Download - Standard Steam Trap Repair/Replacement Application · Standard Steam Trap Repair/Replacement Application Ameren Illinois Energy Efficiency Program Submit

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).



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.

http://www.irs.gov/pub/irs-pdf/fw9.pdf


AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected],5

thFloor,Peoria,IL61602Sendquestionsto:[email protected]

TollFree:1.866.800.0747Fax:1.309.677.7950


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)




TollFree:1.866.800.0747Fax:1.309.677.7950


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




TollFree:1.866.800.0747Fax:1.309.677.7950


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)




TollFree:1.866.800.0747Fax:1.309.677.7950


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:




TollFree:1.866.800.0747Fax:1.309.677.7950


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)




TollFree:1.866.800.0747Fax:1.309.677.7950


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.

http://www.irs.gov/pub/irs-pdf/fw9.pdf

http://www.AmerenIllinoisSavings.com/forms

http://AmerenIllinoisSavings.com/portals/0/business/forms/landlord-consent-form.pdf

http://AmerenIllinoisSavings.com/portals/0/business/forms/payment-release-authorization.pdf

http://AmerenIllinoisSavings.com/portals/0/business/forms/large-incentive-request-form.pdf




TollFree:1.866.800.0747Fax:1.309.677.7950


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.


AmerenIllinoisEnergyEfficiencyProgram Submitapplicationsto:[email protected]

300LibertyStreet,5thFloor,Peoria,IL61602 Sendquestionsto:[email protected]

TollFree:1.866.800.0747Fax:1.309.677.7950


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


AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected]


TollFree:1.866.800.0747Fax:1.309.677.7950


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.


AmerenIllinoisEnergyEfficiencyProgramSubmitapplicationsto:[email protected]


TollFree:1.866.800.0747Fax:1.309.677.7950


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.

Download - Standard Steam Trap Repair/Replacement Application · Standard Steam Trap Repair/Replacement Application Ameren Illinois Energy Efficiency Program Submit

Top Related