LIGHTING EQUIPMENT 2018 SOUTH DAKOTA NONRESIDENTIAL PROGRAM AND REBATE APPLICATION

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1 LIGHTING EQUIPMENT 2018 SOUTH DAKOTA NONRESIDENTIAL PROGRAM AND REBATE APPLICATION As a business owner, you look for investments with short payback periods and attractive rates of return. Energy-efficient lighting is just such an investment. As much as 40 percent of your electric bill may be just keeping the lights on. Instructions: Complete the application in full and return it to MidAmerican Energy. For pre-notification include an itemized quote, product specifications and estimated installation date. For final applications, submit product specifications, dated itemized invoices and installation date(s). Incomplete information will delay rebate processing. must be purchased between Jan. 1, 2018, and Dec. 31, must be installed and operating prior to submission of final rebate application. If submitting a pre-notification for expected rebates greater than or equal to $5,000, check box below to reserve funds. If this expected rebate is less than $5,000 or submitting a final application, check final application box below. Rebates cannot exceed 50 percent of the installed (materials and reasonable labor). You will receive the lesser of the rebate amount listed or 50 percent of installed. Installed includes contractor labor only and does not include internal labor. Rebate application must be submitted within 90 days of dealer invoice for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after 90 days of dealer invoice are not eligible for rebates. Custom : If specific equipment you intend to purchase and install is not listed, it may qualify under the Nonresidential Custom Systems option. However, custom projects must be preapproved by MidAmerican Energy prior to purchase and installation of equipment or system. See the Nonresidential Custom Systems preapproval application for details. SECTION 1 (REQUIR) Name on account Installation address Customer Information This application is submitted for: q Pre-notification q Final application City State ZIP Phone MidAmerican Energy account number (found on bill; first seven digits only) Self-installed q Yes q No SECTION 2 (REQUIR) Year building was constructed Building size [sq. ft. (area)] Do you: q Own q Rent this building The new equipment is for: q Replacement of existing equipment q installation (new to facility) q construction Is facility where equipment will be installed conditioned? (check one) q Cooled only q Heated only q Not cooled or heated q Both heated and cooled If facility is heated, what fuel type is used? (check one) q Natural gas (furnace) q Electric (resistance heating) q Propane q Natural gas (boiler) q Electric (heat pump) Mailing address (if different than installation address) City State ZIP Contact name Title address* *This address only will be used for communication regarding this rebate application. Your address never will be shared and you can unsubscribe at anytime. Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 1 of 7

2 SECTION 2 CONT. (REQUIR) installed in what type of facility? (check one) Industrial MEC Use Only Agriculturure MEC Use Only q Office small 4 floors q Apparel manufacturing q Corn farming q Office large > 4 floors q Chemical manufacturing q Dairy cattle and milk production DF q Office government small 4 floors q Computer/electronic product manufacturing q Hog facility HF q Office government large > 4 floors q Electrical equipment, appliance/component manufacturing q Food/beverage/tobacco product manufacturing q Furniture and related product manufacturing q Leather and allied product manufacturing q Machinery manufacturing q Nonmetallic mineral product manufacturing q Oil and gas extraction; mining q Paper manufacturing; printing and related support activities q Personal and laundry services q Petroleum and coal products manufacturing q Plastics and rubber products manufacturing q Primary metal/fabricated metal product manufacturing q Textile mill and textile product mill q Transportation equipment manufacturing q Utility q Warehouse and storage q Warehouse large refrigerated q Wood product manufacturing q Miscellaneous manufacturing q Other industrial O q Soybean farming q All other animal production q All other miscellaneous crop farming Commercial q Apartment, halfway house q Condo q Convenience store/gasoline station q Dealership small <30k q Dealership large >30k q Financial institution small <30k q Financial institution large >30k q Grocery store and supermarket q Healthcare (outpatient) q Healthcare (inpatient, including hospital, nursing home, senior care facility) q Healthcare senior housing - individual apartment q Health club/exercise facility small <30k q Health club/exercise facility large >30k q Library q Lodging hotel q Lodging motel q Mixed use q Other - commercial MEC Use Only CV GR HC HS LO LO O O q Office public order and safety small 4 floors q Office public order and safety large > 4 floors q Pharmacy and drug store small <30k q Pharmacy and drug store large >30k q Public assembly events/conventions/casinos small <30k q Public assembly events/conventions/casinos large >30k q Religious worship/church q Restaurant fast food q Restaurant full service q Retail small <30k q Retail large >30k q Retail department store small <30k q Retail department store large >30k q School elementary q School jr. high q School high school q School college, university and professional school q School lodging (school/dorm) q Service small <30k q Service large >30k q Truck stop q Warehouse and storage q Warehouse large refrigerated HY HY RE T T CV WH-C WH-C Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 2 of 7

