standard steam trap repair/replacement application · standard steam trap repair/replacement...
TRANSCRIPT
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected],5
thFloor,Peoria,IL61602 Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/businessPage1-SteamTrapApp2018Rev03
StandardSteamTrapRepair/ReplacementApplication
Doesyourfacilityqualify?
�Non-residentialfacility
�Gasprojects:gasdeliveryservicerateGDS2,GDS3,GDS4,orGDS7andEnergyEfficiencyProgramsChargeonAmeren
Illinoisgasbill.
Doesyourprojectqualify?
�Installingnew,energyefficientequipment
�Newequipmentmeetseligibilityguidelinesasspecifiedinthisapplication
�EstimatedprojectcompletiondatebyDecember31,2018
Whatyoushouldknowbeforebeginning:
�PreapprovalisrequiredforALLStandardApplicationprojectsrequestingmorethan$10,000ofincentivemoneyand
forprojectsapplyingfortheReal-timeSteamTrapMonitoringincentive.Donotpurchase(includinggenerating
purchaseorders)newequipmentuntilreceivinganofficialpreapprovalletter.
�Multipleincentiveapplicationslessthan$10,000atthesamefacilitywithin120daysofeachotherwillnotbe
accepted.Phasedprojectsrequestinglessthan$10,000maysubmitseparateapplicationswhencompletiondatesare
atleast120daysapart.
�Stockpilesofequipmentarenotallowed:allincentivizedmaterialmustbeinstalledandoperational.
�Projectsmustbecompletedwithin120days.
�Finalapplicationpaperworkisduewithin30daysofprojectcompletionorbyDecember31,2018,whichevercomesfirst.
�Gasprojectsarecappedat$100,000.
�Surveyandrepair/replacementincentivesarelimitedtoonceevery12months,forindividualsteamtrapswithina
system.The12monthdeadlinereferstothesteamtraprepairdate.�Applicationpaperworkcanbesubmittedviaemail,fax,orhardcopy.Donotsubmit“zip”files.Youwillreceivea
confirmationemailwithintwobusinessdaysofsubmittingacompleteandcorrectapplication.
�PleasesavefiletocomputeranduseAdobeAcrobattoopenthedocument.Mostbrowsers(Chrome,InternetExplorer,Safari)donotauto-fillcalculations
Participationinstructions:
• StepOne:Determineifyourprojectrequirespreapproval.Ifthetotalincentiverequestisover$10,000orthe
applicationincludesreal-timesteamtrapmonitoring,preapprovalisrequired.
• StepTwo,TrackA:Ifpreapprovalisrequired,submittheapplicationforpreapprovalanddonotpurchaseany
materialorgeneratepurchaseordersuntilapreapprovalletterisissued.
• StepTwo,TrackB:Ifpreapprovalisnotnecessary,anapplicationfor“fundsreserved”maybesubmitted,orthe
projectmaybegin.
• StepThree:Within30daysofprojectcompletion(allequipmentinstalledandoperational)orbyDecember31,2018–
whichevercomesfirst–submitasignedIncentivePaymentRequestformandalldocumentationrequestedonthat
form.Applicationsarereviewedandapprovedprojectspaidwithin60daysofapproval.
• StepFour:Programstaffmayconductapostinstallationverificationinspectionuponreceivingfinalapplication
paperwork.
*Detailed,step-by-stepinstructions,FAQs,andotherhelpfulinformationareavailableintheApplicationGuide
(www.AmerenIllinoisSavings.com/portals/0/business/forms/application-guide.pdf).
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected],5
thFloor,Peoria,IL61602 Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page2-SteamTrapApp2018Rev03
CustomerandProjectInformationRedindicatesarequiredfield.
AmerenIllinoisCustomerInformationCustomerNameonAmerenIllinoisAccount
AmerenIllinoisElectricAccountNumber:
SignedW-9formisrequireddocumentation
ClickhereforablankW-9form
AmerenIllinoisNaturalGasAccountNumber:
MailingAddress City State Zip
ContactName Title
E-mailAddress Phone(XXX)XXX-XXXX Ext. Fax(XXX)XXX-XXXX
SecondaryContactName(ifapplicable) Phone(XXX)XXX-XXXX E-mailAddress
PhysicalInstallationAddress(ifdifferentthanabove)
InstallationAddress City State
Zip
Checkone:OwnerTenant(Iftenant,pleasecompletetheLandlordConsentForm)
Name(s)oftheperson(s)whoreferredyoutotheAmerenIllinoisEnergyEfficiencyProgramforthisproject:
NameofAmerenIllinoisorEnergyEfficiencyEmployee NameofReferringContractororProgramAlly
Contractor/ProgramAllyInformation(ifapplicable)
CompanyName ContactName Title
MailingAddress City State Zip
E-mailAddress Phone(XXX)XXX-XXXX Ext Fax(XXX)XXX-XXXX
Facility/ProjectDescriptionFacilityType(checkone):
Office–highrise
Office–midrise
Office–lowrise
Convenience
Religiousfacility
Retail–stripmall
Retail–departmentstore
Restaurant
Healthcareclinic
Elementary
Highschool
College/university
Hospital
Warehouse
Manufacturing/Facility
LodgingHotel/Motel
Multiple(pleaseincludeanitemizeddescriptionoftheworkthat
willbedoneateachfacility)
Miscellaneous/Grocery
Miscellaneous/unknown
FacilitySize(totalinteriorsquarefeetservedbytheaccountnumberprovided
above):
ProjectDescription(checkone):
ReplacementofFailedEquipment
ReplacementofOperatingEquipment(retrofit)
ProcessImprovement
Note:NewerapplicationversionspostedtotheAmerenIllinoisEnergyEfficiencyProgramwebsitesupersedeallpreviousversions.Therevisionnumberislistedinthefooterofeachpage.Ifyoureceivedpre-approval,theversionoftheapplicationthatwasavailableatthetimeyousubmittedyourpre-approvalapplicationwillapply.Ifyoudidnotobtainpre-approval,theversionoftheapplicationthatcorrespondswiththepurchasedatesofyourequipmentwillapply.
