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FORM SUBMITTAL - Return signed, completed reward applicati<strong>on</strong> and copy of sales invoice to:<br />

Mail: <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> Enhanced Rewards, 222 W. Washingt<strong>on</strong> Ave., Suite 470, Madis<strong>on</strong>, WI 53703-2793<br />

Email: <str<strong>on</strong>g>enhanced</str<strong>on</strong>g><str<strong>on</strong>g>rewards</str<strong>on</strong>g>@focus<strong>on</strong>energy.com Fax: 888.627.0938 Questi<strong>on</strong>s: 800.762.7077<br />

MM_ER_043013<br />

ENHANCED REWARDS PROGRAM<br />

HOME HEATING APPLICATION<br />

This applicati<strong>on</strong> is for qualified equipment installed between January 1, 2013 and December 31, 2013. Please return the signed, completed<br />

applicati<strong>on</strong> and copy of sales invoice postmarked within 90 days of installati<strong>on</strong>. Note: Income verificati<strong>on</strong> is required for participati<strong>on</strong> in the Enhanced<br />

Rewards Program. If you have not been income-approved, visit focus<strong>on</strong>energy.com or c<strong>on</strong>tact us at 800.762.7077. New c<strong>on</strong>structi<strong>on</strong> is not eligible for these<br />

<str<strong>on</strong>g>rewards</str<strong>on</strong>g>. Questi<strong>on</strong>s? C<strong>on</strong>tact us at 800.762.7077.<br />

SECTION 1: CUSTOMER INFORMATION (First Name and Last Name should match that which appears <strong>on</strong> the c<strong>on</strong>tractor invoice)<br />

Electric Utility: (at installati<strong>on</strong> address) Electric Utility Account Number:<br />

Gas Utility: (at installati<strong>on</strong> address) Gas Utility Account Number:<br />

First Name: Last Name:<br />

Ph<strong>on</strong>e Number: Email:<br />

Installati<strong>on</strong> Address: City: State:<br />

Fuel Used for Home Heating:<br />

q Natural Gas q Propane q Oil q Electric q Other: _________________<br />

SECTION 2: CONTRACTOR INFORMATION<br />

WI<br />

Zip:<br />

Property Type: (Only dwellings with 1-3 units are eligible for these <str<strong>on</strong>g>rewards</str<strong>on</strong>g>)<br />

q Single Family q Multifamily 2-3 Units q Other: ___________________<br />

Company/Business Name: Email: Ph<strong>on</strong>e:<br />

Address: City: State: Zip:<br />

SECTION 3: PAYMENT INFORMATION (If Landlord Payee, enter first name and last name or business name in “Send Check Attenti<strong>on</strong> of” field)<br />

Make Check Payable To:<br />

q Customer q Landlord q Trade Ally (participating c<strong>on</strong>tractor)<br />

Send Check Attenti<strong>on</strong> of: (Complete if needed for mailing ) Ph<strong>on</strong>e:<br />

Mailing Address: City: State: Zip Code:<br />

Tax Status: (Complete <strong>on</strong>ly if Landlord Payee)<br />

q Corporati<strong>on</strong> q Partnership q Sole Proprietorship q LLC<br />

Tax ID Number: (Complete <strong>on</strong>e <strong>on</strong>ly; Only if Landlord Payee)<br />

FEIN #: - OR SSN: - -<br />

SECTION 4: UTILITY ACCOUNT HOLDER INFORMATION (Provide the c<strong>on</strong>tact informati<strong>on</strong> of the individual who was income-qualified)<br />

Name as it appeared <strong>on</strong> Income Eligibility Applicati<strong>on</strong>: Ph<strong>on</strong>e Number:<br />

Mailing Address: City: State: Zip Code:<br />

SECTION 5: APPLICATION SIGNATURES (Please read the complete reward applicati<strong>on</strong> and sign)<br />

I, the undersigned, agree that the stated energy efficient measure(s) was (were) installed at the project site address listed above<br />

as part of the <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> offering and that I am authorized to sign this applicati<strong>on</strong>. I have read and agree to the Terms and<br />

C<strong>on</strong>diti<strong>on</strong>s within this applicati<strong>on</strong>. To the best of my knowledge, the statements made <strong>on</strong> this applicati<strong>on</strong> are complete, true,<br />

and correct, and I have submitted the appropriate supporting documentati<strong>on</strong> to receive a reward. If I am not the property owner,<br />

I have listed the property owner’s informati<strong>on</strong> above, and certify that I have obtained their permissi<strong>on</strong> to replace equipment. If<br />

Trade Ally is checked for payment in Secti<strong>on</strong> 3, I have c<strong>on</strong>firmed that my reward has been applied as an instant discount <strong>on</strong> my invoice.<br />

