2009 CONNECTICUT

RESIDENTIAL GEOTHERMAL RETROFIT INCENTIVE APPLICATION

For installations in new homes, please visit the Residential New Construction pages on www.cl-p.com or www.uinet.com

EMS6607-4 REV. 3-09

The Connecticut Light and Power Company The United Illuminating Company
P.O. Box 270 157 Church Street, MS 1-6B
Hartford, CT 06141-0270 New Haven, CT 06510
Tel: 877-WISE-USE (877-947-3873) Tel: 877-WISE-USE (877-947-3873)
READ THE PROGRAM REQUIREMENTS ON REVERSE BEFORE PROCEEDING
CUSTOMER INFORMATION
(PLEASE PRINT) Customer First Name Last Name Electric Utility
(Check one)  CL&P  UI

Address (where equipment was installed) Electric Account Number (as stated on bill)

City State Zip Telephone Number

Mailing Address (if different from above) City State Zip

Prior Heating System

Loop Type (Check One)  WLHP  GWHP  GLHP  DX
(Fuel/Type) : __________________________

I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. I CERTIFY THAT
THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR EQUIPMENT FOR WHICH I AM
SIGN REQUESTING AN INCENTIVE MEETS THE REQUIREMENTS IN THIS APPLICATION.
HERE
X Date / /
EQUIPMENT INFORMATION
A.H.R.I. Rated
Start Compressor Section Fan Section Hot Water Incentive No. of Total
Brand Units Incentive
Date Model No. Model No. Nominal Desuper? $500/Ton
EER COP
Tons

$500

$500

$500

$500

Total Incentive (Not to exceed $1,500 per location)

CONTRACTOR INFORMATION
Contractor Name Telephone Number Fax Number
( ) ( )
Address E-Mail

City State Zip

Please complete and attach the Verification of Installed Performance (VIP) available
on the Geothermal Heat Pump pages at www.cl-p.com or www.uinet.ncom
I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS APPLICATION. I CERTIFY THAT
THE INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR EQUIPMENT FOR WHICH THE
SIGN APPLICANT IS REQUESTING AN INCENTIVE MEETS THE REQUIREMENTS IN THIS APPLICATION.
HERE
X Date / /
 TERMS AND CONDITIONS
Application Offer: This program covers products purchased and installed on or
after January 1, 2009. Details of this program, including incentive levels, are
subject to change or cancellation without prior notice. This Application with
required documentation must be received by March 31, 2010 and postmarked by
March 15, 2010. For further details, please contact:
 CL&P customers call: Mark Foley (860) 832-4964
 UI customers call: Bob Bartone (203) 499-3676
Warranties: CL&P AND UI DO NOT WARRANT THE PERFORMANCE
OF INSTALLED EQUIPMENT, EXPRESSLY OR IMPLICITLY. The
electric utilities make no warranties or representations of any kind,
whether statutory, expressed, or implied, including without limitations,
warranties of merchantability or fitness for a particular purpose regarding
the geothermal heat pump or services provided by a manufacturer,
contractor or vendor. Contact your Contractor for details regarding
equipment performance and warranties.

