NONRESIDENTIAL ENERGY SOLUTIONS
2021 PROJECT PREAPPROVAL APPLICATION
This Preapproval Application is required for custom projects; no equipment can be purchased or any work initiated prior to receiving a formal preapproval letter. Please call MidAmerican Energy Company at 800-432-8583 or email email@example.com with questions about application procedures, qualifying projects, incentives or verification process. Program preapproval is not required for prescriptive projects.
Rebates are issued on a first-come, first-served basis. Rebates are offered until approved funds are exhausted or through Dec. 31, 2021, whichever comes first.
Please review the General Qualifications and Conditions Submit completed application by: located at MidAmericanEnergy.com/ee before signing Email: firstname.lastname@example.org and submitting this application. The following must be Mail: MidAmerican Energy Company
included: PO Box 8439
q Key Input and Assumption (KIA) table Des Moines, IA 50301 q Associated quotes
q Equipment cut sheet/manufacturer specification sheet
q A signature(s) in the Customer/Dealer Agreement section(s).
Name on account MidAmerican Energy Company account number
(found on bill; first seven digits only)
All nonresidential rebates are issued to customer of record and sent to mailing address on file.
Account address/Installation Federal Tax ID # (required)
City State ZIP If your Federal Tax ID number is your Social Security number, do not enter your Social Security number in these boxes.
Contact name Contact’s phone number
Contact’s Email address
*This email address only will be used for communication regarding this rebate application.
q Check this box if you would like to receive additional energy efficiency program information. Your email address will never be shared and you can unsubscribe at any time.
Year building was Building size [sq.ft.(area)] Do you:
constructed q Own
q Rent this building
This project will be (check one): This new equipment is for: Equipment was Is existing equipment q Part of a new facility q Replacement self-installed: operational?
q Addition to an existing facility q New installation q Yes q Yes
q Replacement for existing equipment q No q No
q New equipment Age of existing
equipment ________ Desired start date (month/year) Expected completion date (month/year)
Industrial MEC Use Only
q Apparel manufacturing IND
q Chemical manufacturing IND
q Computer/electronic product manufacturing IND
q Electrical equipment, appliance/component IND manufacturing
q Food/beverage/tobacco product manufacturing IND
q Furniture and related product manufacturing IND
q Leather and allied product manufacturing IND
q Machinery manufacturing IND
q Nonmetallic mineral product manufacturing IND
q Oil and gas extraction; mining IND
q Paper manufacturing; printing and related support IND activities
q Personal and laundry services IND
q Petroleum and coal products manufacturing IND
q Plastics and rubber products manufacturing IND
q Primary metal/fabricated metal product IND manufacturing
q Textile mill and textile product mill IND
q Transportation equipment manufacturing IND
q Utility IND
q Warehouse and storage IND
q Warehouse – large refrigerated IND
q Wood product manufacturing IND
q Miscellaneous manufacturing IND
q Other industrial O
Agriculture MEC Use Only
q Corn farming AG
q Dairy cattle and milk production AG
q Hog facility AG
q Soybean farming AG
q All other animal production AG
q All other miscellaneous crop farming AG
Commercial MEC Use Only
q Apartment, halfway house MF
q Condo MF
q Convenience store/gasoline station CV
q Dealership − small <30k square feet RS
q Dealership − large >30k square feet RL
q Financial institution − small <30k square feet OS
q Financial institution − large >30k square feet OL
q Grocery store and supermarket GR
q Healthcare (outpatient) HC
q Healthcare (inpatient, including hospital, nursing home, senior HS care facility)
q Healthcare − senior housing - individual apartment MF
q Health club/exercise facility - Large > 30K square feet RL
q Health club/exercise facility − small <30k RS square feet
q Health club/exercise facility − large >30k square feet RL
q Library ED
q Lodging – hotel LO
q Lodging – motel LO
q Mixed use O
q Other - commercial O
q Office – small ≤ 4 floors OS
q Office – large > 4 floors OL
q Office – government – small ≤ 4 floors OS
q Office – government – large > 4 floors OL
q Office − public order and safety – small ≤ 4 floors OS
q Office – public order and safety – large > 4 floors OL
q Pharmacy and drug store − small <30k RS square feet
q Pharmacy and drug store − large >30k RL square feet
q Public assembly − events/conventions/casinos − small <30k RS square feet
q Public assembly − events/conventions/casinos − large >30k RY square feet
q Religious worship/church RE
q Restaurant − fast food RST
q Restaurant − full service RST
q Retail – small <30k square feet RS
q Retail – large >30k square feet RL
q Retail – department store – small <30k RS square feet
q Retail – department store – large >30k RL square feet
q School − elementary ED
q School – jr. high ED
q School − high school ED
q School − college, university and professional school ED
q School − lodging (school/dorm) LO
q Service – small <30k square feet RS
q Service – large >30k square feet RL
q Truck stop CV
q Warehouse and storage WH
q Warehouse − large refrigerated WH
Proposed Energy Effi ciency Project: Describe equipment/system to be replaced/upgraded and attach documentation (e.g., replace 4-lamp T-12 fl uorescent fi xtures with LED fi xtures).