Applicant Signature:<br />

q Itemized C<strong>on</strong>tractor Invoice is<br />

attached; and (choose <strong>on</strong>e):<br />

q Income Eligibility Approval letter is<br />

attached; or<br />

q Income Eligibility Applicati<strong>on</strong> is<br />

attached.<br />

Print Name: Date:<br />

1 of 5


HIGH EFFICIENCY FURNACES<br />

General Requirements for High Efficiency Furnace Cash-Back Rewards:<br />

n Furnaces must be a sealed combusti<strong>on</strong> unit.<br />

n Furnaces must be the primary <str<strong>on</strong>g>heating</str<strong>on</strong>g> source for the <str<strong>on</strong>g>home</str<strong>on</strong>g>’s living space.<br />

n Chimney liners must be installed where a high-efficiency gas furnace replaces an atmospherically-drafted furnace and <strong>on</strong>ly a water heater remains<br />

vented through the chimney. The interior opening left by the removed furnace must be closed with a metal cap and sealed with caulk or mortar.<br />

90% AFUE Furnace with Electr<strong>on</strong>ically Commutated Motor (ECM), Natural Gas, Propane, or Oil-Fired - $850 Cash-Back Reward:<br />

n Furnace must have an Annual Fuel Utilizati<strong>on</strong> Efficiency (AFUE) of 90% or greater.<br />

n Must be customer of a participating electric utility.<br />

n Furnaces must have a multi-stage burner.<br />

n Furnaces must have an ECM. An ECM is sometimes referred to as a variable speed, c<strong>on</strong>stant-airflow, c<strong>on</strong>stant-torque, electr<strong>on</strong>ically efficient (EEM),<br />

or X-13 motor. A Permanent Split Capacitor Motor (PSC), single- or multi-speed, does not qualify. A Pre-Qualified Equipment List is available at<br />

focus<strong>on</strong>energy.com/residential.<br />

n Natural gas, propane, and oil-fired furnaces are eligible. Electric furnaces are not eligible.<br />

90% AFUE Natural Gas Furnace - $475 Cash-Back Reward:<br />

n Furnace must have an AFUE of 90% or greater.<br />

n Must be customer of a participating natural gas utility.<br />

n Only natural gas furnaces are eligible.<br />

Brand Name: Model Number: Serial Number: Installed Date: Unit Cost: Reward Amount:<br />

HIGH EFFICIENCY FURNACE AND AIR CONDITIONER COMBINATION<br />

Requirements for 95% AFUE Natural Gas Furnace with ECM and 16 SEER Central Air C<strong>on</strong>diti<strong>on</strong>er - $1,500 Cash-Back Reward:<br />

n Furnaces must have a multi-stage burner.<br />

n Furnaces must have an ECM. An ECM is sometimes referred to as a variable speed, c<strong>on</strong>stant-airflow, c<strong>on</strong>stant-torque, EEM, or X-13 motor. A PSC<br />

motor, single- or multi-speed, does not qualify. A Pre-Qualified Equipment List is available at focus<strong>on</strong>energy.com/residential.<br />

n Qualified furnace and air c<strong>on</strong>diti<strong>on</strong>er must be installed at the same time and may not be combined with Cash-Back Rewards listed above.<br />

n Combinati<strong>on</strong> Cash-Back Reward is not available with furnaces that were previously installed.<br />

n If installing a qualified furnace and air c<strong>on</strong>diti<strong>on</strong>er and the c<strong>on</strong>denser cannot be set due to weather:<br />

o The evaporator coil must be installed at the same time as the furnace.<br />

o The invoice must include the c<strong>on</strong>denser model and state that the equipment will be installed in the spring.<br />

o The reward applicati<strong>on</strong> must be submitted within 90 days of the furnace and evaporator coil installati<strong>on</strong>.<br />

n Furnaces must be a sealed combusti<strong>on</strong> unit.<br />

n Furnaces must be the primary <str<strong>on</strong>g>heating</str<strong>on</strong>g> source for the <str<strong>on</strong>g>home</str<strong>on</strong>g>’s living space.<br />

n Chimney liners must be installed where a high-efficiency gas furnace replaces an atmospherically-drafted furnace and <strong>on</strong>ly a water heater remains<br />

vented through the chimney. The interior opening left by the removed furnace must be closed with a metal cap and sealed with caulk or mortar.<br />

n Furnace must have an AFUE of 95% or greater.<br />

n Seas<strong>on</strong>al <strong>Energy</strong> Efficiency Ratio (SEER) for the combinati<strong>on</strong> of furnace, outdoor unit (c<strong>on</strong>denser), and indoor coil must be 16 or greater.<br />