3 SECTION 3 (REQUIR) Complete all fields for each piece of equipment purchased and installed. L Troffer Fixtures and Retrofit Kits (Design Lights Consortium Qualified Product List Required) Rebates are based on a one-for-one replacement of existing linear fluorescent troffer systems. The Eligible DLC primary use designations: program accepts L troffer fixtures and retrofit kits. Linear ambient (or strip and wrap) fixtures are not 1 x 4, 2 x 2 and 2 x 4 luminaires for ambient Lamp-style retrofit kits for linear panels eligible in this category. With preapproval before purchase or installation, they may qualify through the lighting of interior commercial spaces (1 x 4, 2 x 2 and 2 x 4 troffers) Nonresidential Custom Systems option. Retrofit kits for 1 x 4, 2 x 2 and 2 x 4 Linear retrofit kits for 1 x 4, 2 x 2 and luminaires for ambient lighting of interior 2 x 4 luminaires commercial spaces Integrated retrofit kits for 1 x 4, 2 x 2 and 2 x 4 luminaires L Troffer Fixture Replace fluorescent T8 and T12 existing fixtures; Troffers must replace like-sized fixtures; for example, a 1 x 4 must replace a 1 x 4. 2 x 2 brand/ model number Total calculation 2,000- X $30/fixture = 5,000 1 x 4 brand/ model number Total calculation 1,500- X $30/fixture = 6,000 Size/ 2 x 4 brand/ model number Total calculation 3,000- X $30/fixture = 7,500 Retrofit Kit for L 2 x 4 brand/ model number Total calculation Troffer Fixtures Replace fluorescent 3,000- X $15/fixture = 7,500 T8 and T12 existing fixtures. Troffers must replace like-sized 2 x 2 brand/ model number Total calculation fixtures; for example, a 1 x 4 must replace 2,000- X $15/fixture = 5,000 a 1 x 4 1 x 4 brand/ model number Total calculation 1,500- X $15/fixture = 6,000 Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 3 of 7

4 L Hanging/Suspended Linear Fixtures with Indirect Components (DLC QPL Required) Linear ambient (or wrap and strip) fixtures are not eligible in this category. With preapproval before purchase or installation, they Eligible DLC primary use designation: may qualify through the Nonresidential Custom Systems program. Linear ambient luminaires with indirect component Size/ >3,000 brand/ model number Total calculation X $30/fixture = L Linear Replacement Lamps (DLC QPL Required) Rebates are based on one-for-one replacement of fluorescent lamps with L linear replacement lamps listed on the DLC QPL. Two 4' L lamps cannot replace one 8' lamp. This program adopts the DLC definitions: Replacement lamps (UL Type A). Products in this category employ lamp holders to connect to the fixture being retrofitted and are designed to be plug and play replacements for fluorescent lamps. That is, products in this category can operate off an existing fluorescent ballast and do not require mechanical or electrical changes to the fixture. Note that due to testing considerations, at this time only products that can operate off electronic instant start ballasts are eligible. Replacement lamps designed to operate off existing magnetic ballasts, or other types of electronic ballasts, are not eligible. Dual mode internal driver lamps (UL Type A/B) are allowed in this category if installed as a plug and play operating off existing fluorescent ballast. Internal-driver/line voltage linear lamp-style retrofit kits (UL Type B) and external-driver lamp-style retrofit kits (UL Type C) must utilize existing pin sockets. Eligible DLC primary use designations: Replacement lamps ( Plug and Play ) (UL Type A) Internal driver/line voltage lamp-style retrofit kits (UL Type B) Two-lamp external driver lamp-style retrofit kits (UL Type C) Three-lamp external driver lamp-style retrofit kits (UL Type C) Four-lamp external driver lamp-style retrofit kits (UL Type C) Dual mode internal driver (UL Type A or B) /specifications L Linear Lamp brand/ model number Total calculation Type A, 4' 4' T12, T8 and T5 X $5/lamp = fluorescent replacement lamps L Linear Lamp brand/ model number Total calculation Type B and Dual Mode Type A/B, 4 X $5/lamp = 4' T12, T8 and T5 fluorescent replacement lamps L Linear Lamp brand/ model number Total calculation Type C, 4 4 T12, T8 and T5 X $5/lamp = fluorescent replacement lamps Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 4 of 7

