Yes Yes Yes Yes No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, VFD is set to trend historical kWh usage not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives) Yes Yes Yes Yes No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, VFD is set to trend fan runtime not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives) Yes Yes Yes Yes No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, VFD is set to average fan speed not eligible for not eligible for not eligible for not eligible for incentives) incentives) incentives) incentives) Yes Yes Yes Yes AHU throttling or bypass devices (e.g. No (If project is No (If project is No (If project is No (If project is “No”, “No”, “No”, “No”, inlet guide vanes, dampers, etc.) are not eligible for not eligible for not eligible for not eligible for removed or permanently disabled incentives) incentives) incentives) incentives) INSTALLER INFORMATION Total Installed Cost (before rebate) including equipment, labor, permit and tax By signing this form, I confirm that the above information is correct to the best of my knowledge. Installer Signature Company Name Date
VFD is set to trend historical kWh usage Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) VFD is set to trend fan runtime Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) VFD is set to average fan speed Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) AHU throttling or bypass devices (e.g. inlet guide vanes, dampers, etc.) are removed or permanently disabled Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) Yes No (If “No”, project is not eligible for incentives) INSTALLER INFORMATION Total Installed Cost (before rebate) including equipment, labor, permit and tax By signing this form, I confirm that the above information is correct to the best of my knowledge. Installer Signature Company Name Date