n SEER is determined by the Air C<strong>on</strong>diti<strong>on</strong>ing, Heating, and Refrigerati<strong>on</strong> Institute (AHRI) database. An AHRI number for the system is required and<br />

can be found at ahridirectory.org.<br />

n Must be customer of a participating electric utility and a participating natural gas utility and use natural gas for <str<strong>on</strong>g>home</str<strong>on</strong>g> <str<strong>on</strong>g>heating</str<strong>on</strong>g>.<br />

n Only natural gas furnaces are eligible.<br />

System<br />

Informati<strong>on</strong><br />

Furnace<br />

Indoor Unit (Coil)<br />

Outdoor Unit<br />

(C<strong>on</strong>denser)<br />

AHRI Number: SEER: System Cost: Reward Amount:<br />

Brand Name: Model Number: Serial Number: Installed Date:<br />

Brand Name: Model Number: Serial Number: Installed Date:<br />

Brand Name: Model Number: Serial Number: (if available) Installed Date: (estimated)<br />

2 of 5


HIGH EFFICIENCY BOILERS<br />

Requirements for Natural Gas Home Heating Boiler 90% AFUE - $750 Cash-Back Reward:<br />

n Boiler must have an AFUE of 90% or greater and an Input Capacity less than 300 MBH (Thousand British Thermal Units per hour).<br />

n Must be customer of participating natural gas utility and use natural gas for <str<strong>on</strong>g>home</str<strong>on</strong>g> <str<strong>on</strong>g>heating</str<strong>on</strong>g>. Boilers must be the primary <str<strong>on</strong>g>heating</str<strong>on</strong>g> source for the<br />

<str<strong>on</strong>g>home</str<strong>on</strong>g>’s living space. Only natural gas boilers are eligible.<br />

n Boilers must have a modulating burner, and include an integrated outdoor-air reset c<strong>on</strong>trol (integrated or added to the system).<br />

n Boilers must be a sealed-combusti<strong>on</strong> unit.<br />

n Chimney liners must be installed where a high-efficiency gas boiler replaces an atmospherically-drafted boiler and <strong>on</strong>ly a water heater remains<br />

vented through the chimney. The interior opening left by the removed boiler must be closed with a metal cap and sealed with caulk or mortar.<br />

Brand Name: Model Number: Serial Number: Installed Date: Unit Cost: Reward Amount:<br />

INDIRECT WATER HEATERS<br />

Indirect Water Heater for Home Heating Boiler - $100 Cash-Back Reward:<br />

n Must be installed <strong>on</strong> a boiler that qualifies for a Natural Gas Home Heating Boiler Cash-Back Reward (which meets all requirements above).<br />

n Installati<strong>on</strong> of the Water Heater and Boiler must occur at the same time, and the qualifying boiler must be included in this applicati<strong>on</strong>, above.<br />

n If Water Heater is not integrated into the boiler, the total cost (equipment, materials, external labor) must be separated from boiler and listed below.<br />

Add an Indirect Water Heater to Boiler If not integrated, enter Indirect Water Heater informati<strong>on</strong> below.<br />

q Indirect Water Heater is integrated into Boiler<br />

No further informati<strong>on</strong> required. Eligibility will be<br />

verified against the Boiler Make and Model.<br />

TOTAL CASH-BACK REWARD: Enter the total amount of Cash-Back Rewards being requested $<br />

OFFER AVAILABILITY<br />

n Cash-Back Rewards <strong>on</strong> this applicati<strong>on</strong> are <strong>on</strong>ly available for account holders of a participating utility who meet income eligibility requirements. Only residential<br />

Wisc<strong>on</strong>sin customers are eligible.<br />

n C<strong>on</strong>tractors may c<strong>on</strong>tact <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> to verify whether a customer has been income-approved before providing an instant discount.<br />

n Income verificati<strong>on</strong> must be completed prior to payment of a Cash-Back Reward. Applicants are str<strong>on</strong>gly encouraged to complete the Income Eligibility Applicati<strong>on</strong> prior<br />

to purchasing and installing equipment to ensure eligibility. Call 800.762.7077 or visit focus<strong>on</strong>energy.com to verify eligibility.<br />

n Applicants who are not eligible for the Enhanced Rewards Program will be denied the Cash-Back Rewards listed <strong>on</strong> this applicati<strong>on</strong>. Applicants who do not qualify may<br />

be eligible for the Residential Rewards Program. Ineligible applicants will be c<strong>on</strong>tacted following review of the Reward and Income Eligibility Applicati<strong>on</strong>s to determine<br />

eligibility for other Cash-Back Rewards.<br />

n Offer is valid for equipment purchased and installed between January 1, 2013 and December 31, 2013.<br />

n Cash-Back Rewards may not exceed the total purchase price of the energy efficient equipment. The <strong>on</strong>ly costs eligible for Cash-Back Rewards are: Materials; Equipment;<br />

