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3901 Orange Street Riverside, CA 92501RiversidePublicUtilities.com 951.826.5485

Printed with soy ink on recycled paper

pool pumpy appliances rebate program

RiversidePublicUtilities.com

Ry SAR

Ry SAR appliances use 10-50%less energ and water than standard models.

Riverside Public Utilities has been an nergStar partner since 1999.

do you know?Riverside Public Utilitiesprovides rebates for resi-dential electric customers

to purchase new high-efficienc Ry SARqualified appliances.

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Qualied Products Rating Rebate

Refrigerator At least 14 sq. ft.ENERGY STAR Rated

$200 rebate

Room Air Conditioner ENERGY STAR Rated $50 rebate

Dishwasher ENERGY STAR Rated $50 rebate

High Efciency

Clothes Washer

ENERGY STAR Rated up to $155

rebate*Ceiling Fan ENERGY STAR Rated

(8 fans max)

$25

Poducts that qualify:

EnErgy Star

For timely processing of your rebate, please ensure that information in all fields is complete and accurate.

Missing, illegible, or inaccurate information will cause delays in processing.

JL Key 6020109080 Object 45604500 Rebate Amount WF

JL Key 6220209080 Object 45700300 Rebate Amount

Certification of Delivery Approved for Payment Approved for Payment

Signature Date Department Head Date Finance Department Date

FOr OFFICE USE OnLy

Signature of Applicant* Date Print ame*If tenant is a renter, propert owner must sign application

Please include copies of dated sales receipt, or installation contract, and complete the following information. If more space is needed, please list items on a separate

piece of paper. Failure to provide complete model numbers or receipt copies may result in processing delays.

ame of Customer on Utilit Account Customer Account umber

Service Address Zip elephone umber

Mailing Address (if different) Zip Installation Date

Item/Appliance Make Complete Model umber

his program is available to Riverside Public

Utilities (RPU) residential electric customers.

Qualified units must be installed at the

customers service address prior to submitting

application.

Application must be received within 90 das of

the date on sales receipt. A cop of the receipt

must accompan the application and is subject

to verification.

Appliances are subject to inspection for

product eligibilit and program compliance.

RPU reserves the right to determine product

eligibilit and ma forfeit rebate for failure to

compl.

Appliances installed as part of a new construc-

tion housing do not qualif for rebate.

here is an incentive cap of $500 per customer,

per ear.

Rebates will be applied to the customers

residential electric account.

Program is subject to change without prior

notification. Rebates are given on a first come,

first served basis, subject to fund availabilit.

For more information on ENERGYSTAR qualified products, please

call 888.782.7937 or visit their

website at www.energystar.gov

pomguidelines:

12.09

High Efficiency Clothes Washe rebate

*RPU electric customers can receive $75 back

for purchasing a high efficiency clothes washer,

while water customers can receive $80 back.

If youre both an RPU water and electric customer

you can receive up to $155.

I certify that I am the owner(s) or tenant(s) of the real property where the improvements have been installed, and I have not previously received or applied for other utility financingor incentives for the improvements on this application. I also certify that the foregoing information is true and correct. I understand and agree that the choice of improvements,the selection of contractors, the purchase of items and acceptance of materials used, the work preformed, and the payments thereof are my responsibility. I understand that Iwill be solely liable for any damage to the person or property that may be caused by the installation and/or operation of the equipment involved and that Riverside Public Utilities(RPU) will have no liability. I understand that RPU does not endorse, recommend, or make any representations as to specific brands, products, contractors or dealers, nor doesit guarantee material or workmanship. I further agree to indemnify and hold harmless the City of Riverside, its officers, employees, and agents from any damages related to theuse or installation of the product(s).

Additional non-RPU rebates ma appl.Visit www.energy.ca.gov/recovery/energystar.htmlorwww.socalgas.com/rebates/residentialfor more nerg Star rebates.