2024 HVAC AND PLUMBING INCENTIVE SUPPLEMENTAL DATA SHEET NEED HELP? Call 800.762.7077
THIS FORM MUST BE ATTACHED TO COMPLETED INCENTIVE APPLICATION AND SUBMITTED TOGETHER. FOR PROJECTS INSTALLED BY 12/31/2024.
HOW TO FILL OUT THIS FORM Please refer to: • The HVAC/plumbing sections of this catalog for measure requirements and information.
CUSTOMER INFORMATION __________________________________________________________ JOB SITE BUSINESS NAME __________________________________________________________ JOB SITE ADDRESS __________________________________________________________ TRADE ALLY NAME
• Complete the table corresponding to the measure in this catalog. Attach this form to a completed Incentive Application and submit together.
A
DIRECT-FIRED MAKE-UP AIR UNITS — INCENTIVE CODE: H5081
PAGE 22
OUTSIDE AIR FLOW (CFM)
DISCHARGE AIR TEMP (°F)
WEEKDAY START TIME
WEEKDAY END TIME
SATURDAY START TIME
SATURDAY END TIME
SUNDAY START TIME
SUNDAY END TIME
EQUIP #
(Example) MAU 1
5,000
65
7:00 AM 10:00 PM 8:00 AM
2:00 PM
Off
Off
B1 AIR CONDITIONING SPLIT, PACKAGED, AND AIR SOURCE HEAT PUMP SYSTEMS (≥ 5.42 TONS) —
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INCENTIVE CODE: H10025, H10026, H10027
(C) PART LOAD EFF TO QUALIFY (IEER) (FROM MEASURE DESCRIPTION PG 27)
(B) AHRI RATED PART LOAD EFFICIENCY (IEER, 2 DECIMALS)
(A) AHRI RATED CAPACITY (TONS, 2 DECIMALS)
(D) DELTA EFFICIENCY (B - C)
(E) ADDITIONAL INCENTIVE (D X $/TON)
(F) BASE INCENTIVE ($/TON)
(G) INCENTIVE RATE ($/TON) (E + F)
REQUESTED INCENTIVE* (A X G)
EQUIP #
(Example) AC 1
15.00
16.00
15.40
0.6
$3.00
$25.00
$28.00
$420.00
B2 AIR SOURCE HEAT PUMP SYSTEM (>=5.42 TONS) - INCENTIVE CODES: H10025, H10026, H10027
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EQUIP #
EXISTING HEAT SOURCE (NG, ELECTRIC RESISTANCE, HEAT PUMP)
EXISTING NG THERMAL EFFICIENCY (IF APPLICABLE) (%)
(Example) HP
NG
85%
8
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