Ohop Mutual Light Company Energy Efficiency Conservation Incentive Application Font Size: Share & Bookmark Share on FacebookShare on X (Twitter)Share on PinterestShare on LinkedinShare on Email Feedback Print Conservation Incentive Application Step 1 of 4 25% Name(Required) First Last Address(Required) Street Address Owner/Renter(Required) Owner Rental Phone(Required)Email(Required) Incentive Type Requested(Required) Ducted Air Source Heat Pump Ductless Heat Pump Heat Pump Water Heater Insulation Windows Project Completed Less Than 6 Months Prior(Required) Yes No Income Qualified Incentive(Required) No Yes Household Size(Required)1 Person2 People3 People4 People5 People6 People7 People8 PeopleOtherSelect Household SizeIncome qualifications are based on household sizeTotal Household Income(Required) Less than $67,700 Greater than $67,700 Total Household Income(Required) Less than $77,350 Greater than $77,350 Total Household Income(Required) Less than $87,000 Greater than $87,000 Total Household Income(Required) Less than $96,650 Greater than $96,650 Total Household Income(Required) Less than $104,400 Greater than $104,400 Total Household Income(Required) Less than $112,150 Greater than $112,150 Total Household Income(Required) Less than $119,850 Greater than $119,850 Total Household Income(Required) Less than $127,600 Greater than $127,600 Other Household Size(Required)Household SizeTotal Household Income Add RemoveWe're sorry, based on your household income, you don't qualify for an income based incentive. Please check "No" for Income Qualified Incentive.Project must be completed no more than 6 months prior to continue. Home InformationHome Type(Required) Existing Single-family Existing Manufactured New Manufactured Existing Heating Source (Being Replaced)(Required) Electric Forced Air Furnace Electric Zonal (In Wall, Baseboard, etc.) Air Source Heat Pump Ductless Heat Pump Other Year Built(Required)Heated Square Feet(Required) Air Source Heat Pump or Ductless Heat PumpAHRI Certified Reference #(Required)HSPF2 Rating(Required)Outdoor Unit Manufacturer(Required)Outdoor Unit Model #(Required)Indoor Unit Manufacturer(Required)Indoor Unit Model #(Required)Ductless Heat Pump Manufacturer(Required)Ductless Heat Pump Model #(Required)AHRI CertificateAccepted file types: pdf, Max. file size: 30 MB. Heat Pump Water Heater (HPWH)Unit must be on BPA’s qualified product listhttps://www.bpa.gov/-/media/Aep/energy-efficiency/document-library/HPWH_Qualified_Product_List.pdfDoes the new HPWH replace an existing electric storage water heater on a one-to-one basis?(Required) Yes No Is the HPWH listed on BPA's QPL?(Required) Yes No This conservation incentive is for replacement of an existing electric water heater that is listed on BPA's Qualified Product List. Thank you for your interest. Please contact the office if you have questions.Manufacturer(Required)Model #(Required)Size(Required)40 gallon tank50 gallon tank and aboveAgreement(Required) Ohop Mutual will review your rebate application and determine if the installed products qualify for the rebate. By checking the box you acknowledge that: the Heat Pump Water Heater purchased is ENERGY STAR ® qualified and is installed at a residence in Ohop Mutual Light Company service area. Ohop Mutual may inspect these products upon request. Ohop Mutual has made no implied warranties or representations with regard to these products or energy savings from these installations.InsulationExisting Insulation R-Value – FloorExisting Insulation R-Value – WallExisting Insulation R-Value – AtticNew Insulation R-Value – FloorNew Insulation R-Value – WallNew Insulation R-Value – AtticInsulation Certificate from InstallerAccepted file types: pdf, Max. file size: 30 MB. WindowsFor replacement of existing windows onlyOld Window Frame Type(Required) Wood Metal Vinyl Old Window Pane Count(Required) One Two New Window – Total Square Footage:U-Value – At or Below .22NumberU-Value – At or Below .30Upload Files(Required) Drop files here or Select files Max. file size: 50 MB. Upload photos of windows pre and post install including stickers on new windowsCost InformationTotal Installed Cost(Required)Additional Repair Cost (Income Qualified)(Required)Installed Date(Required) MM slash DD slash YYYY Proof of Purchase(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 30 MB, Max. files: 3. Include receipt/invoice from retailer/installer as well as product information showing Energy Star logo if applicable. Conservation Agreement(Required) Ohop Mutual Light Company does not guarantee or warrant any of the work performed on your property. Your remedy for breach of any implied warranty of fitness or merchantability is between you and the contractor performing the work. Ohop Mutual Light Company shall not be liable for any consequential damages arising from any defect in the work performed by your contractor. Customer releases and agrees to defend, indemnify and hold harmless Ohop Mutual Light Company, its successors and assigns, and its respective directors, officers, employees and agents of the Company and its successors and assigns (collectively referred to as the “Indemnities”) from any and all claims, losses, costs, liabilities, damages and expenses (including, but not limited to reasonable attorneys’ fees) arising out of or in connection with any performance of any work, the operation of any equipment, or the acts or omissions of the Contractor or any of its suppliers or contractors of any tier, the respective successors and assigns of the Contractor or any such suppliers or contractors, the directors, officers, employees and agents of each of the foregoing, or anyone acting on the Contractor’s behalf in connection with said performance of work or operation of equipment. To the fullest extent permitted by applicable law, the foregoing release, indemnity and hold harmless shall apply to and for the benefit of the indemnities. This section shall not be intended or interpreted to provide any person an independent claim or course of action based upon third party doctrine.Income Qualified Consent(Required) I do hereby declare that my gross household income does not exceed the maximum income for my household size as indicated in the eligible income threshold above. I understand that the information provided herein is used in deciding to determine eligibility for this program. I warrant that the information provided is true and complete and Ohop Mutual is authorized to make all inquiries they deem necessary to verify the accuracy of the statements made herein.Electronic Signature(Required)Type your name to sign this applicationSubmit FormPrivacy Policy Consent(Required)By clicking “Submit”, you agree to Ohop Mutual Light Company’s Privacy Policy (linked at bottom of page). You consent to receive phone calls, SMS messages, and e-mails from Ohop Mutual to provide updates on your order and/or for internal program marketing purposes. Message frequency depends on your activity. You may opt-out by texting “STOP”. Message and data rates may apply. CAPTCHANameThis field is for validation purposes and should be left unchanged.
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