Business Energy Rebates
Application
Submit your completed application along with supporting documents to: Mail:
Efficiency Nova Scotia
230 Brownlow Ave., Suite 300 Dartmouth, NS B3B 0G5
Attention: Business Energy Rebates Fax:
902 470 3599
Attention: Business Energy Rebates Email:
(Please note that we cannot accept high risk attachments such as ZIP, EXE or files that exceed 10MB.)
Business Energy Rebates make it easy and affordable for you to select energy efficient products for your business. In-store and mail-in rebates are available for energy efficient products purchased and installed in non-residential buildings in Nova Scotia. You may choose to finance your products as 24 interest-free payments on your power bill in lieu of rebates.
Please note: Mail-in rebates and financing are not typically available on products where in-store rebates are available at participating distributors.
Pre-approval is required for financing and prior to purchase for total rebate amounts greater than $15,000. The following documentation is required to be submitted. If you are a small business, you may qualify for an additional incentive. Complete your Business Profile at efficiencyns.ca to find out if you qualify before completing your application.
Required Documentation:
Quote or proof of purchase, please refer to the enclosed guidelines. Copy of a recent electric bill
Manufacturer product specification sheet(s) Completed application form
Submit your application within 90 days of installing your product(s). Please ensure all documentation is sent to Efficiency Nova Scotia by the date on your pre-approval letter. Documentation received by a later date may result in the expiration of your loan pre-approval and you may be required to re-apply.
Company Information
Company Name: Contact Name: Position:
Mailing Address:
Installation Address: (if different than above) Phone:
Fax:
Contact Email:
I would like to receive email communications (tips, promotions, etc.) from Efficiency Nova Scotia. (You may withdraw your consent at any time.)
Project Type:
22
Business Energy Rebates Application Form 22
Complete the following ONLY if applying for financing:
Note: Financing is subject to approval by Nova Scotia Power. Nova Scotia Power may carry out a credit check (including Equifax reporting), to determine eligibility for financing.
Nova Scotia Power Account Number(s)OR Meter Number(s): Service Address(es):
Installer Information
Company: Contact Name: Position: Phone: Email:Rebate Information
Without assistance from Business Energy Rebates, would you have:
Installed any energy efficient equipment? Yes No
Installed significantly less energy efficient equipment? Yes No
Postponed the installation of equipment by more than two years? Yes No
Payment Information
Total Rebate Requested: (total from all worksheets)
Choose how you would like to receive your rebate: (check one)
Direct Deposit: Attach a void cheque or a direct deposit form from your bank to have your rebate deposited directly into your bank account
Cheque: Fill out the information below to have your rebate sent to you as a cheque Make cheque payable to:
Mailing address: (if different than previous)
Terms and Conditions
I hereby consent and acknowledge that:
a) Rebates are for new equipment only, cannot be combined with any other Efficiency Nova Scotia offer and are subject to change without notice.
b) Program funding is limited and will be allocated by Efficiency Nova Scotia in a manner that best serves the intent of funding. To be eligible for rebates: products must be installed in a non-residential building serviced by a Nova Scotia electric utility and products installed must reduce electrical consumption.
c) Efficiency Nova Scotia may at its sole discretion, approve or reject any rebate at any time.
d) Cogeneration, self-generation, demand-limiting, power factor correction and fuel switching are not eligible for rebates.
1 877 999 6035
ENS-00058-V1-2015 33
Business Energy Rebates Application Form 33
____________________________________________ ______/______/_______
Signature DD MM YYYY
X
____________________________________________ ______________________________________
Name (Please Print) Title (Please Print)
X
By signing below, I agree to the above terms and conditions and confirm the information provided is complete and accurate.
e) Pre-approval is required for financing and prior to purchase for a total rebate amount greater than $15,000. f) The Applicant must submit the following to be eligible for rebates: (1) Business Energy Rebates Application,
(2) Applicable Worksheets, (3) Proof of Purchase, (4) Manufacturer Specification Sheets, (5) A copy of an electric bill showing the Nova Scotia Rate Code and other information deemed necessary by Efficiency Nova Scotia to adequately review the rebate request.
g) Proof of Purchase includes invoice(s) indicating the size, type, manufacturer, model or part number, purchase date, and vendor of the efficient equipment. Efficiency Nova Scotia reserves the right to verify sales transactions.
h) The Applicant will provide Efficiency Nova Scotia with reasonable access to the Installation Address to inspect the product installation. Efficiency Nova Scotia reserves the right to withhold, revise or reclaim any rebate until it has performed a satisfactory post-installation verification.
