8/9/2019 Pvrea Renewable Energy Rebate Form 4-15-2010[1]

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PVREA RENEWABLE ENERGY REBATE FORM - Page -1

2010 PVREA RENEWABLE ENERGY REBATE APPLICATION.

Section 1Instructions and Program Overview1.1Instructions: This form must be completed if you are applying for a PVREA renewable energy rebate. You must also

complete a Poudre Valley REA Generating Facility Application For Residential (Only Residential?) Renewable

Energy Net-Metering Systems in conjunction with this form and deliver both forms together, if you are applying for arebate. If you do not intend to apply for a rebate, you need only complete the Poudre Valley REA Generating Facility

Application For Residential Renewable Energy Net-Metering Systems.

1.2Program Overview: PVREA Renewable Energy Rebates are provided on a first come first service basis at this time

We do not use a lottery system but are considering it for 2011 and beyond. Applicants are chosen that meet the Rebate

Requirements (section 2) and will be offered a rebate reservation letter defining the rebate amount, construction

completion deadlines and any other conditions required to connect your system to ours. Applicants that begin

construction prior to signing a rebate reservation letter from PVREA will be disqualified from rebate eligibility. If you

are not able to commit to using your rebate and installing your system, we will go on to the next eligible applicant. A

your request, your application will either be either thrown away or re-dated with the date you tell us that you cannot

proceed. If re-dated you will hold that place in line for future rebates. However, if new criteria apply, you will have to

meet the new criteria. If you choose to have your application thrown away, you will have to reapply to qualify for any

future rebates. Once you accept your reservation letter, you must complete a Poudre Valley REA Generating Facility

Application For Residential Renewable Energy Net-Metering Systems.

Section 2Rebate Requirements2.1Minimum Rebate Requirements:

Applicants must be Poudre Valley REA customers. Application must be for Photo-Voltaic Solar systems. Wind and Solar thermal rebates are not available fromPVREA at this time. Applicants must have an energy audit of their home that includes a blower door test. The audit must be completed

by a RESNET or BPI certified auditor. While no pass/fail criteria are in place at this time, we strongly encourage

you to take the energy audit seriously and implement suggested improvements. Doing so may save you money by

requiring a smaller PV system and energy efficiency improvements always show a better pay back than renewable

energy system installation.

Section 3Verifications and Commitments3.1 The Installer must complete and initial the following:

Installation warranty term offered:__________________________________________(Please attach copy of installation warranty policy)

Client Service Agreement offered? Yes No(If yes, please attach copy of service agreement)

Payback Analysis performed? Yes No(If yes, please attach a copy of payback analysis report)

Estimated percentage of optimum production based on actual installation tilt and azimuth): __________(90% is minimum allowable per program requirements)

Is the array completely free of shade between the hours of 9 am and 3pm?__________

8/9/2019 Pvrea Renewable Energy Rebate Form 4-15-2010[1]

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3.2 The Poudre Valley REA customer must read and initial the following:

I agree to provide PVREA with monthly kilowatt-hour (kWh) output data for a one year period, beginning with thefirst month full operation: _____________ (initial)

I agree to have an approved energy audit completed by PVREA or its agent prior to the completion of the project:________ (initial)

I understand that the project must be completed within a 90-day period: ________(initial) I agree to assign PVREA the 20-year Renewable Energy Credits (RECs) in the Net Metering Contract for Electric

Service: _________(initial)

I agree that the system will be designed to be at least 90% efficient: _________(initial) I agree to manage trees and/or otherpotential shade sources in order to prevent future shading of the array:

__________(initial)

I acknowledge that a PVREA representative may contact me to request access to your property in order to perform arandom visual verification of your system. Permission will be requested, advance notice will be provided, and care will

be taken to minimize any inconvenience to me: ___________(initial)

Section 4Signature and Checklist

The applicant hereby certifies that the above information, along with the attached documents, are correct. The applicant

agrees to comply with the provisions of the Poudre Valley REA Rules and Regulations, Interconnection Standards for

Generating Facilities and all other laws and ordinances affecting the construction, installation and operation of the proposedgenerating facility.

Signature of Applicant: ___________________________________ Date: _________________________

Rebate Application Checklist:

Completed PVREA Renewable Energy Rebate Form (this form). Completed Poudre Valley REA Generating Facility Application For Renewable Energy Net-Metering Systems Copy of Energy Audit Report Documenting minimum requirements.

xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

To be completed by PVREA Personnel Only:

Customer Location #: ________________________Date Received: ___________Time: ________

Application Completed & Accepted: Yes _____ No ______

Employee Signature: ___________________________ Date: _________

Current Version: 4-15-2010