Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Rev: 060114
Section 1 Application
Incentive Application Checklist............................................... 2
Customer Information................................................................ 3
Contractor Information.............................................................. 4
Third Party Payment Authorization........................................ 4
Final Application Agreement................................................... 5
Incentive Summary, Final Agreement Information
and Account Holder Signature Page..................................... 6
This form MUST be included with any Reservation and/or Final Application.
If this is a New Construction or Major Renovation project, please use that Application, which can be found online at:
dteenergy.com/savenow.
yes
no
Reservation Application
Final Application
Required Attachment
Required Attachments
Rev: 061214
Checklist
Customer Information. . . . . . . . . . . . . . . . . . . . . . . . 3
Contractor Information . . . . . . . . . . . . . . . . . . . . . . . 4
W9 Tax Information Form (customer) . . . . . . . . . . . . 3
Michigan-Made Affidavit(s) (if applicable)
Incentives Worksheets
Customer Information. . . . . . . . . . . . . . . . . . . . . . . . 3
Contractor Information . . . . . . . . . . . . . . . . . . . . . . . 4
W9 Tax Information Form (if different than customer) . 4
3rd Party Payment Authorization*. . . . . . . . . . . . . . . 4
Signed Final Application Agreement. . . . . . . . . . . . .5
Manufacturers Specifications
Itemized Invoices
Michigan-Made Affidavit(s) (if applicable)
Incentives Worksheets
Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
HVAC Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Miscellaneous Electric . . . . . . . . . . . . . . . . . . . . . . 15
Process Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Food Service Electric . . . . . . . . . . . . . . . . . . . . . . 18
HVAC Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Hot Water & Laundry. . . . . . . . . . . . . . . . . . . . . . . . 21
Insulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Process Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Boiler/Furnace Tune-up. . . . . . . . . . . . . . . . . . . . . . 24
Food Service Gas. . . . . . . . . . . . . . . . . . . . . . . . . 25
Custom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Lighting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
HVAC Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Miscellaneous Electric . . . . . . . . . . . . . . . . . . . . . . 15
Process Electric. . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Food Service Electric . . . . . . . . . . . . . . . . . . . . . . 18
HVAC Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Hot Water & Laundry. . . . . . . . . . . . . . . . . . . . . . . . 21
Insulation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Process Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Boiler/Furnace Tune-up. . . . . . . . . . . . . . . . . . . . . . 24
Food Service Gas. . . . . . . . . . . . . . . . . . . . . . . . . 25
Custom. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
* If applicable.
**Project funds will only be reserved for 90 days from date of Reservation.
This interactive Application will automatically calculate all incentive totals on each worksheet which you
can then submit electronically to our office. You also can download this Application, print it out and complete
it manually. You then can either mail or fax it to our office.
You must complete all applicable pages before sending or submitting this Application to our office.
06122014
Rev: 060114
Customer
Information
Incentive Application
Important: Please read the terms and conditions on the Final Application Agreement before signing and submitting this Application.
You must complete ALL information requested below and provide the required additional documentation to avoid delays in reservation
or payment processing.
Who should we call with questions on the Application?
Customer
Trade Ally/Contractor
Meeting
Email
Print Advertising
Customer Information
Primary Building Type (please select one)
Assembly
Small Retail
Big Box Retail
Contractor
Bill Insert
Website
Account Manager
Other______________
Michigan Saves
Agriculture
Auto
Heavy Industry
Petro R/P
Government
Hospital
Warehouse
Real Estate
School (K-12)
Hotel
Miscellaneous
Mining/Construction
Services
College/University
Small Office
Trans./Comm./Utility
Wholesale
Grocery
Large Office
This Program is not available to DTE Energy business customers in multifamily buildings consisting of five or more units per building.
These customers may be eligible to participate in the Multifamily Program for energy saving upgrades to both tenant and common areas.
Consumers Energy
Consumers Energy
Other________________________
Other________________________
4 8 3 6 2 0 0 0 0 0 1 6
4 8 3 6 2 0 0 0 0 0 1 6
State MI
ZIP 48146
State MI
ZIP 48146
Tax-Exempt
Partnership
Individual
Tax ID Number: Depending on tax status please provide EITHER your EIN/Federal Tax ID or Social Security Number below:
06122014
EIN/Federal Tax ID
0 3 - 0 4 6 9 3 2 4
OR
Rev: 061214
Application
Contact Fax #
City Dearborn
State MI
ZIP 48126
Date
Dearborn
City
MI
48126
State ZIP
Tax-Exempt
Partnership
Individual
Tax ID Number: Depending on tax status please provide EITHER your EIN/Federal Tax ID or Social Security Number below:
EIN/Federal Tax ID
2 6 - 0 7 5 9 8 9 1
OR
06122014
The energy optimization measures listed within are being/have been installed in a qualifying time frame, at a qualifying facility and are not for
resale. Additional Program terms and conditions can be found in the Policy and Procedures Manual available at dteenergy.com/savenow.