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page3-SteamTrapApp2018Rev03
IncentiveCalculationSection
GENERALHEATING(HVAC)STEAMSYSTEM
(incentives are based on the new equipment being installed)HVAC Steam Traps
DescriptionMeasure
Code
EligibilityCriteria
forEquipmentto
beReplaced
EligibilityCriteriaforNewEquipment
QuantityofSteam
Traps
(A)
Unit
Incentive
(B)
Potential
Incentive
(AXB)
(C)
Project
Cost
(D)
FINAL
INCENTIVE
(lesserofCorD)
Steam-Trap
Survey(HVAC)BPST1
• Trapsmustbein
servicetobeeligible
forincentives.
• Venturisteamtraps
arenoteligible.
• Surveyincentiveisavailableforalltested
traps.Noincentivewillbegivenfortraps
thatareoutofservice.
• Trapsthatcannot“failopen”(leaking
steam)arenoteligibleforincentives.
• Ifexternallaborwasused,entertotalof
partsandlabor.Enter0incolumnD,if
internallaborwasused.
• Ifexternallaborisusedthentheincentive
cannotbegreaterthantheinvoicecost.
$30/trap
(Typically<=15psig)
Doyouintendtorepair(orreplace)theleakingtrapsidentifiedinthissurvey? Ifyoudon'tintendtorepair/replacethemnow,when?
YesNo
HVACSteamTrap–Repair/Replacement
DescriptionMeasure
Code
EligibilityCriteriafor
EquipmenttobeReplaced
EligibilityCriteriaforNew
Equipment
Quantityof
SteamTraps
(A)
Unit
Incentive
(B)
Potential
Incentive
(AXB)
(C)
Project
Cost
(D)
FINAL
INCENTIVE
(lesserofCorD)
SteamTrap
Repair/
Replacement
(HVAC)
BPST2
• Trapsmustbeinservice,
malfunctioning,andleaking
steamtobeeligible.
• Repairincentiveisnotavailablefortrapsthatare
failedclosedorareplugged.
• Leakingtrapsmustberepairedor
replaced.
• Venturi-styletrapsmaybeused
forreplacementofexistingnon-
Venturitraps,asappropriate.
• Theincentivecannotbegreaterthantheinvoicecost(project
costsincludepartsandexternal
labor–donotincludesurvey
labor).
$100/trap
(Typically<=15psig)
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page4-SteamTrapApp2018Rev03
INDUSTRIALPROCESSSTEAMSYSTEM
(incentivesarebasedonthenewequipmentbeinginstalled)
IndustrialProcessSteamTrapSurvey
DescriptionMeasure
Code
Eligibility
Criteriafor
Equipmentto
beReplaced
EligibilityCriteriaforNew
Equipment
QuantityofSteam
Traps
(A)
Unit
Incentive
(B)
Potential
Incentive
(AXB)
(C)
Project
Cost
(D)
FINAL
INCENTIVE
(lesserofCorD)
SteamTrapSurvey
(IndustrialProcess)
or
(Multi-Use
HVAC/Processboiler
systemswithover
7,750hoursperyear
operation)
BPST4
• Trapsmustbe
inserviceto
beeligiblefor
incentives.
• Venturisteam
trapsarenot
eligible.
• Steamtraps
>300psig,
pleaseusea
Custom
application.
• Surveyincentiveisavailableforalltestedtraps.Noincentivewillbe
givenfortrapsthatareoutof
service.
• Trapsthatcannot“failopen”(leakingsteam)arenoteligiblefor
incentives.
• Ifexternallaborwasused,entertotalofpartsandlabor.Enter0in
columnD,ifinternallaborwas
used.
• Ifexternallaborisusedthentheincentivecannotbegreaterthan
theinvoicecost.
$30/trap
(<=15psig)
$50/trap
(16-300psig)
Doyouintendtorepair(orreplace)theleakingtrapsidentifiedinthissurvey? Ifyoudon'tintendtorepair/replacethemnow,when?