Custom Equipment/Project Information for Preapproval
(Complete if not included in written description or attached proposal. Use additional sheets if necessary.)
Less-Efficient Alternative Proposed High-Efficiency
Project Data Existing (non-lighting measures only) Option
Equipment type Manufacturer/model Effi ciency
Units: kW, MBtuh, tons, HP, etc. Quantity
Equipment Hours of Operation: (circle a.m. or p.m.)
Monday - Friday __ a.m./p.m. to ______ a.m./p.m. Saturday _________ a.m./p.m. to ______ a.m./p.m. Sunday __________ a.m./p.m. to ______ a.m./p.m.
Additional data Additional data
Project Cost Details
(Complete if not included in written description or attached proposal. Use additional sheets if necessary.) Equipment/materials Installation/labor* Sales tax Freight/shipping Other Total:
*Installation/labor cost includes contractor labor only and does not include internal labor.
Rn n n n
Equipment cut sheet/manufacturer specification sheet: Include a cut sheet or manufacturer specification sheet for all equipment being installed as part of the project.
Project proposal: Include your contractor’s proposal for the project.
Electric and natural gas savings calculations: Using industry-accepted engineering algorithms or simulation models, calculate the annual electric and natural gas savings by estimating the energy usage of both the existing (baseline conditions) and proposed equipment based on the current operation of the facility. Include appropriate documentation of sources and any assumptions used in the calculations. Technical support for savings calculations
s available upon request.
Additional supporting data: Include any relevant energy data, drawings, trend logs or diagrams. Supplying this data with your application reduces review delays due to requests for additional documentation.
MidAmerican Energy Company does not guarantee that installation and operation of high-effi ciency equipment will result in reduced usage or in cost 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 fi tness 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.
Specific Terms and Conditions
n All custom systems must specify a less-efficient, commercially available alternative for baseline comparison purposes (except lighting measures).
n Custom projects require preapproval by MidAmerican Energy Company prior to purchase and installation of equipment or systems. Projects must be completed within six months of preapproval. All custom projects must be deemed cost-effective by MidAmerican Energy Company in order to be eligible for a rebate.
n Eligibility is based on the qualifying equipment or system’s energy savings, peak demand savings, usage profile and incremental cost.
n Equipment must be new.
n Incentives based on first year savings and calculated according to improvements −Electric improvements: −Gas improvements:
HVAC – $0.18/kWh saved All improvement types – $1.50/therm Lighting – $0.15/kWh saved
Process/other – $0.12/kWh saved
n You will receive the lesser of the calculated custom rebate or 70% of the eligible project cost, and the incentive may not reduce the simple payback period for the project to less than two years.
General Terms and Conditions
Important: Before completing and signing this application, please read the General Terms and Conditions located at MidAmericanEnergy.com/ee.
Questions or need assistance with the application? Call our energy efficiency representatives at 800-432-8583. Do not forget to sign the Customer Agreement on the next page.
(Signature required before application is processed.)
I, the undersigned, agree that to the best of my knowledge, the energy effi ciency measure listed herein is
representative of the project we expect to implement. I understand that incentive amounts are determined from the project-specifi c data submitted with this application and provided during the review process, and that incentives for similar measures may vary from program participant to program participant based upon specifi c costs and savings. Incentives awarded are subject to available program funds. MidAmerican Energy Company may conduct a pre- and/ or post-installation inspection to verify savings. I am authorized by the customer organization listed above to submit this summary on its behalf.
My signature indicates consent to and agreement with all program terms and conditions, certifi es that all information on this application is correct, and that all the listed new equipment has not been purchased and/or installed at the indicated location. My signature also authorizes for MidAmerican’s Program Implementation Contractor to have access to all electric, lighting and gas billing information for the account numbers included in this application.
Customer signature Date
Contractor/Trade Ally Information
(engineer; architect; mechanical/electrical contractor; dealer; etc.)
Installing contractor company name Installing contractor contact name
Company address City State ZIP
Contact phone Contact email
Contractor/Trade Ally Agreement
I certify that all equipment and installation information provided on this application is correct and accurate.