I understand that in the event this Application received a reservation, that reservation is not a guarantee of payment. Incentive payment will be
based upon the Final Application meeting the Program terms and conditions, and the availability of funds.
06122014
I certify that the information on this Application is true and accurate. I acknowledge and understand that it is necessary for DTE Energy to store,
use and share the information contained in this Application, as well as information collected in connection with this project, including but not
limited to my business name, address, account number and energy consumption data (Customer Data) for various purposes. Therefore, I hereby
authorize DTE Energy to collect, store and use the Customer Data for internal purposes and to present me with other energy saving opportunities.
I further authorize DTE Energy to share the Customer Data with third party vendors/contractors who are doing work on DTE Energys behalf.
Final
Application
Rev: 060114
Rev: 061214
Application
Measure Category
Custom Total
(B)
Michigan-Made
Total
$565.53
Lighting
Multi-Measure
Total (A + B )
Multi-Measure
Percentage
$565.53
100.00%
HVAC Electric
Misc. Electric
Process Electric
Food Service Electric
HVAC Gas
Hot Water & Laundry
Insulation
Process Gas
Boiler/Furnace Tune-Ups
Food Service Gas
Subtotals
C1
$565.53
D1
D2
$565.53
D1
D2
Michigan Saves
C2
C2
Incentive Subtotal
$565.53
The figures in this table will self-populate in the electronic version of this
Application. In a paper version, the values must be entered manually.
For the Michigan-Made bonus:
1. By category, enter only those incentives that meet the Michigan-Made
criteria and total (C1)
2. Then, multiply the total by .15 and enter into C2 and again
in C2 at the far right
$565.53
If you apply for discounted financing through Michigan Saves, you must check the box next to the 20% Multi-Measure Bonus to remove
it from your total. NOTE: Custom measures do NOT qualify for this option. For more information about this option, contact our office.
BEFORE YOU SUBMIT: Review the summary above to ensure all incentive areas reflect the worksheets youve completed in this Application.
If you find a blank area that should be filled in, review that worksheet page.
Date 07/22/2014
06122014
For Final Applications, sign and submit only after all equipment has been installed. A customer signature is required for payment. Signed Applications received
by fax or email will be treated the same as original Applications received by mail. See Page 30 for submission instructions.
By signing this form, I agree to all terms and conditions listed on page 5.
Equipment Type
Unit
$1.50
Lamp
72
$10.00
Lamp
73
$10.00
Lamp
74
$22.00
Fixture
75
$35.00
Fixture
76
$12.00
Lamp
77
$15.00
Lamp
78
$15.00
Lamp
79
$6.00
Lamp
710
$10.00
Lamp
# of Units
Total Incentive
Lighting
Incentive
71
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Interior High Performance (HP) and Low Wattage (LW) 4-foot Linear Fluorescents. All lamps are 4ft unless otherwise stated.
Ref #
Equipment Type
711
Incentive
Unit
$1.00
Lamp
712
$2.00
Fixture
713
$3.00
Fixture
714
$4.00
Fixture
715
$5.00
Fixture
716
$3.00
Fixture
717
$5.00
Fixture
718
$7.00
Fixture
719
$9.00
Fixture
# of Units
Total Incentive
# of Fixtures
(B)
Pre-Upgrade
kW/Fixture
(C)
Post-Upgrade
kW/Fixture
(D)
Incentive
$/kWh
(F)
Total Incentive
(E x F)
720
3,744
16
0.075
0.036
2,336.3
$0.08
$186.90
721
3,744
28
0.032
0.021
1,153.2
$0.08
$92.25
722
3,744
0.040
0.021
142.3
$0.08
$11.38
Ref #
Brief Description of
Pre- and Post-Fixtures
723
$0.08
724
$0.08
725
$0.08
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
$290.53
7
Lighting
Ref #
Equipment Type
Incentive
Unit
81
$30.00
Fixture
82
$60.00
Fixture
83
$25.00
Fixture
84
12 Lamp T5 HO, replacing 1000W HID (any number of lamps per fixture permitted)
$100.00
Fixture
85
$45.00
Fixture
86
$65.00
Fixture
87
$45.00
Fixture
88
16 Lamp 32W T8, replacing 1000W HID (any number of lamps per fixture permitted)
$140.00
Fixture
89
$25.00
Fixture
810
$40.00
