Non-Residential Advanced Rooftop Unit Control (ARC) Rebate Application Asterisks (*) indicate required fields.CUSTOMER INFORMATIONAccount Number* Company Name* Contact Name* First Last Contact Phone*Contact Email* Installation Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Do you have a different mailing address?* My mailing address is the same as above I have a different mailing address Mailing Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code SITE INFORMATIONRooftop Unit Heating System Type* Electric Heat Pump Electric Resistance Gas Building Occupancy Hours Per Year* Less than 2,500 hours 2,500 - 5,500 hours Greater than 5,500 hours Building Type* Office Retail Grocery Lodging Warehouse Food Service Hospital School Residential Care Assembly PRODUCT INFORMATIONQuantity* 1 2 3 ARC 1Equipment Type* Full ARC ARC Lite Manufacturer* Model* Installed Cost (per attached invoice)*Order/Purchase Date (per attached invoice)* MM slash DD slash YYYY ARC 2Equipment Type* Full ARC ARC Lite Manufacturer* Model* Installed Cost (per attached invoice)*Order/Purchase Date (per attached invoice)* MM slash DD slash YYYY ARC 3Equipment Type* Full ARC ARC Lite Manufacturer* Model* Installed Cost (per attached invoice)*Order/Purchase Date (per attached invoice)* MM slash DD slash YYYY REBATE PROGRAM GUIDELINESPlease click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts Rebate(s) will not exceed 70% of total installed cost. To ensure availability of funds, project must be pre-approved. Product must be on the BPA Qualified Products List, which can be found here. Product must be installed on a unitary system with a constant-speed supply fan. Split systems and rooftop units with variable speed fans are not eligible. UPLOAD YOUR FINAL DOCUMENTSPlease upload the required final documents with your application: Final invoice AHRI certificate * Drop files here or Select files Max. file size: 20 MB. Application NotesPlease insert any notes that you would like us to review with your application.SUBMIT YOUR APPLICATIONTerms and Conditions*By clicking "submit," the applicant acknowledges the following: Rebate offer(s) may be changed or discontinued at any time by Clatskanie PUD (CPUD). CPUD disclaims any warranty, whether expressed or implied, regarding the energy efficient upgrade(s) listed on this application for any materials or labor associated with installation, maintenance, repair, or any energy savings associated with use. I understand that the energy efficient upgrade(s) must be installed to CPUD specifications, and certify that I, or my contractor, have reviewed the specifications prior to beginning work. When selecting a contractor, I understand that it is the business owner’s responsibility to request proof of insurance and licensing that meets the statutes and rules of the Oregon State Construction Contractors Board. CPUD strongly recommends validating qualifications before work begins. I understand the above and certify that I am a customer of CPUD, that the energy efficient upgrade(s) are installed at the address indicated and that this address is within the CPUD service territory. I agree* Allow 4 to 6 weeks for rebate processing after the receipt of all final paperwork. Call 888-883-9879 to learn about additional energy efficiency programs.