External Labor.<br />

n Allow approximately 8-10 weeks for your completed applicati<strong>on</strong> to be processed. Incomplete applicati<strong>on</strong>s cannot be processed. Failure to complete the reward<br />

applicati<strong>on</strong> in full and provide the required supporting documentati<strong>on</strong> will either delay the payment process or result in your applicati<strong>on</strong> being denied. Receipt of an<br />

applicati<strong>on</strong> does not guarantee payment of a Cash-Back Reward.<br />

n The <str<strong>on</strong>g>program</str<strong>on</strong>g> is not resp<strong>on</strong>sible for items (i.e. reward applicati<strong>on</strong>s, supporting documentati<strong>on</strong>, reward checks) lost or damaged in the mail.<br />

n Only single family and multifamily dwellings of three or fewer units are eligible for Cash-Back Rewards from the Enhanced Rewards Program. Cash-Back Rewards may be<br />

available for other customer or property types. Please visit focus<strong>on</strong>energy.com for other offerings and applicati<strong>on</strong>s.<br />

n <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> will <strong>on</strong>ly pay <strong>on</strong>e Cash-Back Reward for each piece of equipment. Cash-Back Rewards paid <strong>on</strong> this applicati<strong>on</strong> cannot be claimed <strong>on</strong> another <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong><br />

<strong>Energy</strong> applicati<strong>on</strong>. Similarly, Cash-Back Rewards can <strong>on</strong>ly be paid to <strong>on</strong>e pers<strong>on</strong> or entity.<br />

n All equipment installati<strong>on</strong>s are subject to verificati<strong>on</strong> inspecti<strong>on</strong> by the <str<strong>on</strong>g>program</str<strong>on</strong>g> to ensure the equipment is properly installed and operating. Participants must allow, if<br />

requested, the <str<strong>on</strong>g>program</str<strong>on</strong>g> or a <str<strong>on</strong>g>program</str<strong>on</strong>g> representative reas<strong>on</strong>able access to their <str<strong>on</strong>g>home</str<strong>on</strong>g> to verify the installed equipment.<br />

n A current list of qualified products for most equipment is available at focus<strong>on</strong>energy.com. If you have a questi<strong>on</strong> c<strong>on</strong>cerning <strong>on</strong>e of the lists, please email<br />

residential<str<strong>on</strong>g>rewards</str<strong>on</strong>g>@focus<strong>on</strong>energy.com with “Equipment” in the subject line.<br />

PROGRAM QUALIFICATIONS<br />

Brand Name: Model Number: Serial Number: Unit Cost: Reward Amount:<br />

You are <strong>on</strong>ly eligible to participate in the Enhanced Rewards Program if you are:<br />

n A current residential customer of a participating utility in Wisc<strong>on</strong>sin at the time of equipment purchase and installati<strong>on</strong> and meet the income requirements included in<br />

the Enhanced Rewards Program Income Eligibility Applicati<strong>on</strong>.<br />

n Installing qualifying energy efficient equipment in an existing residential dwelling. New c<strong>on</strong>structi<strong>on</strong> does not qualify.<br />

Approval of income eligibility is required for the Cash-Back Rewards included in this applicati<strong>on</strong>, and applicants are str<strong>on</strong>gly encouraged to complete the income<br />

eligibility process prior to submitting this applicati<strong>on</strong>.<br />

Your installati<strong>on</strong> of high efficiency equipment is <strong>on</strong>ly eligible for a Cash-Back Reward if:<br />

n It meets all equipment-specific, energy efficiency, and <str<strong>on</strong>g>program</str<strong>on</strong>g> requirements as outlined in this applicati<strong>on</strong>.<br />

n It is replacing existing equipment used for the same purposes. Equipment additi<strong>on</strong>s to a residential dwelling, which are not replacing existing equipment, do not qualify.<br />

n It is purchased new. Resale equipment, new parts installed in existing equipment, or equipment that is leased, rebuilt, rented, received from insurance claims, received<br />

from a warranty, or w<strong>on</strong> as a prize does not qualify.<br />

n Equipment is installed by a professi<strong>on</strong>al c<strong>on</strong>tractor with appropriate insurance, permits, and licenses. A valid Wisc<strong>on</strong>sin State professi<strong>on</strong>al c<strong>on</strong>tractor’s license or<br />

credential is required.<br />

n Equipment is installed c<strong>on</strong>forming to all applicable building, local, state and federal codes, standards, ordinances and regulati<strong>on</strong>s, and manufacturer specificati<strong>on</strong>s.<br />

n Equipment is installed and operati<strong>on</strong>al prior to submittal of this applicati<strong>on</strong> at the address listed <strong>on</strong> the applicati<strong>on</strong>.<br />

n It is installed in a single family dwelling or a multifamily dwelling with three or fewer units.<br />

n It is purchased and installed during the <str<strong>on</strong>g>program</str<strong>on</strong>g> offering period: January 1, 2013 through December 31, 2013.<br />