5 L Exterior Fixtures (DLC QPL Required) Rebates are based on one-for-one replacement of exterior HID fixtures and wall packs Eligible DLC primary use designations: with L fixtures rated for exterior use. Outdoor full cut-off wall-mounted area luminaires Outdoor noncut-off and semicut-off wall-mounted area luminaires Architectural flood and spot luminaires Bollards Landscape/accent flood and spot luminaires Outdoor pole/arm-mounted decorative luminaires Stairwell and passageway luminaires L Outdoor Area Lighting Replace HID systems <10,000 brand/ model number X $50/fixture = Total calculation 10,001-30,000 brand/ model number X $75/fixture = Total calculation >30,000 brand/ model number X $150/fixture = Total calculation Building Exterior Replace HID systems. Replacement L wall pack fixtures must be used for building exteriors. must be hardwired and rated for exterior use. <10,000 brand/ 10,001-15,000 brand/ >15,000 brand/ model number model number model number X $50/fixture = X $75/fixture = X $150/fixture = Total calculation Total calculation Total calculation Is parking garage where equipment will be installed conditioned? (check one) q Cooled only q Heated only q Not cooled or heated q Both heated and cooled Parking Garage <10,000 brand/ model number Replace HID systems. Replacement L wall pack fixtures must be used inside parking garages and must be attached to a wall (parking garage ceiling fixtures are not eligible for this rebate but may qualify for the ceiling-mounted L parking garage fixture rebates). must be hardwired and rated for exterior use. 10,001-15,000 brand/ >15,000 brand/ model number model number If parking garage is heated, what fuel type is used? (check one) q Natural gas (furnace) q Natural gas (boiler) q Electric (resistance heating) q Electric (heat pump) q Propane Actual lumens/fixture Actual lumens/fixture Actual lumens/fixture X $50/fixture = X $75/fixture = X $150/fixture = Total calculation Total calculation Total calculation Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 5 of 7