YesNo
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page5-SteamTrapApp2018Rev03
IndustrialProcessSteamTrap–Repair/Replacement
DescriptionMeasure
Code
EligibilityCriteria
forEquipmentto
beReplaced
EligibilityCriteriafor
NewEquipment
Quantityof
SteamTraps
(A)
Unit
Incentive
(B)
Incentive
(AXB)
(C)
Project
Cost
(D)
FINAL
INCENTIVE
(lesserofCorD)
SteamTrapRepair/
Replacement
(IndustrialProcess)
or
(Multi-Use
HVAC/Processboiler
systemswithover
7,750hoursperyear
operation)
BPST5
• Trapsmustbe
inservice,
malfunctioning,
andleakingsteam
tobeeligible.
• Repairincentiveisnotavailablefor
trapsthatare
failedclosedorare
plugged.
• Steamtraps>300
psig,pleaseusea
Custom
application.
• Leakingtrapsmust
berepairedor
replaced.
• Venturi-styletrapsmaybeusedfor
replacementof
existingnon-Venturi
traps,asappropriate.
• Theincentivecannotbegreaterthanthe
invoicecost(project
costsincludeparts
andexternallabor–
donotincludesurvey
labor).
$100/trap (CommercialDry
Cleaners)
$100/trap
(<15psig)
$100/trap
(15-29psig)
$150/trap
(30-74psig)
$200/trap
(75-124psig)
$300/trap
(125-174psig)
$400/trap
(175-249psig)
$500/trap
(250-300psig)
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page6-SteamTrapApp2018Rev03
Real-timeSteamTrapMonitoring
EligibilityCriteriaforExistingEquipment
• Unmonitoredtraps
• Venturisteamtrapsarenoteligible
• Trapsmustoperateat>30psigsteampressure
• PREAPPROVALISREQUIREDFORTHISPORTIONOFTHEAPPLICATION
EligibilityCriteriaforNewEquipment
• Mustinstallsensorsandmonitoringsystemtodetectsteamtrapfailure
• Canbetemperature,ultrasonic,orcombinationofbothtypesofsensors
• Mustmaintainandoperatemonitoringsystemafterinstall
• Monitoringsystemmustalertoperatortofailedtrapswithin24hoursoffailure
• Mustmonitoratleast20traps(>30psig)atthesite;maximumis100monitoredtrapspersite
• Mustintendtoreplacefailedtrapswithin6monthsoffailurenotification
• Whenaleakingtrapisidentifiedandreplacedunderthismeasure,usetheReplacementofMonitoredTrapsapplicationtoreceivetheincentiveforsteamtrapreplacement.Notethe
incentivesfortrapreplacementare20%higherthanforleakingtrapsidentifiedusingaconventionalsurvey.
Description MeasureCode
QuantityofMonitored
Traps
(A)
Unit
Incentive
(B)
Incentive
(AXB)
(C)
Project
Cost
(D)
FINALINCENTIVE
(lesserofCorD)
Real-time
SteamTrap
Monitoring
BPST6
$150/trap
(30-74psig)
$150/trap
(75-124psig)
$150/trap
(125-174psig)
$150/trap
(175-249psig)
$150/trap
(250-300psig)
TotalIncentiveAmount:
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/businessPage7-SteamTrapApp2018Rev03
TermsandConditions1.DEFINITIONS:Inadditiontotermsdefinedelsewhereherein,whenanyoneofthefollowingtermsisusedintheseTermsandConditions,whereinthefirstletteriswrittenwithacapitalletter,thenthattermshallhave
thefollowingdefinition.Wordsimportingpersonsincludecorporation,andwordsimportingonlythesingularincludethepluralandviceversawhenthecontextrequires.
a)“AmerenIllinois”shallmeanAmerenIllinoisCompanyd/b/aAmerenIllinois.
b)“Application”shallmeantheCustomercompleteddocumentusedtoapplyforcashincentives,programTermsandConditions,andanyotherappropriateapplication-specificdocumentation.
c)“ApplicationGuide”shallmeanthedownloadablefile(PDFformat)thatincludes:directionsforcompletingtheApplication,Customereligibilitycriteria,andanyotherappropriatedocumentation.
d)“Customer”shallmeananEligibleCustomerwhohassubmittedanApplicationforincentivemoneyusingtheirAmerenIllinoisaccountnumber.TheCustomershallbecomeapartytotheagreementuponacceptanceof
Customer’sApplicationbyAmerenIllinois.
e)“CustomInitiative”shallmeanthoseprojectsassociatedwithincentivesthatarenotStandardorStreetlightingInitiatives,includingbutnotlimitedto:Custom,NewConstructionLighting,andFeasibilityStudy.See1.k)belowforalistofStandardInitiativeApplications.
f)“EEM”shallmeanenergyefficiencymeasures.
