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revised: 5/10/16 High Efficiency Sprinkler Nozzles Rebate Program and Application Offer available July 1, 2016 thru June 30, 2017 and subject to fund availability City of Modesto water customers may be eligible for a rebate when they upgrade from their old conventional spray head sprinklers to the High Efficiency Sprinkler Nozzles. Funding is limited and applications will be accepted on a first come, first served basis. The City of Modesto reserves the right to terminate this program at any time and for any reason. Customers who install new qualifying High Efficiency Nozzles are eligible for a rebate in the amount of $2.00 per nozzle for a maximum of 30 nozzles. The rebate amount may not exceed exceed $60.00 per City of Modesto water account. High Efficiency Sprinkler Nozzles deliver heavier streams and bigger droplets. The extra weight helps prevent droplets from being carried away by wind, evaporation, runoff, and overspraying. Water is applied at a much slower rate allowing the water more time to soak into the soil and less runoff and waste. For a qualifying list of High Efficiency Nozzles visit: http://ca-modesto.civicplus.com/DocumentCenter/View/4044 How the Program Works 1. Obtain an application using one of the following methods: a. Telephone: (209) 342-2246 b. Web site: www.modestogov.com/978/Water-Services c. Email: [EMAIL REDACTED] 2. Send completed application and the original sales receipt to: a. Mail: City of Modesto Attention: Water Division - Rebate Program PO Box 642, Modesto, CA 95353 b. Fax: [PHONE REDACTED] c. Email: [EMAIL REDACTED] 3. A City of Modesto representative will contact you to schedule a brief appointment to verify your old spray heads were replaced with the new High Efficiency Nozzles and are adequately conserving water Program Guidelines and Participation Section Who Qualifies? • City of Modesto customers who pay a water utility bill to the City of Modesto • Account that are in good standing • Renters or tenants must provide written approval from the property owner or property manager Timelines • Program applies to each high efficiency nozzle purchased between 7/1/16 thru 6/30/17. • Rebate application must be submitted within 60 days of sales receipt. A pre-inspection will bescheduled once the application is received. • After approval of pre-inspection, you will have 60 days to complete the conversion of your old system. • Once completed, contact the City of Modesto to schedule the post-inspection. • If not approved at post-inspection, you have 30 days to make corrections and to schedule a final inspection. ---PAGE BREAK--- High Efficiency Sprinkler Nozzles (qualifying for rebate) • Nozzles must be from the pre-approved list provided by the City. • For a list of qualifying nozzles visit http://ca-modesto.civicplus.com/DocumentCenter/View/4044 or call [PHONE REDACTED]. • High efficiency nozzles must be installed within the Modesto City service area and at the location on application. • All new nozzles must be the same make and model to ensure proper operation. • Nozzles must be installed per manufacturer specifications to ensure adequate coverage. Rebates • On-site compliance verification at the address shown on the City of Modesto utility bill is required. • Existing nozzles,nozzle installation costs, new construction, accessories, and taxes do not qualify. • Rebate checks will be mailed within 8 weeks after completing the rebate process. • Rebate amount cannot exceed the purchase price of the new high efficiency nozzles. • Rebates are limited to 30 nozzles per utility billing account per fiscal year (July 1, 2016 - June 30, 2017). Application and Rebate Approval or Denial • On-site compliance verification is required. • The original itemized dated sales receipt for the new nozzles is required (copies not accepted). • Incomplete, incorrect or unsigned applications cannot be processed. We will contact you with any discrepancies and may require you to submit a new application. • Customer must fulfill all program guidelines in order to be eligible for rebates. • The rebate application must be submitted within 60 days of sales receipt. Other Considerations • The Rebate Program is not responsible for materials lost by mail. • Submission or possession of a rebate application does not guarantee receiving a rebate. • Rebates are processed on a first come, first served basis. • Funding for this rebate program is limited to available resources. • Rebate amounts are subject to change without notification. • This program shall at all times be subject to change or termination without prior notice. ---PAGE BREAK--- Water Conservation Program Mail to: City of Modesto, Water Division - Rebate Program P.O. Box 642, Modesto, CA 95353 Phone: (209) 342-2246 – Fax: (209) 577-4983 Website: www.modestogov.com/978/Water-Services $2.00 High Efficiency Sprinkler Nozzles (30 max.) Account information PLEASE PRINT CLEARLY: Rebate Program Date City of Modesto Utility Account Account Name_ Account Address Zip Telephone (Day) (Evening) E-Mail Property Owner (if different from above) Mailing Address Telephone (Day) (Evening) E-Mail Residential Commercial Note: Renters or Tenants: Participation requires written approval from property owner (attach to application). Have you previously applied for this rebate? yes no If yes, please indicate the date of the last rebate: Inspection Required • When the completed application is approved, an appointment will be scheduled for a brief visual inspection by the City. • You will be notified should a final inspection of the new nozzles be required. Rebate Information Where did you learn about the rebate? • The rebate value cannot exceed the actual cost of the high efficient nozzles. • An application must be approved prior to rebate. • An original itemized dated sales receipt is required prior to rebate approval. • Limit of $60 per account per fiscal year (July 1, 2016 - June 30, 2017). • New high efficiency nozzles must be installed within 60 days of purchased date. • Compliance with attached guideline is required. ---PAGE BREAK--- Agreement of Terms and Conditions The City of Modesto may deny any application that does not meet program requirements. The undersigned expressly agrees that the City may inspect all items submitted for the High Efficiency Sprinkler Nozzles Rebate Program. The City does not guarantee the performance of any high efficiency nozzle; does not warrant any high efficiency nozzle or installation to be free of defects, the quality of the workmanship, or the suitability, of the premises or the nozzles for installation. The undersigned further agrees to hold harmless the City of Modesto against all loss, damage, expense, and liability resulting from the loss, destruction or damage to property arising out of or in any way connected with installation of the high efficiency nozzles. The City reserves the right to alter this program at any time. Funding for this rebate program is limited to available resources. Rebates are processed on a first come, first serve basis. For further questions, please call (209) 342-2246. I have read, understand, and agree to the terms and conditions of this rebate program. Signature of Applicant Date For Official Use Only Inspection Date: Tracking Inspector: Application Approved: Denied Reason for Denial: Approved by: Information for certification date/model of new high efficient sprinkler nozzles: Manufacturer Purchase Install $ Date Date Price Rebate(s) @ each = $ Total Rebate Amount Date Accounting: Rebate Check sent: Date: By: Voucher No: