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16755 Finley Butte Rd P.O. Box 127 LaPine, OR 97739

541-536-2126 800-722-7219 Fax 541-536-1423

www.midstateelectric.coop

Weatherization Rebate Program Procedures

1. Thefollowingformsareincludedintheinformationpacket:

WeatherizationRebateProgramProcedures

CertiedInstallersList

WeatherizationInspectionRequestForm

2. AllMidstateElectricsingleandmulti-familyresidentialcustomerswithpermanentlyinstalled

electricheatqualifyfortheprogram.AMidstateElectricrepresentativewillconductanenergy

auditofthehomeandwillprovidethememberwithalistofweatherizationrecommendations.

3.WeatherizationmeasuresshallbeinstalledinaccordancewithallapplicableStateandlocalcodes

andFederalregulations.

4. Itisthehomeowner'sresponsibilitytocontacttheinstaller(s)tovisittheirhomeandprovideabid

fortheworktobecompleted.Werecommendatleasttwobids,preferablythree,butthisisnota

requirement.

5. Inordertobegintherebateprocess,MidstateElectricmustreceiveacopyoftheinstaller'sbid

forapproval.MidstateElectricwillgivetheinstallerauthorizationtoinstalltheweatherization

measures.

6. Midstatewillretainonecopyofthesignedbidsheet,thememberwillreceiveacopyandthe

installerwillgetacopyfortheirrecords.

7. Uponcompletionofthework,theinstallerwillhavethemembersignanInspectionRequest

form.PleasenotethatasignedInspectionRequestformindicatesthatthememberiscompletely

satisedwiththeworkandisreadyforMidstatetoinspectthejob.

8.Iftheinstallerinvoicesthememberlesstherebateamount,MidstateElectricwillissueacheckto

theinstallerequaltotherebateamountuponsatisfactoryinspectionandapprovalbyMidstate's

inspector.Iftheinstallerinvoicesthememberforthefullbidamount,MidstateElectricwillissue

achecktothememberequaltotherebateamountuponsatisfactoryinspectionandapprovalby

Midstate'sinspector.

9.Midstatewillperformaninspectiontoverifytheworkagreeduponwascompletedproperly.Once

completed,Midstatewillissuetherebateasdescribedper#8above.

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16755 Finley Butte Rd P.O. Box 127 La Pine, OR 97739

541-536-2126 800-722-7219 Fax 541-536-1423

www.midstateelectric.coop

Weatherization Contractors

Carnahan & Mann

16485 Cassidy Dr

La Pine OR 97739

541-410-0051

Green Savers USA, Inc.

61173 Lodgepole

Bend OR 97702

541-330-8767www.greensaversusa.com

Lee Baxter Construction

P.O. Box 73

Christmas Valley, OR 97641

541-576-2166

Roberson Construction

PO Box 1786

La Pine OR 97739

541-536-8308

INSULATIONGLASS

Bend Glass & Mirror

1103 SE Centennial St Suite A

Bend, OR 97702

541-388-7571

Glass Guru Of Bend

40 SW Quail Butte Place

Bend OR 97702

541-306-6626

Guarantee Glass & Mirror

340 SE Dell Lane

Bend, OR 97709

541-389-6293

New Windows

63363 Chappel Dr

Bend OR 97701

541-815-6230

www.newwindowsinc.com

Pacic GlassPO Box 3046

La Pine OR 97739

541-921-0986

866-289-9528

541-994-9171

RLS Finishworks

1140 NE Quimby Ave

Bend OR 97701

541-420-3190

Shoreline Contractors

52615 Ammon RdLa Pine OR 97739

541-815-9157

GLASS & INSULATION

All Weatherization

20730 High Desert Dr

Bend OR 97701

541-389-5757

Environmental Insulation

PO Box 1702

Redmond, OR 97756

541-923-5617

Davis Insulation

P.O. Box 486

Bend, OR 97709

541-382-5193

Gale Contrators

202 SE 9th Street

Bend OR 97702

541-389-4780

Payne Insulation

PO Box 7575

Bend, OR 97708

541-389-6771

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16755 Finley Butte Rd P.O. Box 127 La Pine, OR 97739

541-536-2126 800-722-7219 Fax 541-536-1423

www.midstateelectric.coop

WeatherizationRebateInspectionRequest

MEMBER

Member's name: _____________________________________________________________________

Address of installation: ________________________________________________________________

Mailing address, if different: ____________________________________________________________

City:______________________ State: _________ Zip Code: _____________

Phone#:________________

INSTALLER

Installer:____________________________________________________________________________

Installer's business address: ____________________________________________________________

City:_____________________ State: _________ Zip Code: __________ Phone #:_______________

WEATHERIZATION WORK COMPLETED

____Windows ____Wall Insulation ____Ceiling Insulation ____Floor Insulation

_____ Rebate customer (installer invoiced customer for full amount)

_____ Rebate installer as per attached invoice (installer already rebated customer)

I am satised with the installation and authorize Midstate Electric to make rebate payment.

Member's Signature___________________________________________

Date_________________________

Inspected By ________________________________________________Date_________________________

Comments or Remarks:________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________

___________________________________________________________________________________