Fixture
$45.00
Fixture
$60.00
Fixture
811
Pulse Start
Metal Halide
812
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Brief Description of
Existing Fixture Model
and New Fixture Model
Pre-Upgrade
Post-Upgrade
Total Watts
Incentive/
# of
# of Lamps/
Watts/
# of
# of Lamps/
Watts/
Reduced (E) =
Watt
Fixtures (A) Fixture
Fixture (B) Fixtures (C) Fixture
Fixture (D) (A x B) (C x D) Reduced (F)
813
$0.25
814
$0.25
815
$0.25
Total
Incentive
(E x F)
Exterior or Garage HID to LED/Induction Lighting Retrofit (annual operating hours less than 8,760)
Ref #
Equipment Type
Incentive
Unit
816
$20.00
Fixture
817
$35.00
Fixture
818
$55.00
Fixture
# of Units
Total Incentive
$275.00
# of Units
Total Incentive
Exterior or Garage HID to LED/Induction Lighting Retrofit (annual operating hours equal to 8,760)
Ref #
Equipment Type
819
Incentive
Unit
$50.00
Fixture
820
821
$75.00
Fixture
$120.00
Fixture
Brief Description of
Existing Fixture Model
and New Fixture Model
Pre-Upgrade
Post-Upgrade
Total Watts
Incentive/
# of
# of Lamps/
Watts/
# of
# of Lamps/
Watts/
Reduced (E) =
Watt
Fixtures (A) Fixture
Fixture (B) Fixtures (C) Fixture
Fixture (D) (A x B) (C x D) Reduced (F)
822
$0.20
823
$0.20
824
$0.20
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
All Measures
$275.00
To download an interactive application, go to: dteenergy.com/savenow
06122014
Michigan-Made
Total
Incentive
(E x F)
Equipment Type
Incentive
Unit
91
$30.00
Fixture
92
$45.00
Fixture
93
$85.00
Fixture
Incentive
Unit
$12.50
Fixture
Incentive
Unit
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Ref #
94
Equipment Type
LED Exit Signs Electronic Fixtures Retrofit or Replacement
Lighting
Equipment Type
95
$20.00
Signal
96
$15.00
Signal
Incentive
Unit
Controls
Ref #
Equipment Type
97
$20.00
Sensor
98
$50.00
Sensor
99
$600.00
910
Interior Switching Controls for Multilevel Lighting ($0.05 per Sq. Ft.)
$500.00
911
$900.00
912
$50.00
Fixture
NOTE: Incentives are available for only one lighting control measure for a given space.
Daylighting
Ref #
Equipment Type
913
Incentive
Unit
$35.00
Tube
Equipment Type
Incentive
Unit
914
$30.00
Door
915
$15.00
Door
NOTE: The incentives for 9-14 and 9-15 cannot be combined with incentives for Refrigeration savings due to lighting wattage reductions. (See Page 19).
Equipment Type
916
T12 or T8 4ft Lamp Removal (combined with HPT8 or LWHPT8 ballast retrofit)
Incentive
Unit
$2.50
Lamp Removed
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
# of Units
Michigan-Made
Total Incentive
All Measures
06122014
$565.53
9
HVAC
Electric
Size Category
Qualifying Efficiency
14.0 SEER
$10.00
14.0 SEER
$10.00
12.0 EER
$15.00
12.0 EER
$15.00
10.8 EER
$10.00
10.2 EER
$10.00
14.0 SEER
$20.00
13.0 SEER
$10.00
11.0 EER
$20.00
11.0 EER
$25.00
10.0 EER
$30.00
11.5 EER
$10.00
12.3 EER
$8.00
12.3 EER
$8.00
$10.00
$25.00
ALL
9.3 EER
$5.00
ALL
9.1 EER
$10.00
Ref #
EER
SEER or
IPLV
HSPF or
COP
Unit Size
(tons) (A)
Quantity
(B)
Incentive
Per Unit (C)
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Incentive
(A*B*C)
101
102
103
Ref #
104
105
Description
Room Air Conditioners
Size Category
Incentive
Unit
$10.00
Conditioner
$25.00
Conditioner
# of Units
Total Incentive
Select the HVAC system in operation at the project site (ask your contractor for assistance)
AC with gas heat
Air source heat pump
CV reheat econ with Air Cooled Chiller
CV reheat econ with Gas Engine Chiller
CV reheat econ with Water Cooled Chiller
CV reheat no econ with Air Cooled Chiller
PTAC-HP
Refrigeration
VAV reheat econ with Air Cooled Chiller
VAV reheat econ with Gas Engine Chiller
VAV reheat econ with Water Cooled Chiller
Water loop heat pump
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
06122014
10
Incentive
(per ton) (C)
135,000 Btu/h
(11.3 tons)
17 EER
$22.50
19 EER
$30.00
135,000 Btu/h
(11.3 tons)
17 EER
$150.00
19 EER
$175.00
Equipment Type
Size Category
Ref #
EER
kW/ton
Full Load
kW/ton
IPLV
Unit Size
(tons) (A)
Quantity
(B)
Incentive
Per Ton (C)
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Incentive
(A*B*C)
