PWP Greening Pasadena ENERGY STAR® Home Incentives Program

(See www.energystar.gov for a list of qualifying products)

Standard Rebate Amount D“Green Power
Program”
ENERGY STAR® Products Limits Quantity Non-
Pasadena
Bonus Amount: Rebate Total
Pasadena (Green Power
Retailer
Retailer Customers Only)
A. ENERGY STAR® Qualified Refrigerator
Freezer Location …Top …Side …Bottom
Must be ≥ 14.0 cu.
Manufacturer ______________________________________________
ft $15 $____________
________units $100 $150
Model # _____________________________ Cubic Ft ___________ Limit 1 unit every
10 years
Purchase Date _________________ Install Date _________________
Does old refrigerator still work? …Yes …No

B. Refrigerator and Freezer Recycling Bonus

Refrigerator $25 Dollar Incentive plus one 3-pack
________units To schedule an
of CFL’s
appointment or to get
Limit
__________________________________________________________ more information call
2 units
PWP’s Answerline at $____________
Freezer recycled of any
(626)744-6970
combination $35 Dollar Incentive plus one 3-pack
________units
of CFL’s
Note: Unit recycled must be a working unit

C. ENERGY STAR® Qualified Ceiling Fan with

Compact Fluorescent Light (CFL) Bulbs
Manufacturer ______________________________________________ Limit
$5/unit
2 units ________fans $40/unit $50/unit $____________
Model # __________________________________________________ every 5 years
Purchase Date _________________ Install Date _________________
(May not exceed price of Fan) Wattage(s)______________________

D. ENERGY STAR® Qualified CFL Bulbs The Interactive Home

Energy calculator can be
To receive a free 3-pack of CFL’s take found at
15 W CFL Replaces a 60 W Incandescent Bulb Limit the online Home Energy Calculator www.PWPweb.com or $____________
N/A
23 W CFL Replaces a 90 W Incandescent Bulb one 3-pack survey or call the Answerline for more information call
per year (626)744-6970 PWP’s Answerline at
30 W CFL Replaces a 120 W Incandescent Bulb (626)744-6970

E. ENERGY STAR® Qualified CFL Hardwired

Lighting Fixture
Manufacturer _____________________________________________ Limit $25/unit $30/unit
$5/unit
5 units ________units (May not exceed (May not exceed $____________
Wattages_______/_______/_______/_______/_______/ every 10 years price of Fixture) price of Fixture)
Model # _________________________________________________
Purchase Date _________________ Install Date __________________

DTo be eligible for the “Greening Pasadena Rewards Program” bonus amount, you must be enrolled in the PWP Green Power program. To sign up for Green Power, check the box on the other side of this application.
 ™TERMS AND CONDITIONS™
1. To be eligible for a rebate, I understand that: (a) I must be a residential electric customer PWP GREENING PASADENA ENERGY STAR®
with an active meter serviced by Pasadena Water & Power and, (b) the product(s) I have HOME INCENTIVE PROGRAM
purchased must be installed and in use at my PWP service address. The dwelling unit must
be fully constructed and occupied. An incomplete application cannot be processed. Check one: … Owner … Renter
2. Qualifying product(s) must be purchased and installed on or after 1-1-2007 in order to
PWP Electric Account Number (Please print)_________________________________________________
qualify for rebate. Completed applications, including copies of product receipts and/or paid
contractor invoices, must be received within 90 days of purchase to guarantee rebate fund
availability. After 90 days of purchase, rebates are available while funds are available. Name on Utility Account:________________________________________________________________
The program may be modified or terminated without prior notice. Rebates are based on
the amounts shown on www.PWPweb.com at time of purchase. Phone Number (H)_________________________________ (W)_________________________________

3. I will allow, if requested, Pasadena Water & Power’s representative reasonable access to my Service Address_______________________________________________ Zip Code_________________
home to verify the installed product I have purchased before or after a rebate is paid. I
understand that a rebate will not be paid if I refuse to participate in any required verification. I
Mailing Address_______________________________________________ Zip Code_________________
understand that Pasadena Water & Power may contact the qualifying product vendor and/or
installer, if needed, to verify purchase and/or installation and may provide my name, and/or (If different from above)
address to complete this verification. I understand that I cannot receive nor keep a rebate for
the same product or equipment from more than one energy efficiency program offering rebates, E-Mail Address (Optional)________________________________________________________________
or if the product or equipment is returned to the vendor for a refund.

4. I agree that the selection of qualifying product(s), selection of manufacturer, dealer, supplier … Yes, I am a Go Green! Power customer
and/or installer, and purchase, installation and ownership/maintenance of the qualifying … Send me a Go Green! Power application
product(s) listed in this Application Package are my sole responsibility. I ALSO
UNDERSTAND THAT PASADENA WATER & POWER MAKES NO WARRANTY
WHETHER EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION How did you hear about our rebate?__________________________________________________________
THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR ANY
PARTICULAR PURPOSE, USE, OR APPLICATION OF THE PRODUCTS OR
EFFICIENCY MEASURES. I HAVE READ AND UNDERSTOOD THE ABOVE TERMS AND CONDITIONS. I CERTIFY THAT THE
INFORMATION I HAVE PROVIDED IS TRUE AND CORRECT AND THE PRODUCT(S) AND/OR
I agree that Pasadena Water & Power has no liability whatsoever concerning (1) the EQUIPMENT FOR WHICH I AM REQUESTING A REBATE MEETS THE REQUIREMENTS IN THIS
quality, safety, installation, and/or operation of the products or measures, including their APPLICATION PACKAGE.
fitness for any purpose, (2) the estimated energy savings of the products or measures, (3)
the workmanship of any third parties, (4) the installation or use of the products or
measures including, but not limited to, effects on indoor pollutants, or (5) any other ________________________________________________________________________
matter with respect to the Home Incentives Program. I waive any and all claims against Name Customer Signature Date
PWP, its directors, officers, employees, or agents, arising out of activities conducted by or
on behalf of PWP in connection with my application for any rebate(s) under the Home
Incentives Program.
Thank you for helping to protect our environment!
5. I am responsible for meeting all program requirements and complying with The City of
Pasadena, property owner and/or homeowners association requirements (if any) in my area
regarding local conditions, restrictions, codes, ordinances, rules, and regulations concerning
this installation.

6. If a tenant, I am responsible for obtaining the property owner’s permission to install the
measure for which I am applying for a rebate. My signature on this application indicates I have
obtained this permission.

Mail your completed and signed applications to: PASADENA WATER & POWER
CUSTOMER CARE - REBATES
100 N GARFIELD AVE
P.O. BOX 7115
PASADENA CA 91109-9866