3 of 5


PROGRAM QUALIFICATIONS, CONTINUED<br />

To be c<strong>on</strong>sidered complete and eligible for Cash-Back Rewards, all applicati<strong>on</strong>s must:<br />

n Be postmarked no later than 90 days after the installati<strong>on</strong> date.<br />

n Be signed by the purchaser (customer, or applicant signing <strong>on</strong> behalf of the customer).<br />

n Include Itemized C<strong>on</strong>tractor Invoice(s) or Proof of Purchase Receipt(s) c<strong>on</strong>taining:<br />

o Equipment make, model, and serial number<br />

o Total installed cost (itemized by each equipment/product installed)<br />

o Total number of units installed<br />

o Purchase date and installati<strong>on</strong> date (if purchased and installed <strong>on</strong> separate dates)<br />

o Professi<strong>on</strong>al c<strong>on</strong>tractor’s business/company name, address, and ph<strong>on</strong>e number<br />

o Balance due of zero, paid in full stamp, or payment terms<br />

LANDLORD APPLICANTS<br />

By submitting this applicati<strong>on</strong>, the signatory(ies) and applicant(s) agree to all of the following terms and c<strong>on</strong>diti<strong>on</strong>s.<br />

n Landlord Payees: The following certificati<strong>on</strong>s are required in order for this form to substitute for the IRS Form W-9. Under penalty of perjury, the Landlord who has signed<br />

<strong>on</strong> Page 1 certifies that:<br />

o The number shown <strong>on</strong> this form is the correct taxpayer identificati<strong>on</strong> number.<br />

o I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the IRS that I am subject to backup<br />

withholding as a result of a failure to report all interest or dividends or (c) the IRS has notified me that I am no l<strong>on</strong>ger subject to backup withholding.<br />

o I am a U.S. Citizen (includes a U.S. resident alien).<br />

n If the Payee listed <strong>on</strong> Page 1 is the Landlord (who is not the dedicated utility account holder), by signing and submitting this reward applicati<strong>on</strong>, he/she is certifying that<br />

all equipment was paid for by the Landlord and the tenant (the utility account holder) provided his/her customer informati<strong>on</strong> for use in this reward applicati<strong>on</strong>.<br />

n Rewards are taxable and if greater than $600 in a calendar year will be reported to the IRS unless you are exempt. If you have exceeded a total of $600 in <str<strong>on</strong>g>rewards</str<strong>on</strong>g>, a<br />

W-9 form may be requested if applicable.<br />

INSTANT DISCOUNT<br />

Trade Ally Informati<strong>on</strong>:<br />

A Trade Ally represents the company who provided/installed the equipment for a project or performed the service for which a customer is seeking a reward. Trade<br />

Allies who have signed an agreement with <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> are allowed to enjoy certain <str<strong>on</strong>g>program</str<strong>on</strong>g> benefits, <strong>on</strong>e of which is to receive direct payment of <str<strong>on</strong>g>rewards</str<strong>on</strong>g> at your<br />

request. Rewards can <strong>on</strong>ly be paid directly to a Trade Ally if they have completed and submitted a Trade Ally Applicati<strong>on</strong> and W-9.<br />

Trade Allies submitting an applicati<strong>on</strong> as an instant discount certify that the full reward amount was issued as an instant discount to the customer. The c<strong>on</strong>tractor has<br />

explained to the customer that the reward he/she qualifies for has been applied as a discount off of the purchase price <strong>on</strong> the invoice and the customer will not be eligible<br />

to receive the reward from <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> for the same equipment. The full <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> Cash-Back Reward amount has been displayed <strong>on</strong> the invoice as a line item<br />

deducti<strong>on</strong> from the purchase price.<br />

The FEIN and Business Classificati<strong>on</strong> of the Trade Ally is required IF you received your reward as a credit <strong>on</strong> your invoice, whereby the reward is paid directly to the<br />

Trade Ally. In this scenario, the credit must be clearly labeled as the <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> reward and deducted from the amount due.<br />

FOCUS ON ENERGY GENERAL TERMS AND CONDITIONS<br />

This is a <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> <str<strong>on</strong>g>program</str<strong>on</strong>g> applicati<strong>on</strong> for use by eligible applicants (“Applicant”). Shaw Envir<strong>on</strong>mental and Infrastructure, Inc. is the Program Administrator for<br />

<str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> (“Program Administrator”) and bound by c<strong>on</strong>tract to Statewide <strong>Energy</strong> Efficiency and Renewable Administrati<strong>on</strong>, Inc. (“SEERA”). Integrated Resource<br />