HVAC
Electric
111
112
113
114
115
HVAC Controls
Ref #
Measure Name
Size
Incentive
Unit
116
ALL
$20.00
Thermostat
117
ALL
$5.00
118
ALL
$18.00
119
ALL
$30.00
Room
# of Units
Total Incentive
# of Units
Total Incentive
Measure Name
Size
Incentive
Unit
1110
ALL
$30.00
1111
ALL
$5.00
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
11
Other HVAC
Ref #
Size
Incentive
121
100 tons
$1.00
Ton
122
$1.00
Ton
123
Unit
$1.00
Ton
124
$1.00
Ton
125
$1.00
Ton
126
1,000 tons
$1.00
Ton
$0.50
Ton
$0.50
Ton
127
HVAC
Electric
Measure Name
128
129
ALL
$50.00
Fan HP
1210
ALL
$50.00
Pump HP
1211
Economizer
ALL
$8.00
Ton
1212
ALL
$20.00
1213
ALL
$30.00
100 Sq.Ft.
of Glazing
1214
ALL
$30.00
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
# of Units
Michigan-Made
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
All Measures
06122014
12
Air-Cooled Chillers
Qualifying Full Load Efficiency
(EER or Btu/Wh)
Equipment Type
Reciprocating Chiller
Equivalent EER
COP
Equivalent EER
Incentive
(per ton)
3.41
11.63
$25.00
2.8
9.55
3.89
13.27
$25.00
4.24
14.47
$25.00
3.36
11.46
$25.00
3.76
12.83
$25.00
4.28
14.60
$25.00
4.67
15.93
$25.00
3.66
12.49
$25.00
4.10
13.99
$25.00
4.67
15.93
$25.00
3.08
2.8
3.08
3.36
Ref #
Equipment Type
10.51
11.46
9.55
10.51
11.46
5.09
17.37
$25.00
3.46
11.80
$25.00
3.64
12.42
$25.00
4.75
16.21
$25.00
3.36
11.46
$25.00
3.80
12.97
$25.00
4.00
13.65
$25.00
5.22
17.81
$25.00
3.66
12.49
$25.00
4.15
14.16
$25.00
4.42
15.08
$25.00
5.69
19.41
$25.00
Installed Full
Load Efficiency Installed IPLV
(COP)
(COP)
Unit Size
(tons) (A)
HVAC
Electric
COP
3.36
Qualifying IPLV
(EER or Btu/Wh)
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Quantity (B)
Incentive Per
Ton (C)
Incentive
(A*B*C)
131
132
133
134
135
136
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
13
IPLV (kW/ton)
Incentive (C)
0.34
0.40
0.43
0.46
0.53
0.38
0.45
0.48
0.51
0.60
0.42
0.50
0.53
0.57
0.30
0.36
0.39
0.41
0.48
0.34
0.40
0.43
0.46
0.54
0.38
0.45
0.48
0.51
0.28
0.33
0.35
0.37
0.44
0.31
0.37
0.39
0.42
0.49
0.35
0.41
0.44
0.47
$45.00
$40.00
$35.00
$30.00
$25.00
$30.00
$25.00
$20.00
$15.00
$10.00
$20.00
$15.00
$10.00
$5.00
$45.00
$40.00
$35.00
$30.00
$25.00
$30.00
$25.00
$20.00
$15.00
$10.00
$20.00
$15.00
$10.00
$5.00
$45.00
$40.00
$35.00
$30.00
$25.00
$30.00
$25.00
$20.00
$15.00
$10.00
$20.00
$15.00
$10.00
$5.00
0.56
150 tons
0.63
HVAC
Electric
0.70
0.51
>150 tons,
300 tons
0.57
0.63
0.46
0.52
0.58
Capacity (A)
0.63
0.71
0.79
0.57
150-300 tons
0.65
0.72
0.51
0.58
0.64
Ref #
Equipment Type
Unit Size
(tons) (A)
Quantity (B)
IPLV (kW/ton)
Incentive (C)
0.38
0.41
0.44
0.47
0.50
0.56
0.43
0.46
0.50
0.53
0.56
0.63
0.47
0.51
0.55
0.59
0.62
0.34
0.37
0.40
0.43
0.45
0.51
0.39
0.42
0.45
0.48
0.51
0.57
0.43
0.47
0.50
0.54
0.57
0.31
0.33
0.36
0.38
0.40
0.46
0.35
0.37
0.40
0.43
0.45
0.51
0.38
0.42
0.45
0.48
0.51
$50.00
$45.00
$40.00
$35.00
$30.00
$25.00
$40.00
$35.00
$30.00
$25.00
$20.00
$15.00
$30.00
$25.00
$20.00
$15.00
$10.00
$50.00
$45.00
$40.00
$35.00
$30.00
$25.00
$40.00
$35.00
$30.00
$25.00
$20.00
$15.00
$30.00
$25.00
$20.00
$15.00
$10.00
$50.00
$45.00
$40.00
$35.00
$30.00
$25.00
$40.00
$35.00
$30.00
$25.00
$20.00
$15.00
$30.00
$25.00
$20.00
$15.00
$10.00
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
141
142
143
144
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
14
Ref #
Equipment Type
Incentive
Unit
151
$5.00
Protector
152
$5.00
PC
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Clothes Washers
Ref #
Equipment Type
Incentive
Unit
153
$50.00
Washer
154
$50.00
Washer
Misc.