g)“EligibleCustomers”shallmeannon-residentialelectricand/orgasCustomersofAmerenIllinois.EachapplicationhasdifferenteligibilityrequirementsforDeliveryServicerates(DS#forelectric,GDS#forgas)tobe
eligibleforthatprogram.Refertothespecificprogramapplicationstodetermineifyourbusinessiseligibleforthatapplication.TheAmerenIllinoisincentivepaymentsareawardedonlytoEligibleCustomersfor
equipmentthatisownedbythemandinstalledintheAmerenIllinoisserviceareaatthelocationthatcorrespondswiththeAmerenIllinoisaccountnumberlistedintheApplication.AllEligibleCustomersareultimately
responsibleforcompliancewiththeseTermsandConditions.
h)“Facility”shallmeanasinglepremisethat,ingeneral,consistsofacontiguoustractoflandseparatedbynothingmorethanastreet,alley,orrailroadright-of-way,whereallbuildingsand/orenergy-consumingdevices
areownedbyasingleCustomer.
i)“NewConstruction”shallincludeconstructionofnewbuildings,change-of-useofexistingbuildingsorland,additionstoexistingbuildings,orwhentwoormorebuildingsystemsarerenovated,suchasshellandheating,
heatingandlighting,etc.
j)“Pre-approval”shallmeanwrittennotificationtoCustomerofamaximumpre-approvedincentiveamountthroughaPre-approvalletter,whichAmerenIllinoisissuesafterreviewoftheCustomer’sApplication.
k)“QualifyingEnergyEfficiencyMeasures(EEMs)”shallmeaneither(i)standardgasorelectricEEMs(i.e.,measuresfoundonanyoftheStandardInitiativeapplications:Lighting,VFD,HVAC,SpecialtyEquipment,SteamTrap,andLeakSurveyandRepair);or(ii)measureseligibleundertheCustomInitiativeapprovedbyAmerenIllinois;or(iii)measuresfoundintheStreetlightingorRetro-commissioningInitiativeasidentifiedinofficial
programmaterialsfoundontheAmerenIllinoisEnergyEfficiencywebsite.Technologiesthatpurporttosaveenergythroughreductionofvoltage,demand,orpowerconditioningarenotQualifyingEEMs.EEMsthat
displaceelectricalenergyuseornaturalgastoanotherfuel(i.e.,fuelswitchingproposals)arenotQualifyingEEMs.Otherthangeothermalprojects,renewableenergyprojects(solar,windpower,etc.)arealsonoteligible
forincentivesunderthisprogram.Unlessexplicitlypre-approved,EEMsmustbenewandcoveredbywarranties.NaturalGas(gas)incentivesdonotincludepropaneorbutanemeasures.
l)“StandardInitiative”shallmeanthoseprojectsassociatedwithStandardgasorelectricEEMs.StandardInitiativeincludesthefollowing:Lighting(notNewConstructionLighting),VFD,HVAC,SpecialtyEquipment,SteamTrapand/orLeakSurveyandRepair.SeetheAmerenIllinoisEnergyEfficiencywebsiteforapplications(AmerenIllinoisSavings.com).
2.OWNERSHIPOFCAPACITYAND/ORENVIRONMENTALCREDITS:a)EEMspurchasedandinstalledinpartthroughincentivesprovidedbythisprogramarethepropertyoftheCustomer,subjecttoanylimitationscontainedwithintheseTermsandConditions.
b)Notwithstandingtheabove,unlessotherwiserequestedinwritingbytheCustomerpriortoinstallationoftheEEMs,AmerenIllinoisholdssolerightstoanysystemcapacitycreditsandenvironmentalcreditsthatmaybe
associatedwithEEMsforwhichincentivesfromAmerenIllinoiswerereceived,andAmerenIllinoiscandisposeofthesecreditsinanymannerauthorizedbylaworregulation.
c)InnoeventshallactivityassociatedwithanyenergyorenvironmentalcreditsnotedinSection2(b)resultininterferencewiththeCustomer’ssolediscretiontooperateEEMsasapprovedinhis/herincentiveaward.
3.PRE-APPROVALForallApplications,AmerenIllinoisisnotobligatedtoawardanyincentivepaymentunlessPre-approvalisgranted.Further,AmerenIllinoiswillnotpayincentivesforanyEEMsorderedoranypurchaseordergenerated
priortothedateofthePre-approvalletter,UNLESS,therequestedincentiveislessthan$10,000onanyStandardInitiativeApplication(see1.jabove).Pre-approvalreservesincentivefundsforaperioduptotheEstimated
CompletionDateprovidedinthePre-approvalletter.AftertheEstimatedCompletionDate,AmerenIllinoismayrevokethePre-approvalletterandassociatedincentivefunds.Customerisresponsibleforensuring
applicationisaccurateandequipmentmeetseligibilityrequirementsinordertoreceivethePre-approvalincentivepayment.
4.POST-INSTALLATIONVERIFICATION:AmerenIllinoisisnotobligatedtomakeanyincentivepaymentuntilithasperformedasatisfactorypost-installationverification.Thisprovisionmaybewaivedatthesolediscretion
ofAmerenIllinois.