Soluti<strong>on</strong>s Group, LLC is the Program Implementer for <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> (“Program Implementer”) and is bound by c<strong>on</strong>tract to Program Administrator. The Program<br />

Administrator, Program Implementer, <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> and the Applicant may be individually referred to herein as a “Party” and collectively as the “Parties”.<br />

Secti<strong>on</strong> 1. Incentive Offer: This Applicati<strong>on</strong> covers products purchased and installed between January 1, 2013 and December 31, 2013. Applicati<strong>on</strong>s must be postmarked<br />

within 90 calendar days of installati<strong>on</strong>. Applicants should maintain a copy of this applicati<strong>on</strong> for their pers<strong>on</strong>al records. Incomplete applicati<strong>on</strong>s will be returned and will<br />

not be processed. This applicati<strong>on</strong> must have complete informati<strong>on</strong> and be submitted with proof of purchase such as invoices that clearly itemize the product(s) and/or<br />

services(s) received. Purchase orders, proposals and quotes are not c<strong>on</strong>sidered proof of purchase.<br />

Secti<strong>on</strong> 2. Marketing: The Applicant shall not use Program Administrator’s or SEERA’s corporate name, logo, identity, any affiliati<strong>on</strong>, or any related logo including the “<str<strong>on</strong>g>Focus</str<strong>on</strong>g><br />

<strong>on</strong> <strong>Energy</strong>” name, logo, or identity, for any marketing, advertising or solicitati<strong>on</strong> without prior written c<strong>on</strong>sent of <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>. Such written c<strong>on</strong>sent may be withheld<br />

in <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>’s sole discreti<strong>on</strong>. When referencing <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> involvement with any project, the Applicant shall collaborate with <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> to prepare any<br />

press release and to plan for any news c<strong>on</strong>ference and agrees to provide <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>, for its written approval prior to publicati<strong>on</strong>, a written copy of any advertisements<br />

or promoti<strong>on</strong>al material regarding this <str<strong>on</strong>g>program</str<strong>on</strong>g> prior to publishing any such advertisements or promoti<strong>on</strong>al material. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> reserves the right to publicize the<br />

Applicant’s participati<strong>on</strong> in the <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> <str<strong>on</strong>g>program</str<strong>on</strong>g> unless a written request is submitted to focus<strong>on</strong>energy.marketing@shawgrp.com.<br />

Secti<strong>on</strong> 3. Program Discreti<strong>on</strong>: Rewards are available <strong>on</strong> a first-come, first-served basis. This offer is subject to change or terminati<strong>on</strong> without notice at the discreti<strong>on</strong> of <str<strong>on</strong>g>Focus</str<strong>on</strong>g><br />

<strong>on</strong> <strong>Energy</strong>. Some <str<strong>on</strong>g>Focus</str<strong>on</strong>g> participating electric and/or natural gas providers have incentive <str<strong>on</strong>g>program</str<strong>on</strong>g>s outside of <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>. Customers of these providers might not<br />

qualify for incentives from both <str<strong>on</strong>g>program</str<strong>on</strong>g>s. These customers should check with their electric and/or natural gas provider to verify eligibility for dual incentives in order to<br />

comply with <str<strong>on</strong>g>program</str<strong>on</strong>g> rules. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> excludes internal labor (i.e. n<strong>on</strong>-c<strong>on</strong>tracted labor) for private companies or individuals when calculating total project costs.<br />

Applicants who are served by a participating electric provider but not a participating natural gas provider will <strong>on</strong>ly qualify for incentives for electric technologies. Applicants<br />

who are served by a participating natural gas provider but not a participating electric provider will <strong>on</strong>ly qualify for incentives for natural gas technologies. Applicants who<br />

have both a qualifying electric provider and a qualifying natural gas provider will qualify for incentives <strong>on</strong> both electric and natural gas technologies. Applicants who use<br />

Liquid Propane (LP) or other n<strong>on</strong>-qualifying fuels will not qualify for incentives for any gas technologies.<br />

<str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> reserves the right to change or disc<strong>on</strong>tinue this <str<strong>on</strong>g>program</str<strong>on</strong>g> at any time without notice. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> also reserves the right to withhold incentive payment<br />

until identified problems with a project are resolved and to withhold or terminate an incentive payment due to any party’s failure to follow any and all applicable terms<br />

and c<strong>on</strong>diti<strong>on</strong>s, rules, or procedures. The acceptance of incentive applicati<strong>on</strong>s and qualificati<strong>on</strong> of systems is determined solely by <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> and acceptance of<br />

this applicati<strong>on</strong> does not guarantee payment of an incentive. In the event that SEERA terminates, for any cause, Program Administrator’s c<strong>on</strong>tract with SEERA, which<br />

terminates Program Administrator’s right to act as Program Administrator of the <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> Program, resp<strong>on</strong>sibility for this Applicati<strong>on</strong> shall be transferred to the new<br />