Electric
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
15
Incentive (B)
Incentive Unit
161
1.5 HP
$20.00
HP
162
2 HP
$20.00
HP
163
3 HP
$20.00
HP
164
5 HP
$20.00
HP
165
7.5 HP
$20.00
HP
166
10 HP
$20.00
HP
167
15 HP
$20.00
HP
168
20 HP
$20.00
HP
Incentive (B)
Incentive Unit
# of Pumps (C)
Total HP (A x C)
Total Incentive
(A x B x C)
# of Pumps (C)
Total HP (A x C)
Total Incentive
(A x B x C)
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Process
Electric
Ref #
Equipment Type
Size (A)
169
1.5 HP
$50.00
HP
1610
2 HP
$50.00
HP
1611
3 HP
$50.00
HP
1612
5 HP
$50.00
HP
1613
7.5 HP
$50.00
HP
1614
10 HP
$50.00
HP
1615
Process Pumps
15 HP
$50.00
HP
1616
20 HP
$50.00
HP
1617
25 HP
$50.00
HP
1618
30 HP
$50.00
HP
1619
40 HP
$50.00
HP
1620
50 HP
$50.00
HP
$30.00
HP
1621
Compressed Air
Ref #
Equipment Type
Incentive
Unit
1622
$50.00
Nozzle
1623
$4.00
HP
1624
$35.00
SCFM
1625
$80.00
HP
$0.30
SCFM
1626
1627
1628
$1.00
SCFM
$1.00
SCFM
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
06122014
16
Equipment Type
171
172
173
174
175
176
Incentive
Unit
1-shift operation
$85.00
Charger
2-shift operation
$160.00
Charger
3-shift operation
$220.00
Charger
In-Cabinet
$65.00
Fan
Under-Cabinet
$110.00
Fan
$25.00
Square Foot
177
3" diameter
$10.00
Linear foot
178
4" diameter
$15.00
Linear foot
5" diameter
$20.00
Linear foot
6" diameter
$25.00
Linear foot
1711
8" diameter
$30.00
Linear foot
1712
$1.00
Square foot
179
1710
1713
1715
Tank Insulation 2
$1.50
Square foot
$1.00
Square foot
$2.00
Square foot
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Total Incentive
Process
Electric
1714
Tank Insulation 1
# of Units
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Michigan-Made
All Measures
06122014
17
Equipment Type
Size
Incentive
Unit
< 15 cu ft
$75.00
Refrigerator
15 - 30 cu ft
$100.00
Refrigerator
31 - 50 cu ft
$150.00
Refrigerator
184
> 50 cu ft
$200.00
Refrigerator
185
< 15 cu ft
$75.00
Freezer
15 - 30 cu ft
$100.00
Freezer
31 - 50 cu ft
$150.00
Freezer
> 50 cu ft
$200.00
Freezer
181
182
183
186
187
Refrigerators
Freezers
188
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Equipment Type
Type
Incentive
Unit
3 Pan
$450.00
Cooker
4 Pan
$600.00
Cooker
5 Pan
$750.00
Cooker
1812
6 Pan
$900.00
Cooker
1813
Half Size
$300.00
Cabinet
$400.00
Cabinet
Full Size
$600.00
Cabinet
Incentive
Unit
189
1810
Food Service
Electric
1811
1814
Steam Cookers
1815
Controls
Ref #
Equipment Type
1816
$50.00
Controller
1817
$50.00
Door
1818
$20.00
Ton
1819
$0.05
CFM reduced
Equipment Type
Incentive
Unit
1820
$150.00
Machine
1821
$250.00
Machine
1822
$500.00
Machine
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
18
06122014
Refrigeration
Ref #
Equipment Type
Incentive
Unit
191
$100.00
Ton
192
$60.00
Motor
193
$80.00
Motor
194
Evaporator Fan Motor Control on ECM Motors for Walk-in Coolers and Freezers
$30.00
Controller
195
Evaporator Fan Motor Control on PSC Motors for Walk-in Coolers and Freezers
$30.00
Controller
196
$1.25
197
$3.00
Square Foot
198
$15.00
Square Foot
199
$2.50
Linear Foot
# of Units
Ft.
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Total Incentive
Hrs.
* To calculate night cover incentive, multiply incentive x linear ft x hrs that night cover is used per day
Incentive
Unit
1910
1911
$0.15
$0.10
1912
$0.07
# of Units
Total Incentive
Food Service
Electric
Ref #
NOTE: These food service lighting incentives due to wattage reductions cannot be combined with incentives for Food Service Lighting on Page 9.
Incentive
Unit
$30.00
Door
$15.00
Door
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
06122014
19
Equipment Type
201
Incentive
Unit
$1,250.00
Unit
202
$0.50
MBH
203
$350.00
Unit
204
$250.00
Unit
205
$2.00
MBH
206
$100.00
Trap
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Other HVAC
Ref #
Equipment Type
Incentive
Unit
207
Infrared Heaters
$4.00
MBH
208
$1.00
Ton
209
$10.00
Pump HP
2010
$35.00
HVAC
Gas
HVAC Controls
Ref #
Equipment Type
Incentive
Unit
2011
$50.00
Thermostat
2012
Chilled Water Reset with Pump on/off Control ($0.005 per Sq. Ft.)
