Commercial Window 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 BUILDING INFORMATIONBusiness Type* Office Assembly Hospital Retail Grocery Warehouse School K-12 Food Service Residential Care Electric Heat Source*To qualify, commercial buildings must have a permanently installed electric heat system capable of heating the entire structure. Wall Unit Baseboard Forced Air Electric Heat Pump Ceiling Cable Other Other Heat Source* Air Conditioning* Zonal Central BUILDING REQUIREMENTSNumber of hours open each day*Existing Windows* Single Pane Storm Double Pane Metal Frame Existing windows must be single pane or single pane with storms or double pane with metal frames to qualify. Existing vinyl and double pane wood frame windows do not qualify for rebate(s).ENERGY EFFICIENCY UPGRADES Rebate(s) are for replacement windows only. All final invoices/receipts & installation must be dated on or after October 1, 2019 to qualify for the current rebate amount. Please click the button below to find current rebate amounts. This will open a new tab. Rebate Amounts REBATE PROGRAM GUIDELINESRebate(s) will not exceed 70% of total installed cost. Rebate(s) for self-installed measures will not exceed 70% of the cost of materials. Before Installation: An audit of the existing windows is required before the work begins. Email rebates@esgroupllc.com or call 888-883-9879 to schedule. After Installation: Final inspection is required. Email rebates@esgroupllc.com or call 888-883-9879 to schedule. All measures must be installed according to Modern Electric Water Company specifications. If the customer or contractor is not familiar with program specifications, call 888-883-9879 prior to beginning work.U-Factor of replacement windows:*Please input any additional U-Factors into the Notes section at the bottom of this form.UPLOAD YOUR FINAL DOCUMENTSThe following documents are required before final inspection of the new windows: Contractor final invoice(s), or receipt(s) if self-installed, including window measurements. The final invoice & installation date must be on or after October 1, 2019 to receive the current rebate amount. Completed Commercial Window Rebate Application (this form). Copy of one NFRC sticker for each window replaced or a manufacturers window order confirmation with measurements and U-factor verification. * Drop files here or Select files Max. file size: 20 MB. Please note: We now require all documentation to be turned in before we will perform the final inspection. Please double check that you have attached all required final documents.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 Modern Electric Water Company (MODERN). MODERN disclaims any warranty, whether expressed or implied, regarding the measure(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 measure(s) must be installed to MODERN 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 Washington Construction Contractors Board. MODERN strongly recommends validating qualifications before work begins. I understand the above and certify that I am a customer of MODERN, that the measure(s) are installed at the address indicated on this application and that this address is within the MODERN service territory. I agree* Allow 8 to 10 weeks after final inspection and the receipt of all final paperwork for processing. Call 888-883-9879 to learn about additional energy efficiency programs.