5.INCENTIVEPAYMENTAMOUNTS:a)Incentivecaps(perprogramyearforafacility)aredefinedasfollows:
i)Standard,Custom,andRetro-Commissioningapplications:Electricincentivesarecappedat$500,000perproject.Gasincentivesarecappedat$100,000perproject.
ii)IncentivesawardedundertheStaffingGrantwillbepro-ratedbasedupontheenergysavingsachievedcomparedtotheacceptedsavingsinthestaffinggrantpre-approvalletter,uptothepre-approvedstaffing
grantincentiveamount.SeetheStaffingGrantApplicationforfurthercriteria.
iii)NewConstructionLightingincentivesarecappedat$100,000.
iv)FeasibilityStudy–themaximumincentivepaymentforasingleFeasibilityStudyiscappedat$20,000.SeetheFeasibilityStudyapplicationforfurtherdetails.
v)LeakSurveyandRepair–thecappedincentiveis$20,000foracompressedairLeakSurveyandRepairproject.SeetheLeaksSurveyandRepairapplicationforfurthercriteria.
vi)Metering&Monitoring–themaximumtotalincentivepaymentforMetering&Monitoringis$22,000.SeetheMetering&Monitoringapplicationforfurtherdetails.
b)AmerenIllinoisreservestherighttoadjustand/ornegotiatetheincentiveamount,baseduponitsindependentassessmentofappropriatesavingsorcostestimates.
c)OnceanincentiveApplicationispre-approved,AmerenIllinoiswillpaynomorethanthepre-approvedincentiveamount.
d)AmerenIllinoisreservestherighttocapincentivesat$10,000forStandardprojectsthatdidnotobtainpre-approval.
e)IncentivesforStandardorNewConstructionapplicationswillbecappedattheprojectcost,whichincludesmaterialcostandexternallaborcost(Internallaborisnotconsideredintheprojectcost).SteamTrapSurveys
areeligibleforincentiveswheninternallaborisusedpertheguidelinesoftheSteamTrapapplication.
6.MONITORINGANDEVALUATIONFOLLOW-UPVISITS:CustomergrantsAmerenIllinoisandanyofitsagents,therighttomakefollow-upvisits,inspectionsorsurveysoftheCustomer’sfacilityduringthe36months
followingthecompletiondateoftheprojectatatimeconvenienttotheCustomer.IfAmerenIllinoisdiscoversthattheEEMswerenotactuallyandproperlyinstalledorweresubsequentlydisconnectedwithin36months
afterinstallation,AmerenIllinoisshallbeentitledtomoneydamagesequaltothetotalamountofincentivepaymentsmadeplusinterest.
7.CHANGESIN/CANCELLATIONOFTHEPROGRAM:a)AmerenIllinoismaychangetheprogramrequirements,incentives,ortheseTerms&Conditionsatanytimewithoutnotice,includingsuspendingacceptanceofApplications,denialofApplicationsalreadyreceived,or
terminatingtheprogram.
b)Intheeventofprogramchange,ApplicationsthathavebeengrantedPre-approvalwillbeprocessedtocompletionundertheTerms&ConditionsineffectatthetimeofPre-approvalbyAmerenIllinois.
c)CashincentivesundertheAmerenIllinoisprogramsareofferedonafirst-come,first-servedbasisandaresubjecttoprojectandCustomereligibility,andtheavailabilityoffunds.
8.LIMITATIONOFLIABILITYANDINDEMNIFICATION:a)AMERENILLINOIS’TOTALLIABILITYTOCUSTOMERUNDERTHESETERMSANDCONDITIONS,ORANYOTHERREQUIREMENTOFCUSTOMER’SAPPLICATIONORCONDITIONOFINCENTIVEAWARDSHALLBELIMITEDTO
PAYINGTHEINCENTIVEPAYMENTSSPECIFIEDINTHEAPPLICATIONORPRE-APPROVALLETTERS.AMERENILLINOIS,ITSPARENT,AFFILIATESANDSUBSIDIARIES,ANDTHEIRDIRECTORS,OFFICERS,EMPLOYEES,ORAGENTS
SHALLNOTBELIABLETOTHECUSTOMERORFORANYDAMAGESINTORT(INCLUDINGNEGLIGENCE)CAUSEDBYANYACTIVITIESASSOCIATEDWITHTHISAPPLICATION;LOSSOFPROFITSORREVENUE;LOSSOFUSEOF
CUSTOMER'SPROPERTY,EQUIPMENTORPOWERSYSTEM;INCREASEDCOSTSOFANYKIND,INCLUDINGBUTNOTLIMITEDTOCAPITALCOST,FUELCOSTANDCOSTOFPURCHASEDORREPLACEMENTPOWER;ORANY
SPECIAL,INDIRECT,CONSEQUENTIALORINCIDENTALDAMAGESWHATSOEVER.BYPARTICIPATINGINTHEAMERENILLINOISPROGRAM,CUSTOMERAGREESTOWAIVEANYCLAIMS,EXCEPTASPROVIDEDINTHISARTICLE8.a)ABOVE,ANDFULLYRELEASESAMERENILLINOISFROMANYOTHERDAMAGES,OFANYKINDARISINGOUTOFORRELATEDTOCUSTOMER’SAPPLICATION.b)TheCustomershalldefend,protect,indemnify,andholdharmlessAmerenIllinois,itsparent,affiliateandsubsidiaries,andtheirrepresentativedirectors,officers,employees,andagentsfromandagainstallliabilities,
losses,claims,damages,judgments,penalties,costsandexpenses(including,withoutlimitation,attorney’sfeesandexpenses)withrespecttoalldemands,claims,suits,causesofaction,and/orjudgmentsforinjuries,
includingdeath,toanyperson,ofthirdparties,andforpropertydamageincurredbyorassessedagainstAmerenIllinoisarisingoutoforrelatingtoCustomer’sApplication.
