2009-10 Agreement for Residential Natural Gas

Appliance Rebates
October 1, 2009 – March 31, 2010
The following rebates are effective October 1, 2009 through March 31, 2010 for new and existing single family detached, attached, and
multifamily housing (multifamily may not exceed 4 living units in a single building). Submit Agreement to:
Natural Gas Sales Department, 2602 Jackson Bluff Road, #B11, Tallahassee, FL 32304 (Fax 891-5323).
A copy of the installing contractor’s invoice or paid receipt (or proposal if in City Loan Program) must be submitted with this form.
Questions? Call 850/891-4YOU, then select 4, 1 -- or visit Talgov.com/YOU

Please read and fill out form completely – PLEASE PRINT Check all that apply below:
 New construction

Applicant (Homeowner or Homebuilder)

 Existing Home
 Single Family

Mailing Address City/Zip code  Multifamily (no more than 4 living units within a single building)
 Replacing electric appliance(s)

Phone number Email address  Replacing Propane Gas (LP) appliance(s)

Address where gas appliances are installed:  Replacing Existing Natural Gas appliance(s)
 Adding new appliance(s)
________________________________________________________
My Electric Service provider is:
 City of Tallahassee
 Talquin
 Progress Energy
 YES
I would have chosen natural gas even without the rebate.
 NO

AGREEMENT CHECK THE REBATES THAT APPLY FROM THE LIST BELOW:
(B)
Read this information carefully before signing – additional (A)
Replacing Existing
requirements, restriction and clarification are on the back of this New Natural Gas APPLIANCE TYPE Natural Gas
Appliances
form: This agreement is made between the City of Tallahassee Appliances
and the above named homeowner or homebuilder pertaining $675 Water heater (tank or tankless) $300
to construction at above address(es) for the purposes stated
herein and agreed to as follows: $700 Furnace $350
1. The Homeowner or Homebuilder agrees:
a. To install the appliances checked at the right and obtain $200 Range/Stove $150
required City and/or County inspections of installed appliances. $50 Firelogs $50
b. To conform to all applicable City, County and State Building
and/or Energy Codes. $200 Dryer $150
2. The City agrees:
a. To pay rebates to the Homebuilder signing this agreement $100 Grill $75
for new natural gas appliances (not stubouts) installed in new $450 Pool / Spa heater $250
construction prior to issuance of CO, as indicated by the City’s
Final Gas Inspection Report. $50 Lights $50
b. To pay rebates to the Homeowner signing this agreement Gold Package Bonus
for new natural gas appliances (not stubouts) newly installed in (See items (g) and (h) on page two of
existing home after issuance of a CO; homebuilder and $425 $200
this form for bonus package
homeowner cannot both receive rebates for the same appliances. requirements and information.
c. To provide a free gas service tap to meter location if gas
appliance installations include a gas water heater. $ TOTAL REBATE $
3. The City may, at its option, terminate this agreement if the
Homeowner or Homebuilder fails to carry out any obligations set DO NOT WRITE IN THIS BOX - City of Tallahassee Natural
forth in this agreement.
4. The parties hereby represent that the individuals signing have Gas Utility Only
full right and authority to bind those parties as set forth herein.

____________________________________________________ APPROVED/DATE
Homeowner or Home Builder: Print Name

____________________________________________________ COMPLETED ON: __________________________

Homeowner or Home Builder Signature

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Date:___________________________________________
 ADDITIONAL INFORMATION REGARDING REBATES

a) Rebates are for the first new natural gas appliance of each type; or the replacement of natural
gas appliances at a given address, except as indicated for Gas Lights.
b) Each appliance rebate cannot exceed the total installed cost for that appliance as indicated
by invoice, receipt, or proposal.
c) Conversion rebates are for new natural gas appliances as well as to electric-to-natural gas,
propane-to-natural gas, and oil-to-natural gas appliance replacements. Replacement
appliance rebates are for natural gas-to-natural gas appliance replacements.
d) Must have or install at least a natural gas water heater or gas space heating to receive range,
firelog, dryer, grill, pool/spa or gas light rebates.
e) “Combination appliances”, which heat the home as well as the water, qualify for the furnace +
water heater rebates ($1,375) only if a complete new system is installed (high capacity gas
water heater, hydronic loop and controls).
f) $2,000 Gold Package Rebates applies if a new water heater, new furnace [or a combination appliance],
and either a new gas range or new dryer are installed – all in one job. The $425 “Gold Package
Bonus” brings the total rebate to $2,000.
g) $1,000 Gold Package Rebates apply if the following natural gas appliances are replaced in one job:
water heater, furnace (or a combination appliance) and either a natural gas range or dryer. The $200
“Gold Package Bonus” brings the total rebate to $1,000.
h) The $2,000 Gold Package Rebate may be applied to any customer who replaces one natural gas
appliance – either a dryer or range – AND adds a water heater and furnace.
i) If a homebuilder or contractor applies for the rebate, the property owner/customer must sign the rebate
application form.

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