for the Existing Fixture wattage.
  • Watts Reduced = (AxB) - (CxD)










Subtotal:











Subtotal:











Subtotal:











Subtotal:











Subtotal:


Exterior Lighting^
  • Incentive is $0.30 per watt reduced.
  • For energy-efficient exterior lighting technologies.
  • Incentive is for fixtures that operate a minimum of 11 hours/day, 365 days/year.
  • Refer to the wattage guide tables which offer suggested values for common existing lighting equipment. https://www.gtlakes.com/lighting-wattage-guide/
  • Equipment should appear on the ENERGY STAR or DesignLights Consortium® (DLC) Qualified Products list.
  • Watts Reduced = (AxB) - (CxD)









Subtotal:










Subtotal:










Subtotal:










Subtotal:










Subtotal:


Parking Garage Lighting^
  • Incentive is $0.60 per watt reduced.
  • For indoor parking garage lights operating 24-hours per day, 365 days/yr.
  • Equipment should appear on the ENERGY STAR or DesignLights Consortium® (DLC) Qualified Products list.
  • Watts Reduced = (AxB) - (CxD)









Subtotal:










Subtotal:










Subtotal:


Signage Lighting^
  • For interior or exterior illuminated signs.
  • Replace fluorescent, neon, or incandescent sign lighting with LED lighting.
  • For new construction, a fluorescent equivalent baseline will be used for the Existing Fixture wattage.
  • If the continuous operation incentive rate is selected, proof of high operating hours may be requested.
  • Incentive rates (indicate type or rate in fixture description below):
    • » Commercial operating hours (min 1,800 hrs/yr): $0.20 per watt reduced
    • » Dusk-to-dawn operation: $0.30 per watt reduced
    • » Continuous operation: $0.50 per watt reduced
  • Watts Reduced = (AxB) - (CxD)










Subtotal:











Subtotal:











Subtotal:


Lighting Controls

Interior Occupancy Sensors
  • Install ultrasonic, microwave, or passive infrared sensor that turns lights on and off based on occupancy (including high bay). Socket-based sensors and timers do not qualify.
  • Sensors may control more than one fixture.
  • Replacement of existing, operational occupancy sensors is not eligible.
  • Program may request documentation supporting the controlled wattage value.
  • This measure may not be used in tandem with other lighting control measures for the same light fixtures.

per watt controlled

watts controlled

Interior Occupancy and Daylight Sensor
  • Must control brightness (continuous dimming or stepped dimming) based on ambient daylight. Socket-based sensors and timers do not qualify.
  • Sensors may control more than one fixture.
  • Replacement of existing, operational occupancy sensors is not eligible.
  • Program may request documentation supporting the controlled wattage value.
  • This measure may not be used in tandem with other lighting control measures for the same          light fixtures.

per watt controlled

watts controlled

Interior Daylight Sensor Controls
  • Control brightness (continuous dimming or stepped dimming) based on ambient daylight.

per watt controlled

watts controlled

Exterior Multi-Step Dimming Occupancy Controls
  • Occupancy controls operate exterior lights at full power when occupancy is detected and at reduced power when unoccupied.
  • Sensors must control fixture to use no more than 50% of full power when dimmed.

per watt controlled

watts controlled

Exterior Occupancy Sensor with Daylight Sensor
  • Occupancy controls operate exterior lights at full power when occupancy is detected and at reduced power when unoccupied.
  • Sensors must control fixture to use no more than 50% of full power when dimmed, for exterior features, and must prevent light from turning on during daylight.
  • Existing lighting system must operate continuously during night hours.

per watt controlled

watts controlled

Automated Central Lighting Controls
  • Automatic, centralized, lighting control system such as time clocks, programmable relay panel or computerized building automation system. Independent controls on individual fixtures do not qualify. If system meets requirements of other lighting control measures, applicant must choose one or the other.
  • Control schedule and floor plans must be submitted.

per watt controlled

watts controlled









$
SECTION 6: Member Signature