6 Specific Terms and Conditions Participants must be nonresidential electric customers (commercial or industrial) with facilities located in MidAmerican Energy Company s South Dakota service territory. To be eligible for rebates, qualifying equipment must be new, installed on the premises and must not be purchased for resale. MidAmerican Energy Company must directly provide the primary electricity to the equipment at the facility for which the rebate is being paid. Expected rebates $5,000 require pre-notification in order for MidAmerican Energy Company to reserve funds. Pre-notification approval will be provided within 14 business days of receipt of pre-notification application, assuming the submitted application is complete. must be installed within 90 days of pre-notification approval. Funds that have been reserved for specific projects are not transferable to other projects, facilities/campuses, and/or customers. A reservation does not guarantee a rebate. For prescriptive rebates, the rebate payment cannot exceed 50 percent of the installed (reasonable labor and material/equipment - reasonableness to be determined by MidAmerican Energy Company). Installed includes contractor labor only and does not include internal labor. Itemized and dated invoices from the contractor must accompany equipment applications. Specification sheets also are required. Applications must be completed in full; incomplete applications will delay processing and may be returned. Applications must include the equipment s name, model/serial number, efficiency rating and the quantity of high-efficiency equipment installed. must be installed and operating prior to submission of final rebate application. Participants are responsible for ensuring that the equipment installed for this program meets all applicable codes, standards and regulatory requirements. Rebates will be based on the rebate schedule in effect on the invoice date. Rebate checks will be issued to the building owner or account holder. MidAmerican Energy Company reserves the right to conduct on-site verification of equipment installation, install metering devices on new equipment, and to verify sales receipts and other project documentation at any time before or after issuing a rebate. All project installations with rebates exceeding $20,000 will be reviewed for on-site verification of installation by MidAmerican Energy Company or its agent prior to issuance of rebate. Rebate payments may be subject to income tax. Consult your tax advisor for more information. Rebates for all South Dakota energy efficiency programs are issued on a first-come, first-served basis. Rebates may not be available if 2018 program funding is depleted prior to the end of the year. Rebate application must be submitted within 90 days of dealer invoice for the equipment/material purchased. The rebate will be based on the rebate schedule in effect on the date of dealer invoice for the equipment/material purchased. Rebate applications received after 90 days of dealer invoice are not eligible for rebates. Allow 4-6 weeks for rebate processing, excluding on-site verification, if needed. MidAmerican Energy Company does not endorse any particular, product or system design in promoting this incentive program. Listing a product does not constitute an endorsement, nor does it imply that unlisted products are defective in any way. This program is effective Jan. 1, 2018, through Dec. 31, 2018, and is subject to periodic review by MidAmerican Energy Company, and MidAmerican Energy Company reserves the right to modify or end these programs at any time. Disclaimer MidAmerican Energy Company does not guarantee that installation and operation of high-efficiency equipment will result in reduced usage or in savings. MidAmerican Energy Company makes no warranties, expressed or implied, with respect to any equipment purchased or installed, including, but not limited to, any warranty of merchantability or fitness for a particular purpose. In no event shall MidAmerican Energy Company be held liable for any incidental or consequential damages or injuries resulting from defective equipment or installation. MidAmerican Energy Company reserves the right to cancel or change these programs at any time. MidAmerican Energy Company s acceptance of this application does not guarantee payment of rebate. Customer Agreement I certify that I have purchased the equipment described on this form and that it has been installed at the service address indicated. I agree to the terms and conditions associated with this form. I understand that MidAmerican Energy Company reserves the right to inspect and verify installation before issuing payment. Customer signature Date Dealer name Contact name Address Installer/Dealer Information City State ZIP Phone address Fax Dealer Agreement I certify that all equipment and installation information provided on this application is correct and accurate. Dealer signature Before you submit your form: q Fill out this form completely. q Attach a copy of the itemized sales receipt, invoice or itemized quote for pre-notification. q Include required documentation with each measure. q Sign the Customer Agreement section. For MidAmerican Energy Use Date Send completed forms to: Mail: MidAmerican Energy Company P.O. Box 4628 Des Moines, IA Fax: rebateapplications@midamerican.com Project # Project # Received date Method: E M F IO Assessment # Assessment date KAM-BAM Sector type Rebate total amount $ Page 6 of 7

7 Example of DLC Primary Use Designations DLC Product ID (Required on application) Example of DLC Primary Use Designation Sample Invoice Date: January 31, 2018 INVOICE #: SHIP TO: XYZ Company 234 Jersey St. Des Moines, IA TO: XYZ Company 234 Jersey St. Des Moines, IA PO number: Terms: Net 25 Include project codes and/or item numbers Specify the quantity for each item Identify s part information List price for each item and total ITEM QTY DESCRIPTION RATE SERVICE DATE AMOUNT L30WCW 100 Acme 30W L lamp $35 $3, DEC27W Acme 27W L lamp $125 $3, HD B blue wire nut $0.16 $32.00 Installed L lamps and downlights Subtotal $6, Local sales tax 7.5% $ Labor 1 Labor $448 1/2/2018 $ Total $7, Travel 0 Travel $64 $0 Environmental Fee Environmental Fee $ /2/2018 $82.11 Note labor and other expenses separately from material s Give accurate description of work completed Questions about the forms or need assistance with the forms? Call our energy efficiency representatives at Page 7 of 7