i) Efficiency Nova Scotia may require the sharing and exchange of information between Efficiency Nova Scotia and third parties such as the Applicant’s electricity provider. In applying and receiving rebates, the Applicant hereby irrevocably consents to the release, use, storage and exchange of information between Efficiency Nova Scotia and necessary third parties, including, but not limited to name(s), addresses, electricity usage history, credit reports, and phone number, for the purposes of administering rebates. j) Efficiency Nova Scotia does not guarantee the performance of installed equipment expressly or implicitly. k) Efficiency Nova Scotia does not endorse any particular manufacturers, products, or system designs in
promoting this program.
l) Allow 60 days for delivery of payment. Submitting an application form with incomplete or missing information will delay processing of payment.
m) Maximum payment will not exceed 50 per cent of the equipment purchase price. Applicants and/or contractors are responsible for all costs associated with sales tax, installation, and disposal/recycling. Applicant is responsible for any tax liability of rebate payment.
n) Rebates can only be paid directly to the end-user.
o) I certify that all equipment for which I am requesting a rebate has been installed within the last 90 days (unless applying for pre-approval), that the products meet the eligibility requirements for rebates, and that all information submitted as part of this application, including proof of purchase, is correct to the best of my knowledge.
p) Efficiency Nova Scotia is a franchise operated by EfficiencyOne, official Licensee of the Province of Nova Scotia. By completing and submitting this form, I agree to release my personal information to the current and successive holders of the Efficiency Nova Scotia franchise.
q) By completing and submitting this form, I hereby consent to the purposes for which Efficiency Nova Scotia is collecting, using and disclosing personal information as set out in Efficiency Nova Scotia’s Privacy Policy. More information on Efficiency Nova Scotia’s Privacy Policy can be found online, efficiencyns.ca/privacy-policy or by email, [email protected].
Business Energy Rebates
Agriculture Worksheet
The following tables list the product requirements and rebates available for a range of energy-efficient agriculture technologies. Complete the blank tables and submit with your application.
For more information please visit our website www.efficiencyns.ca/ber.
High Efficiency Fans
Eligible Product Diameter (Inches) Efficiency * Minimum (Cfm / Watt)
Rebate Product Requirement
Ventilation Fan
(Exhaust or Supply Fan)
≤17 11 $45
• Must be BESS or AMCA listed ** • CSA / cUL rated
18 - 35 13 $55
36 - 48 20 $65
> 49 23 $85
Circulation Fan
18 – 35 14 $25
• Must be BESS or AMCA listed ** • Must replace existing circulation fans,
unless project is new construction • CSA / cUL rated
36 – 49 20 $50
> 50 27 $75
* Efficiency for ventilation fans may also be known as “VER” (Ventilating Efficiency Ratio). Efficiency for circulation fans may be known as “Efficacy Ratio”, measured in thrust-cfm / Watt. Any of these terms are acceptable.
** BESS – Bioenvironmental and Structural Systems laboratory, University of Illinois.
AMCA – Air Movement and Control Association.
High Volume Low Speed Fans
Eligible Product (Feet) Size Rebate Product Requirement
High Volume Low Speed Fans (HVLS)
8-12 $400 • Must replace existing circulation fans, unless project is new
construction • CSA / cUL rated
14-24 $1000
High Efficiency Fans / High Volume Low Speed Fans Installation Location Product: (Ventilation, Circulation or HVLV) Manufacturer Model Unit Efficiency (cfm / Watt) Airflow (cfm) Annual Operating Hours (A) Quantity (B) Rebate per Fan Subtotal (A) x (B) EXAMPLE: Barn2
Existing Circulation ABC Inc. VG00451 13.0 - 1,200 1 N/A N/A
New HVLV XZY Co. C123 15.0 - 1,200 1 $100 $400
Existing N/A N/A
Business Energy Rebates
Agriculture Worksheet
High Efficiency Fans / High Volume Low Speed FansInstallation Location Product: (Ventilation, Circulation or HVLV) Manufacturer Model Unit Efficiency (cfm / Watt) Airflow (cfm) Annual Operating Hours (A) Quantity (B) Rebate per Fan Subtotal (A) x (B)
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Subtotal
Dual & Natural Ventilation
Facility Type Rebate Product Requirement
Dairy (year-round) $9 / cow • Both natural and dual ventilation systems that meet the
following criteria are eligible:
Natural Ventilation – no mechanical ventilation present. All ventilation provided by chimneys and sidewall openings (with curtains or panels).