9.NOWARRANTIES:AmerenIllinoisdoesnotguaranteetheenergysavingsanditsparent,affiliates,employees,andagentsdonotmakeanyrepresentationsorwarrantiesofanykindregardingtheresultstobeachieved
bytheEEMsortheadequacyorsafetyofsuchmeasures.AmerenIllinoisanditsparent,affiliates,employees,andagentsdonotendorse,guarantee,orwarrantanyparticularmanufacturer,contractororproduct,andit
providesnowarranties,expressedorimplied,includinganyimpliedwarrantyofmerchantabilityorimpliedwarrantyoffitnessforanyproductorservices.AmerenIllinoishasnoobligationsregardinganddoesnotendorse
orguaranteeanyclaims,promises,work,orequipmentmadeperformedorfurnishedbyanycontractorsorequipmentvendorsthatsellorinstallEEMs.
10.CUSTOMERSHALLPAYALLTAXES:IncentivepaymentsreceivedbytheCustomeroranyThirdPartyPayeeunderthisAgreementmaybetaxablebythefederal,state,andlocalgovernment.TheCustomerisresponsible
fordeclaringandpayingallsuchtaxes,regardlessofwhoreceivestheincentive.
a)Exceptasexpresslyprovidedherein,ifeitherAmerenIllinoisortheCustomerdesirestomodifytheseTermsandConditions,themodificationmustbeinwritingandsignedbyanauthorizedrepresentativeoftheparty
againstwhichenforcementofthemodificationissought.
11.REMOVALOFEQUIPMENT:TheCustomeragrees,asaconditionofparticipationintheprogram,toremoveanddisposeofanyequipmentbeingreplacedbytheEEMsinaccordancewithallapplicablelaws,rules,and
regulations.TheCustomerfurtheragreesnottoreinstallanyofreplacedequipmentanywhereinIllinois,ortransferittoanyotherpartyforinstallationinIllinois.
12.CHOICEOFLAWANDDISPUTES.a)THESETERMSANDCONDITIONS,ORANYOTHERREQUIREMENTOFTHEAPPLICATIONGUIDEORCONDITIONOFINCENTIVEAWARDWILLBEGOVERNEDINALLRESPECTSBYTHELAWS,STATUTES,ANDREGULATIONSOF
THESTATEOFILLINOIS.AMERENILLINOISANDCUSTOMERHEREBYIRREVOCABLYANDUNCONDITIONALLYWAIVEANYRIGHTEITHERSUCHPARTYMAYHAVETOATRIALBYJURYORTOINITIATEORBECOMEAPARTYTO
ANYCLASSACTIONCLAIMSINRESPECTOFANYACTION,SUITORPROCEEDINGDIRECTLYORINDIRECTLYARISINGOUTOFORRELATINGTOTHISPROJECT.
b)CustomeragreesthatanydisputearisingoutoforrelatedtheworkmanshiporperformanceofanEEMortheadequacyorsafetyorsuchmeasureshallberesolvedsolelybetweentheCustomerandeithertheEEM
contractororequipmentprovider(Rev14)
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/businessPage8-SteamTrapApp2018Rev03
RequiredDocumentationChecklists
Beforesubmittingyourapplication,pleasebesuretoincludeallrequiredinformationanddocumentsaslistedbelow.
GeneralCompleteallfieldsintheCustomerandProjectInformationSection(p.2)
EnsurethatallqualifyingequipmentisenteredintheIncentiveCalculationSection(pp.3-5)
Attachmanufacturers’cutsheetsforallenergysavingequipmentforwhichyouarerequestingincentives.
Ensuretheapplicationissignedbythecustomerandtheindividualsigningtheformhascheckedtheboxindicatingcompliancewiththe
TermsandConditions.
SignedW-9formwithTaxIdentificationNumberassociatedwiththeAmerenIllinoiscustomer.IncentivesWILLNOTbepaiduntilacompletedandsignedW-9(http://www.irs.gov/pub/irs-pdf/fw9.pdf)hasbeenreceived.Standardapplicationsrequestinglessthan$10,000inincentivesdonotrequirepre-approvalandshouldsubmitasignedIncentive
RequestFormwhentheprojectiscomplete,alongwiththerequireddocumentationabovetoreceivepayment.Ifyouarerequesting
morethan$10,000inincentives,pleasesubmitasignedIncentiveRequestFormonceyourprojectiscomplete.