Program Administrator.<br />

Secti<strong>on</strong> 4. Disclaimers, Representati<strong>on</strong>s, and Warranties: <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>, the Program Administrator, Program Implementer, and SEERA (collectively for this secti<strong>on</strong> “<str<strong>on</strong>g>Focus</str<strong>on</strong>g><br />

<strong>on</strong> <strong>Energy</strong>”) do not endorse any particular trade ally, manufacturer, product, system, or design by offering an incentive. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> is not resp<strong>on</strong>sible for any tax<br />

liability imposed <strong>on</strong> the recipient as a result of the payment of incentives. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> makes no representati<strong>on</strong> or warranty, and assumes no liability with respect<br />

to the quality, safety, performance, or other aspect of any design, c<strong>on</strong>sulting, product, system, equipment, or appliance installed or received and expressly disclaims any<br />

such representati<strong>on</strong>s, warranties, and liability, including, but not limited to, any implied warranties of merchantability or fitness for a particular purpose. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong><br />

does not guarantee that installati<strong>on</strong> and operati<strong>on</strong> of incentivized measures will result in reduced energy usage or in cost savings. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> is not resp<strong>on</strong>sible for<br />

the proper disposal/recycling of any waste generated as a result of this project. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> is not liable for any damages, including any incidental or c<strong>on</strong>sequential<br />

damages, arising out of the operati<strong>on</strong> or malfuncti<strong>on</strong> of the products, equipment, or appliances, or the installati<strong>on</strong> thereof.<br />

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FOCUS ON ENERGY GENERAL TERMS AND CONDITIONS, CONTINUED<br />

Secti<strong>on</strong> 5. M<strong>on</strong>itoring, Verificati<strong>on</strong>, Record Keeping, and Right to Inspect: <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> evaluates <str<strong>on</strong>g>program</str<strong>on</strong>g> efficacy by m<strong>on</strong>itoring energy use/producti<strong>on</strong> prior to and after<br />

installati<strong>on</strong> of your energy efficiency or renewable energy project. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>, and its designated representatives, shall have the right to m<strong>on</strong>itor energy use/<br />

producti<strong>on</strong> prior to and after installati<strong>on</strong> of the project or to perform an inspecti<strong>on</strong> of project records or the project itself to evaluate <str<strong>on</strong>g>program</str<strong>on</strong>g> efficacy for a period of two<br />

(2) years from the date of incentive payment. The Applicant’s signature <strong>on</strong> this applicati<strong>on</strong> provides <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> approval to obtain energy data directly from your<br />

electric and/or natural gas provider(s). The Applicant and its subc<strong>on</strong>tractors shall maintain accurate records of the project work (e.g., installati<strong>on</strong> records, invoices, and<br />

maintenance informati<strong>on</strong>) that is performed hereunder for a period of two (2) years from the date of incentive payment.<br />

Secti<strong>on</strong> 6. Indemnificati<strong>on</strong>: Applicants agree to protect, indemnify, defend and hold harmless <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>, Program Administrator, Program Implementer, SEERA, the<br />

State of Wisc<strong>on</strong>sin and participating utilities, their respective affiliates, subsidiaries, parent companies, officers, directors, agents, and employees, against all losses,<br />

damages, expenses, fees, costs and liability arising from any <str<strong>on</strong>g>program</str<strong>on</strong>g>, design, c<strong>on</strong>sulting, product, system, equipment, or appliance. The Applicant agrees that such<br />

obligati<strong>on</strong>s under this secti<strong>on</strong> shall survive any expirati<strong>on</strong> or terminati<strong>on</strong> of this Applicati<strong>on</strong> and shall not be limited by any enumerati<strong>on</strong> herein of required insurance<br />

coverage. To the maximum extent permitted by law, the Applicant agrees to limit Program Administrator and Program Implementer’s liability to the Applicant for any reas<strong>on</strong><br />

to the total amount of the payments identified in this Agreement. This limitati<strong>on</strong> shall apply regardless of the cause of acti<strong>on</strong> or legal theory pled or asserted. Applicant<br />

hereby expressly waives the right to specifically enforce this Applicati<strong>on</strong>.<br />