Dual Ventilation – Mechanical ventilation to modulate exhaust in winter months only.
• New construction and retrofits eligible for rebate.
Dairy (winter only) $3 / cow
Swine $2 / pig
Layers $300 / 1000 birds
Broilers $400 / 1000 birds
Turkeys $500 / 1000 birds
Sheep $5 / sheep
Note: For facility types not listed, where mechanical ventilation has been or would traditionally be employed, contact Efficiency Nova Scotia for a customized rebate.
Dual & Natural Ventilation
Installation Location Manufacturer Model Dual or Natural Construction or New
retrofit
(A) Building
Capacity (B) Rebate Subtotal (A) x (B)
EXAMPLE:
New Dairy Barn ABC Inc. 123-xxx-01 Dual Construction New (year round) 40 cows $9 / cow $360
Subtotal
Business Energy Rebates
Agriculture Worksheet
Livestock Waterers
Eligible Product Wattage Rebate Product Requirement
Low-Energy or Zero-Energy
Livestock Waterers ≤ 300 $100
• Must contain a minimum of 2 inches insulation and an adjustable thermostat
• CSA / cUL rated
Livestock Waterers Installation
Location Manufacturer Model
Unit Watts Annual Operating Hours (A) Quantity (B) Rebate per Unit Subtotal (A) x (B) EXAMPLE: Barn2
Existing ABC Inc. YH00371 1000 4 N/A N/A
New XZY Co. KRS-1 250 4 $100 $400
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Subtotal
Agriculture Heat Pads
Size Wattage Rebate Product Requirement
Single Heat Pad < 100 $60 • CSA / cUL rated
• Must replace incandescent heat lamps
Double Heat Pad < 200 $120
Agriculture Heat Pads
Installation Location Manufacturer Model Unit Watts (A)
Quantity
(B) Rebate
Subtotal (A) x (B)
EXAMPLE: Existing ABC Inc. YH00371 200 5 N/A N/A
New XYZ Inc. KRS-1 60 5 $60 $300
Existing N/A N/A
New
Existing N/A N/A
Business Energy Rebates
Agriculture Worksheet
Agriculture Heat PadsInstallation Location Manufacturer Model Unit Watts (A)
Quantity
(B) Rebate
Subtotal (A) x (B)
Existing N/A N/A
New
Existing N/A N/A
New
Existing N/A N/A
New
Subtotal
Timers
Eligible Product Rebate Product Requirement
Engine Block Heater Timer $40
• Must control engine block heater timer of at least 400 Watts • Must not replace existing heater timer
• CSA / cUL rated Engine Block Heater Timer
Installation Location Manufacturer Model Engine Block Heater Watts Quantity (A) Rebate (B) (A) x (B) Subtotal
EXAMPLE: Massey Tractor XYZ Co. KRS-1 60 1 $40 $40
Subtotal
Dairy Farm Equipment
Eligible Product Rebate Product Requirement
Dairy Scroll Compressor $50/HP Must replace reciprocating compressor
Heat Reclaimer Unit
(RHU) $15/ milked cow
Must electrically heat water Cannot be replacing existing HRU
Milk Pre-cooler $12/ milked cow Cannot be replacing existing milk pre-cooler
Dairy Scroll Compressor
Installation location Manufacturer Model Quantity (A) Compressor HP (B) Rebate (C) (A) x (B) x (C) Subtotal
EXAMPLE: Milking Unit #1 XYZ Co. KRS-1 2 5 $50 $500
Subtotal
Business Energy Rebates
Agriculture Worksheet
Milk Pre-Cooler / Heat Recover Unit (HRU)
Installation Location Product Quantity of cows milked (A) Rebate (B) (A) x (B) Subtotal
EXAMPLE: Milking unit 1 HRU 60 $15 $900
Subtotal
Variable Speed Drive (VSD)
Equipment Controlled Milking System Rebate Product Requirement
Milk Vacuum Pump Tie or Stanchion $115 / HP controlled • Must not replace existing VSD• Pump motor controlled must be 5 HP
or greater
• Must milk at least 50 cows
Parlor $160 / HP controlled
Note: Not all vacuum pump motors are compatible with VSDs. For more information contact your supplier.
Variable Speed Drive (VSD)
Installation Location cows milked Quantity of Parlor, tie or stanchion
Pump type (rotary vane or blower) (A) Pump Motor HP (B) Quantity of Units (C) Rebate Subtotal (A) x (B) x (C)
Milking Unit #1 60 Parlor 5 1 $160 $800