SupplementalDocumentationThereareseveralsupplementalformsrequiredforspecificsituations,asdescribedbelow.Allsupplemental
documentationcanbefoundontheAmerenIllinoisEnergyEfficiencyProgramswebsiteat
AmerenIllinoisSavings.com/forms.LandlordConsentForm(http://www.AmerenIllinoisSavings.com/portals/0/business/forms/landlord-
consent-form.pdf)isrequirediftheAmerenIllinoiscustomerisatenant.
PaymentReleaseAuthorization(http://www.AmerenIllinoisSavings.com/portals/0/business/forms/payment-release-authorization.pdf)is
requirediftheincentiveistobepaidtoapartyotherthantheAmerenIllinoiscustomer.
LargeIncentiveRequestForm(http://www.AmerenIllinoisSavings.com/portals/0/business/forms/large-
incentive-request-form.pdf)isrequiredifthetotalrequestedincentiveisover$25,000.
CustomerAcknowledgmentandSignature
Icertifythatallinformationprovidediscorrecttothebestofmyknowledge,andIgivetheCompany’spermissiontosharemyrecordswiththe
IllinoisCommerceCommission,oritscontractors,whoplantoevaluatemyenergyusage.Additionally,Iwillallowreasonableaccesstomy
propertytoverifytheinstallationandperformanceoftheEnergyEfficiencyMeasuresthatareeligibleforincentivesunderthePrograms.
Bycheckingthisboxandsigningbelow,IcertifythatIhaveread,understoodandagreetotheTermsandConditionslistedabove(p.7).
Applicationswillnotbeacceptedas“complete”unlessthisboxischecked.CompanyName(AmerenIllinoisCustomer):________________________________________________________________________________RequestedIncentiveAmount:___________________________________________________________________________________________ProjectEstimatedCompletionDate:(mm/dd/yyyy)_________________________________________________________________________EstimatedLeadTimeforMajorEquipment:________________________________________________________________________________PrintName:____________________________________________________________Title:__________________________________________
Signature:___________________________________________________________________Date:(mm/dd/yyyy)______________________ElectronicsignaturesallowedandacceptedbytheBusinessProgram.Typingyournameaboveconstitutesavalidelectronicsignature.
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected],5
thFloor,Peoria,IL61602Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/businessPage9-SteamTrapApp2018Rev03
Steam Trap Survey Log AllinformationrequestedinthissectionoftheapplicationmustbecompletedforsubmittalwithallSteamTrap
IncentiveApplications.
AmerenIllinoisCustomer'sBusinessName BusinessHoursofOperation
___________OR ____________
Perday Peryear
ContractorCompanynameforSurveyWork
SurveyDate(mm/dd/yyyy)
Technician’sname
PhoneNumber
ContractorCompanyNameforRepair/ReplacementWorkRepairDate(mm/dd/yyyy)
RepairTechnician
(name) PhoneNumber
Directionsforcompletingthelogsheet:SURVEY• IDtagnumber-yourinternalIDtagnumber
• Location/description-generaldescriptionofthelocation(e.g.,NEwalloftheboilerroom)
• Indicateiflocationisoutside-Inside/Outside
• NominalSystemSteamPressure(psig)-Systempressuremeasuredatthetrap(lessthanorequalto15,15-29,30-74,75-
124,125-174,175-249,250orgreater)
• TrapType-Invertedbucket,floattype,thermostatic,disctype,orother
• OrificeSize(ininches)-1/32,1/16,1/8,3/16,7/32,1/4,5/16,3/8,other
• TrapCondition-FunctioningProperly,ORMalfunctioning,(notleakingsteam)-failedclosed,ORMalfunctioning,(leaking
steam)-failedopen
• MalfunctioningandLeakingSteam-YesorNo(if"No",thistrapisnoteligibleforincentivesforrepair/replacement).
REPAIR/REPLACEMENTCompletethissectiononlyiftrapswererepairedand/orreplaced.
• "InService"or"OutofService"-indicateone,foreachtrap-"OutofService"trapsarenoteligibleforincentives.
• Repaired/Replaced-indicateifunitwasrepairedORreplaced
• Trapsmustbemalfunctioningandleakingsteamtobeeligiblefor"Repair/Replacement"incentives
"BestPractices"Recommendationsü Developatestingscheduleformaintenancestaff-includingmaintenancerecordtoestablish
preventativemaintenanceprogram
ü Repairsshouldbeperformedwithinninemonthsofsurveycompletiontoensurethatallfailedtraps
havebeenrepaired.
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected]
300LibertyStreet,5thFloor,Peoria,IL61602 Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page10-SteamTrapApp2018Rev03
SurveyandRepair/ReplacementLogSteamtrapsurveyandrepairworkmustberecordedandsubmittedwiththeincentiveapplication.Vendermustrecorddatainthislogasthework
iscompleted.Applicantsshouldfeelfreetoreproducethistableinadifferentdocument,ifmorerowsareneeded.Theinformationrequestedin
theSurveyandRepair/ReplacementLogistheminimumrequiredinformation.