$5.00
2013
$45.00
2014
$100.00
2015
HVAC Occupancy Sensor, Large Office Building w/CV Chilled Water System
$20.00
2016
HVAC Occupancy Sensor, Large Office Building w/VAV Chilled Water System
$10.00
2017
$35.00
Room
# of Units
Total Incentive
Select the HVAC system in operation at the project site (ask your contractor for assistance)
AC with gas heat
Air source heat pump
CV reheat econ with Air Cooled Chiller
CV reheat econ with Gas Engine Chiller
CV reheat econ with Water Cooled Chiller
CV reheat no econ with Air Cooled Chiller
PTAC-HP
Refrigeration
VAV reheat econ with Air Cooled Chiller
VAV reheat econ with Gas Engine Chiller
VAV reheat econ with Water Cooled Chiller
Water loop heat pump
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
06122014
20
Equipment Type
211
High Efficiency Indirect Domestic Hot Water Heating System 90% Efficient
212
Mid Efficiency Indirect Domestic Hot Water Heating System 84% Efficient
213
214
Incentive
Unit
$1.25
MBH
$0.75
MBH
$150.00
Heater
$2.00
MBH
Incentive
Unit
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Equipment Type
215
$35.00
Heater
216
$85.00
Heater
217
$150.00
Heater
Laundry
Ref #
Equipment Type
218
Incentive
Unit
$50.00
Washer
219
$50.00
Washer
2110
Ozone Laundry
$40.00
2111
$150.00
Boiler
2112
$250.00
Boiler
Hot Water
& Laundry
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
21
Pipe Wrap
Ref #
Equipment Type
Incentive
Unit
221
$5.00
Linear Foot
222
$3.00
Linear Foot
223
$1.00
Linear Foot
Incentive
Unit
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Greenhouse
Ref #
Equipment Type
224
$200.00
225
$100.00
Equipment Type
Incentive
Unit
226
$200.00
Door
227
$100.00
Door
228
Truck Loading Dock Leveler Ramp Air Pit Seals (New Installation)
$100.00
Ramp
Incentive
Unit
Miscellaneous Gas
Ref #
Equipment Type
229
$100.00
2210
$60.00
2211
$450.00
2212
Pool Covers
$0.50
Square Foot
Insulation
Process Gas
Equipment Type
2213
2214
2215
2216
2217
2218
2219
2220
Incentive
Unit
$75.00
Insert
$2.00
MBH
Tank Insulation 1
Tank Insulation 2
$2.00
MBH
$5.00
Square Foot
$9.00
Square Foot
$6.00
Square Foot
$10.00
Square Foot
$20.00
HP
# of Units
Total Incentive
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Michigan-Made
All Measures
Michigan-Made
All Measures
06122014
22
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Date of Tune-up
Manufacturer Type (Hot Water Boiler, High/Low Pressure Steam Boiler, Furnace, RTU)
Model Number
Serial Number
Adjust combustion air flow and air intake as needed, reduce excessive
stack temperatures
Boiler Tune-Up
Ref #
Incentive
Unit
231
232
$150.00
Unit
$250.00
Unit
233
>1,200 MBH
Ref #
$350.00
Unit
Incentive
Unit
234
235
$350.00
Unit
$1,000.00
Unit
Ref #
Incentive
Unit
236
199 MBH
$75.00
Boiler
# of Units
Total Incentives
# of Units
Total Incentives
# of Units
Total Incentives
# of Units
Total Incentives
Furnace/RTU Tune-Up
Equipment Size
Incentive
Unit
237
40 - 300 MBH
$50
Unit
238
$100
Unit
239
>500 MBH
$150
Unit
06122014
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
Boiler/Furnace
Tune-Up
Ref #
All Measures
23
Ref #
Equipment Type
Incentive
Unit
241
$750.00
Cooker
242
$900.00
Cooker
Incentive
Unit
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
# of Units
Total Incentive
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Ovens
Ref #
Equipment Type
243
$300.00
Oven
244
Combination Ovens
$900.00
Oven
245
$400.00
Oven
246
$800.00
Oven
Incentive
Unit
Fryers/Griddles
Ref #
Equipment Type
247
$225.00
Fryer
248
$300.00
Fryer
249
$200.00
Griddle
Miscellaneous
Ref #
Equipment Type
Incentive
Unit
2410
$30.00
Sprayer
2411
$0.75
Ft.
Hrs.
* To calculate night cover incentive, multiply incentive x linear ft x hrs that night cover is used per day. May also be eligible for electric incentives for DTE Energy electric customers.
Controls
Ref #
Equipment Type
2412
Incentive
Unit
$0.25
CFM reduced
NOTE: Add or insert the measure reference number (left column) to all related specification sheets, invoices and other documentation.