Secti<strong>on</strong> 7. Misrepresentati<strong>on</strong>: Making false statements <strong>on</strong> any <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> incentive applicati<strong>on</strong> is punishable by law. Any pers<strong>on</strong> who knowingly files an applicati<strong>on</strong><br />

c<strong>on</strong>taining any materially false informati<strong>on</strong> or who purposely and misleadingly c<strong>on</strong>ceals informati<strong>on</strong> commits a fraudulent act that subjects such pers<strong>on</strong> to criminal and<br />

civil penalties. Any and all funds determined, in <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>’s sole discreti<strong>on</strong>, to have been acquired <strong>on</strong> the basis of fraudulent or misrepresented informati<strong>on</strong> must<br />

be fully returned to the <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> <str<strong>on</strong>g>program</str<strong>on</strong>g>. Should the Applicant or its representative apply for and receive duplicate payment, <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> reserves the right to<br />

recover payments made in excess of the entitled Reward. This secti<strong>on</strong> shall not limit other remedies that may be available for the filing of false or fraudulent applicati<strong>on</strong>s.<br />

Secti<strong>on</strong> 8: Miscellaneous: (1). Governing Law. This Applicati<strong>on</strong> shall be governed, c<strong>on</strong>strued and enforced in accordance with the internal laws of the State of Wisc<strong>on</strong>sin,<br />

without regard to any law of c<strong>on</strong>flicts that may direct the applicati<strong>on</strong> of the laws of another jurisdicti<strong>on</strong>. The Applicant irrevocably submits to the original jurisdicti<strong>on</strong> of the<br />

state and federal courts sitting in Madis<strong>on</strong>, Wisc<strong>on</strong>sin with regard to any c<strong>on</strong>troversy in any way relating to the executi<strong>on</strong>, delivery or performance of this Applicati<strong>on</strong> that<br />

is not resolved by Arbitrati<strong>on</strong>. Suits, claims or acti<strong>on</strong>s founded up<strong>on</strong> such c<strong>on</strong>troversies shall be brought or filed exclusively in such courts and nowhere else. The exclusive<br />

venue for any dispute or c<strong>on</strong>troversy arising under this Agreement shall be the Dane County, Wisc<strong>on</strong>sin Circuit Court or the Federal District Court for the Western District of<br />

Wisc<strong>on</strong>sin.<br />

(2) Compliance with Applicable Laws. The Applicant shall at all times comply with and observe all federal and Wisc<strong>on</strong>sin state laws and published circulars, local laws,<br />

ordinances, rules and regulati<strong>on</strong>s which are in effect during the period of this Applicati<strong>on</strong> and which in any manner affect the performance of this Agreement. This<br />

Applicati<strong>on</strong> shall be c<strong>on</strong>strued and enforced, in accordance with the laws of the State of Wisc<strong>on</strong>sin and the laws of the United States. All references to statutes or<br />

regulati<strong>on</strong>s c<strong>on</strong>tained in this Applicati<strong>on</strong> shall be c<strong>on</strong>strued to include successors thereto.<br />

(3). Assignment. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong> may assign, transfer or c<strong>on</strong>vey this Applicati<strong>on</strong> or any of <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>’s rights, obligati<strong>on</strong>s, interests or resp<strong>on</strong>sibilities hereunder, in<br />

whole or in part, without the c<strong>on</strong>sent of the Applicant.<br />

(4). Severability. If any provisi<strong>on</strong> of this Applicati<strong>on</strong> is illegal, invalid, or unenforceable under present or future laws effective during the term of this Applicati<strong>on</strong>, that<br />

provisi<strong>on</strong> shall be fully severable and this Applicati<strong>on</strong> shall be c<strong>on</strong>strued and enforced as if the illegal, invalid, or unenforceable provisi<strong>on</strong> had never comprised a part of<br />

this Applicati<strong>on</strong>. The remaining provisi<strong>on</strong>s of this Applicati<strong>on</strong> shall remain in full force and effect and shall not be affected by the illegal, invalid, or unenforceable provisi<strong>on</strong><br />

or by its severance. Furthermore, in lieu of such illegal, invalid, or unenforceable provisi<strong>on</strong>, this Applicati<strong>on</strong> shall be reformed to include as a part of this Applicati<strong>on</strong> a<br />

provisi<strong>on</strong> as similar in terms to the illegal, invalid, or unenforceable provisi<strong>on</strong> as may be possible and still be legal, valid, or enforceable.<br />

(5). Risk of Loss. <str<strong>on</strong>g>Focus</str<strong>on</strong>g> <strong>on</strong> <strong>Energy</strong>, Program Implementer and Program Administrator at no time assumes risk of loss for any pers<strong>on</strong>al property of the Applicant.<br />

(6). Waiver. Failure or delay <strong>on</strong> the part of either party to exercise any right, power, privilege or remedy hereunder shall not c<strong>on</strong>stitute a waiver thereof. A waiver of any<br />

default shall not operate as a waiver of any other default or of the same type of default <strong>on</strong> a future occasi<strong>on</strong>.<br />

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