SURVEYCONDUCTED REPAIRED/REPLACED*Indicatetestingmethod(s),checkallthatapply:
ListeningDevice
TestPyrometerMethod VisualObservation
IDTagNumber LocationDescriptionIndicateifLocationisOutside
NominalSystemSteamPressure(psig)
TrapType OrificeSizeTrap
Condition
MalfunctioningandLeakingSteam?
"InService"or"OutofService"
Repaired/Replaced
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected]
300LibertyStreet,5thFloor,Peoria,IL61602 Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page11-SteamTrapApp2018Rev03
IncentivePaymentRequestForm
Thisformandrequireddocumentationshouldonlybesubmitteduponprojectcompletion.ProjectcompletionisdefinedbytheAmeren
IllinoisEnergyEfficiencyProgramsasallequipmentinstalledandoperable.
RequiredDocumentationChecklists
ALLPROJECTS
Completedthisform?(SignedbytheAmerenIllinoiscustomerandcheckedtheboxindicatingcompliancewiththeTermsand
Conditions.)
Changessincepre-approval?(Ifapplicable,submitawrittensummaryofthespecificchangesandtherationaleforthechanges.)
Invoicessubmitted?(Mustshowthedate,placeofpurchase,model/partnumbers,quantitiesandunitcostsofallequipment.)
W-9submitted?
SteamTrapSurvey
Acompletedcopyofthe"Log"mustbeincluded.Seepages8–9oftheSteamTrapapplication.
Ifexternallaborwasused,acopyofthepaidinvoiceofcompletedworkspecifyingthelaborusedandthedatetheworkwas
completed.
Ifinternallaborwasused,noinvoiceisneeded.
Includewithsurvey,areportofthefindingsandtherecommendations,ANDacost-summaryreportthatprovidesalistingofthe
costofsteamlossduetodefectivetraps,costestimatesofrepairingorreplacingdefectivetrapsandeconomicalpaybackperiod
SteamTrapRepair/Replacement
Acompletedcopyofthe"Log"mustbeincluded.Seepages8–9oftheSteamTrapapplication.
Acopyofthepaidinvoiceofcompletedwork,includinganitemizedlistofpartsused,costofpartsandlabor(externallaboronly),
andthedatetheworkwascompleted.
Projectcostincludesonlythereplacementand/orrepairpartsandassociatedlabor(externallaboronly).Surveylaborcannotbe
includedinthistotal.
CustomerAcknowledgmentandSignature
Icertifythatallinformationprovidediscorrecttothebestofmyknowledge,andIgivetheCompany’spermissiontosharemyrecordswith
theIllinoisCommerceCommission,oritscontractors,whoplantoevaluatemyenergyusage.Additionally,Iwillallowreasonableaccessto
mypropertytoverifytheinstallationandperformanceoftheEnergyEfficiencyMeasuresthatareeligibleforincentivesunderthePrograms.
Bycheckingthisboxandsigningbelow,IcertifythatIhaveread,understoodandagreetotheTermsandConditions(p.7).Further,I
confirmthattheupgradeshavebeencompletedatthefacilitylocationasspecifiedinthe“CustomerandProjectInformation”Section
oftheApplication.Allequipmentisinstalledandoperational(notplacedintostorage).Applicationswillnotbeacceptedas
“complete”unlessthisboxischecked.
CompanyName(AmerenIllinoisCustomer):________________________________________________________________
ProjectNumber(Pre-ApprovedProjectsOnly):______________________________________________________________
ProjectCompletionDate:(mm/dd/yyyy)___________________________________________________________________
PrintName:______________________________________________________Title:_________________________________
Signature:_______________________________________________________Date:(mm/dd/yyyy)___________________
ElectronicsignaturesallowedandacceptedbytheBusinessProgram.Typingyournameaboveconstitutesavalidelectronicsignature.
StandardSteamTrapRepair/ReplacementApplication
AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected]
300LibertyStreet,5thFloor,Peoria,IL61602 Sendquestionsto:[email protected]
TollFree:1.866.800.0747Fax:1.309.677.7950
AmerenIllinoisSavings.com/business Page12-SteamTrapApp2018Rev03
INSTRUCTIONS(forelectroniccompletionandsubmission):
AfterclickingSubmit(above),ifanewemailmessageappearswiththiscompletedformattached,attachyoursupporting
documentation(cutsheets,W-9form,signaturepage,etc)totheemailandclicksend.Youcanthensaveacopyofthecompletedform
toyourharddriveifyouwish.
Ifanewemailmessagedoesnotappear,pleasesavethiscompletedformtoyourdesktop.Then,createanewemailmessage
[email protected],attachthefileyoujustsavedaswellasrequiredsupportingdocumentation(cut
sheets,W-9form,signaturepage,etc)totheemailandclicksend.Donotsubmit“zip”files.
Individualattachmentsmaynotexceed3MBinsize.Thesumofallattachmentsmaynotexceed10MB,(PDFdocumentscangenerally
bereducedsufficientlybyselecting“ReduceFileSize”underthe“Document”menuinAdobeAcrobat).
Applicationssubmittedelectronically,usingthe“submit”buttonabove,mayreceivepriorityintheapplicationreviewprocess.