# of Units
Michigan-Made
Total Incentive
All Measures
06122014
24
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
For each individual type of equipment, use a separate Item box. For example: Do not combine different types of lighting under one item.
2.
If you have a lighting project: Before you begin the Custom portion of your Application, use our Prescriptive or Custom? worksheet (Page 26) to
determine whether your project qualifies for a custom Application or should be submitted as a Prescriptive measure. Also, contact us if you have
questions about how to calculate your Before and After retrofit operating hours; or how to calculate your gas savings, which must be entered
manually on the custom page (in the electronic version, the Application will calculate electric savings).
3.
Under Before Retrofit and After Retrofit: Be as specific as possible with your description and quantities. This includes, but is not limited to: quantity,
name, manufacturer, model number, size (ex: hp or kW or Btu/hr) for the existing and new equipment, as well as any other information that can help
calculate the energy used by the equipment. Write the Reference Number for each item on all specification sheets and invoices related
to that specific item and attach to your Final Application.
4.
Under Hours of Operation for both Before and After retrofit, provide a documented method for arriving at these figures. Submit your method
of calculation with this Application.
5.
Insert the KW for the equipment for both Before and After retrofit.
6.
7. Next, separately calculate your Annual Electric Savings by using the following process. If you are using the electronic version, this will
be calculated for you):
a) Enter the Before hours
b) Enter the Before KW
c) Multiply A x B
d) do the same for After
e) Subtract the new from the old.
This is the Annual Electric Savings to be entered on the form. For complex projects, provide a separate analysis showing how you
determined the energy savings or contact us for assistance.
8. Next, separately calculate your Annual Natural Gas Savings by Mcf (if applicable). Methods for calculating natural gas savings may vary.
If possible, use the following process:
a) Show the Mcf used by the existing piece of equipment by providing 12 months of natural gas bills, metered data or a calculation, then:
b) Provide a calculation of the expected Mcf of the new equipment, then:
c) Subtract the new from the old.
9. If youre using the interactive version of this Application, the Calculated Incentive will be entered for you. If you are using a paper version,
determine your Calculated Incentive for each measure by multiplying the Annual Electric Savings by $0.08/kWh and the Annual Natural Gas
Savings by $4.00/Mcf.
10. Next, enter the Measure Cost. This is the cost of implementing a measure less any costs incurred to achieve non-energy related project benefits.
Only costs associated with the rebated energy savings measure should be included in the Measure Cost (this cannot include internal labor cost),
which is the basis for determining the simple payback period for custom measures, and is defined as either:
a) For end-of-life equipment replacement measures: the cost difference between equipment meeting Program efficiency criteria and equipment
meeting the minimum efficiency allowable by code or industry standard; or
b) For retrofit, early replacement and new technology measures: the cost of new equipment, components or materials added to existing equipment
for the purpose of improving its energy efficiency.
Simple
Payback
Period
Measure Cost
(Annual kWh Saved x Electricity Cost) + (Annual Mcf Saved x Natural Gas Cost)
06122014
13. Total Awarded Incentives are calculated at no more than 50% of the respective Measure Costs for electric and gas items.
IMPORTANT: Check the appropriate Category box (Lighting, HVAC-Gas, Process-Electric, etc.) for each item you list on the Custom worksheet(s).
To download an interactive application, go to: dteenergy.com/savenow
25
Custom
12. If youre using the interactive version of this Application, the Total Calculated Incentives at the bottom of the form will be entered for you. If
youre using the paper version, first total the Measure Cost for all measures and enter that value in Aggregate Measures Cost. Then total all the
individual measure Calculated Incentives and enter that in Total Calculated Incentives.
Prescriptive or Custom?
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
Step 2:
IMPORTANT NOTE: If your before quantity is 5-99 fixtures; then your after quantity must be an increase
of at least 5 additional fixtures to qualify as a custom project.
a. Enter your fixture Before Retrofit quantity (the existing condition) in the box below.
b. Enter your fixture After Retrofit quantity (the new condition) in the box below.
c. Follow the instructions in the orange box.
06122014
Custom
26
IMPORTANT: If you fail to complete each section, check the appropriate category or enter all
required information, the worksheet will not calculate your incentive and carry the value to Page 6.
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
See Instructions on Page 26 (Custom Specifications). Complete every blank box for each item you submit.
Please attach all equipment specifications to your Reservation Application before you submit for review.
Ref# 271
Description
Before Retrofit
After Retrofit
Non-work
days/year
Weeks/year
kW (b)
Annual Savings*
(Units/Year) (A)
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Non-work
days/year
Weeks/year
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
Calculated
Incentive (A x B)
Measure Cost
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Ref# 272
Elec. Category Gas
Description
Before Retrofit
Non-work
days/year
Weeks/year
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
After Retrofit
kW (b)
Annual Savings*
(Units/Year) (A)
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Non-work
days/year
Weeks/year
Calculated
Incentive (A x B)
Measure Cost
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Electric Simple Payback
Period
=
must be 1 to 8 years
Aggregate
Measure Cost
Total Custom Incentives
(Includes values entered on pages 27-29)
Gas Simple
Payback Period
must be 1 year
Aggregate
Annual Savings
Current
Energy Cost
Simple
Payback Period*
Total Calculated
Incentive
Total Awarded
Incentive**
Electric
Natural Gas
27
Custom
06122014
IMPORTANT: If you fail to complete each section, check the appropriate category or enter all
required information, the worksheet will not calculate your incentive and carry the value to Page 6.