This offer is valid for residential customers only.
Eligibility: Incentives are available to all CL&P and UI residential electric service
customers. Equipment must be installed in the service territory of the participating
electric utility. Eligible systems are: electric geothermal heat pumps. Rebate is
used for geothermal equipment installed for residential applications. Units must
be A.H.R.I.-rated to qualify (Air Conditioning Heating and Refrigeration Institute:
www.ahrinet.org). The rebate amount is $500 per ton with a limit of $1,500 per
location. This Application must be accompanied by a completed Verification of
Installed Performance (VIP) worksheet available at: the Geothermal Heat Pump
pages on www.cl-p.com and www.uinet.com.
Proof of Purchase: A job invoice itemizing the purchased equipment must
accompany each incentive Application. The job invoice copy must indicate the
equipment type, make and model numbers and the date of purchase.
Application Form: This Application must be filled out completely, truthfully and
accurately. The Customer and Contractor must each sign and submit the
completed Application along with the invoice, a copy of a recent electric utility bill
and the VIP worksheet.
Payment: Please allow up to 90 days for payment. Payment processing may
take longer if information is missing on the Application.
 CL&P customers call: Mark Foley (860) 832-4964
 UI customers call: Bob Bartone (203) 499-3676
Approval and Verification: Your electric utility reserves the right to verify sales
transaction and to have reasonable access to your residence to inspect the
system installed under this program, prior to issuing incentives, for up to one year
after date of application. Rebate Application must include VIP worksheet which
must be completely filled out. Based on the judgment of the electric utility,
rebates will not be paid if the VIP spreadsheet is not filled out completely. Units
must be within 15% of efficiency capacity based on the A.H.R.I. performance
rating.
Tax Liability: Your electric utility will not be responsible for any tax liability that
may be imposed on the customer as a result of the payment of incentives.
Endorsement: Your participating electric utility does not endorse any particular
contractor, manufacturer, product or system design in promoting this initiative.
Limitation of Liability: CL&P’s and UI’s liability is limited to paying the
incentive specified. CL&P and UI are not liable for any consequential or
incidental damages, or for any damages in tort connected with or
resulting from participation in this program.
Owner’s Certification: Owner certifies that he/she has purchased and
installed the equipment listed on the other side of this Application at the
defined location. Owner agrees that all information is true and that
he/she has conformed to all program and equipment requirements listed.
Forward Capacity Market and Class III Credits: By signing this
document and as a condition to receiving a rebate pursuant to this
program, customer hereby assigns to its participating electric utility,
either CL&P or UI (as the case may be), any and all payments, benefits
and/or credits in connection with the Forward Capacity Market or any
currently existing or successor or replacement markets, (including, but
not limited to, any and all “LICAP”, “ICAP”, transitional credits or
payments or any and all other capacity-related credits, payments and/or
benefits for which Customer is eligible) and that are associated with or
applicable to customer’s participation in the Residential Geothermal
Retrofit Incentive Program. Customer hereby assigns to either CL&P or
UI (as the case may be) all of its right, title and interest in and to any and
all such capacity payments, credits and/or benefits and shall take any
and all action, including executing and delivering any and all documents
and/or instruments, as requested by either CL&P or UI (as the case may
be) to evidence the same. Forward Capacity Market means the market
for procuring capacity pursuant to ISO-NE Tariff, FERC Electric Tariff No.
3, Section III, Market Rule 1, Section 13, any modifications to the
Forward Capacity Market, or any successor or replacement
market/capacity procurement process.
Class III Conservation Credits: In accordance with the Department of
Public Utility Control's ("DPUCs") September 29, 2008 decision in Docket
No. 05-07-19RE01, DPUC Proceeding to Develop a New Distributed
Resources Portfolio Standard (Class III) – 2007 Revisions, Customer is
not eligible to receive or retain any Class III conservation credits in
connection with the Residential Geothermal Retrofit Incentive Program
and Customer hereby acknowledges and agrees the same. Customer
further acknowledges and agrees that such credits shall be retained by
either CL&P or UI (as the case may be) for the benefit of their customers
through the Connecticut Energy Efficiency Fund. In the event that the
DPUC amends or modifies the allocation of Class III conservation credits
as reflected in its September 29, 2008 decision, then the allocation of
such credits utilized by either CL&P or UI (as the case may be) shall be
the allocation in effect (per the applicable DPUC decision) on the date
that the Customer submitted its rebate application documents to either
CL&P or UI (as the case may be).

APPLICATION INFORMATION
Applications cannot be processed unless all of the appropriate fields on the front side of this Application are complete. Please be sure you
have read the Terms and Conditions of this Application. Attach a copy of the contractor’s invoice listing the condenser and evaporator model
and serial numbers.
CL&P customers: UI customers:
Please send or fax 2009 Connecticut Residential Geothermal Incentive Please send or fax 2009 Connecticut Residential Geothermal Incentive
Application To: Application To:
Mark Foley Bob Bartone
Connecticut Light & Power United Illuminating
66 Curtis Street 157 Church Street, MS 1-6B
New Britain, CT 06052 New Haven, CT 06510
Phone (860) 832-4964 Fax (860) 832-4700 Phone (203) 499-3676 Fax (203) 499-2800

You may be eligible for federal tax credits. Please visit www.energystar.gov for more information.
Connecticut’s Energy Efficiency Fund Programs are funded by a charge on Customer energy bills.
The Programs are designed to help customers manage their energy usage and cost.
C0055 Rev. 03/09