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
See Instructions on Page 26 (Custom Specifications). Complete every blank box for each item you submit.
Please attach all equipment specifications to your Reservation Application before you submit for review.
Ref# 281
Elec. Category Gas
Description
Before Retrofit
After Retrofit
Non-work
days/year
Weeks/year
kW (b)
Annual Savings*
(Units/Year) (A)
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Non-work
days/year
Weeks/year
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
Calculated
Incentive (A x B)
Measure Cost
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Ref# 282
Description
Before Retrofit
After Retrofit
Non-work
days/year
Weeks/year
kW (b)
Annual Savings*
(Units/Year) (A)
Non-work
days/year
Weeks/year
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Calculated
Incentive (A x B)
Measure Cost
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
Will the After Retrofit specific
piece of equipment listed here
be in operation during the hours
of 36 p.m. on MondayThursday
in the month of July?
Yes
No
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Electric Simple Payback
Gas Simple
Electric Aggregate Measure Cost
Gas Aggregate Measure Cost
Period
=
Payback Period =
Aggregate Annual kWh Saved x Current Energy Cost
Aggregate Annual Mcf Saved x Current Energy Cost
must be 1 to 8 years
must be 1 year
Aggregate
Measure Cost
Total Custom Incentives
(Includes values entered on pages 27-29)
Aggregate
Annual Savings
Total Calculated
Incentive
Total Awarded
Incentive**
Natural Gas
IMPORTANT NOTES:
* The Simple Payback Period must fall within the electric or gas parameters to
qualify for an incentive (see formulae above) If the Total Awarded Incentive for
either electric or gas displays DNQ (does not qualify), then the payback period fell
outside of required parameters or the measure cost(s) or energy savings were missing.
06122014
Custom
Simple
Payback Period*
Electric
28
Current
Energy Cost
IMPORTANT: If you fail to complete each section, check the appropriate category or enter all
required information, the worksheet will not calculate your incentive and carry the value to Page 6.
Rev: 061214
IMPORTANT NOTE: Use the reference numbers in the left column to identify
and mark all related invoices, specification sheets and other documents related
to that measure and submitted with this Application.
See Instructions on Page 26 (Custom Specifications). Complete every blank box for each item you submit.
Please attach all equipment specifications to your Reservation Application before you submit for review.
Ref# 291
Elec. Category Gas
Description
Before Retrofit
Non-work
days/year
Weeks/year
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
After Retrofit
kW (b)
Annual Savings*
(Units/Year) (A)
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Non-work
days/year
Weeks/year
Calculated
Incentive (A x B)
Measure Cost
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Ref# 292
Description
Before Retrofit
After Retrofit
Non-work
days/year
Weeks/year
kW (b)
Annual Savings*
(Units/Year) (A)
Non-work
days/year
Weeks/year
kW (d)
Incentive Rate
($ per Unit) (B)
Service
Unit
Electric
kWh
$0.07
Natural Gas
Mcf
$3.50
Calculated
Incentive (A x B)
Measure Cost
Lighting
HVAC
Miscellaneous
Process
Food Service
Hot Water/Laundry
Insulation
Will the After Retrofit specific
piece of equipment listed here
be in operation during the hours
of 36 p.m. on MondayThursday
in the month of July?
Yes
No
* For Electric projects use the following formula: (a x b) - (c x d). For natural gas projects, you must enter your own calculated Annual Savings and provide documentation.
Electric Simple Payback
Gas Simple
Electric Aggregate Measure Cost
Gas Aggregate Measure Cost
Period
=
Payback Period =
Aggregate Annual kWh Saved x Current Energy Cost
Aggregate Annual Mcf Saved x Current Energy Cost
must be 1 to 8 years
must be 1 year
Aggregate
Measure Cost
Total Custom Incentives
(Includes values entered on pages 27-29)
Aggregate
Annual Savings
Simple
Payback Period*
Total Calculated
Incentive
Total Awarded
Incentive**
Electric
Natural Gas
29
Custom
06122014
Current
Energy Cost
Rev: 061214
Submission
Checklist
SUBMIT
*A
Reservation Application may not be required for your project, but is strongly encouraged to set aside
funds. Submission of a Reservation Application does not guarantee that funds will be available.
SUBMIT
30
06122014
Mail, fax or email all manufacturers specifications, detailed invoices and other supporting documents
to our office. In your mailing, on your cover sheet or in your subject line, please include the customer
name and project number: DTE-(year)(5-digit number). If you dont have a project number, make sure
you enter your customer name.