The HVAC Program provides rebates for the installation of high-efficiency HVAC equipment to Pennsylvania residential customers of Met-Ed, Penelec, Penn Power and West Penn Power. This equipment must be installed by a participating contractor and must meet all program requirements.Please complete this application and mail it to the address provided below along with: 1) A sales receipt indicating “paid in full” or zero balance from a participating contractor (must be dated between June 1, 2013, and May 31, 2016), and 2) An AHRI* certificate or manufacturer’s specification sheet including unit model number, capacity and efficiency performance ratings. For ECM rebate, please include a copy of the manufacturer’s specification sheet. All minimum efficiency ratings must be met to qualify for a rebate.

HVAC Equipment Rebate Application

CUSTOMER INFORMATION

Name: (Account holder on record)Utility Provider: Met-Ed Penelec Penn Power West Penn Power

Account No.:

Installation Address: City: State: Zip Code:

Email Address:

(Your email address will be used only for transactional communications regarding energy efficiency programs.)

Home Phone: Cell Phone:

Date Installed: Participating Contractor Name: Contractor Phone Number:

How did you hear about this program: Bill Insert Contractor Direct Mail Event FirstEnergy Employee Family/Neighbor/Friend energysavePA.com

What type of residence do you live in? Single Family 2-4 Units Other:

Is this system installed as part of a new home construction project? Yes No

Is natural gas available at this residence? Yes No Not Sure

Does the new unit replace the same type of equipment? Yes No Not Sure

What is the fuel type of the equipment being replaced? Electric Gas Other:

Mail this completed application and other required documents to this address: FirstEnergy PA HVAC Program Offer #H344399 P.O. Box 540065 · El Paso, TX 88554(Please do not send this form with your utility bill payment)

Avoid delays in processing your rebate by including the following information: Completed rebate application (one application per unit), Receipt to include date of purchase and to be marked as “paid in full” or zero balance, and An AHRI* certificate or manufacturer’s specification sheet

By signing this application, I agree to the terms and conditions of this document. I understand FirstEnergy’s utilities reserve the right to audit my rebate application and if requested, I will allow a FirstEnergy utilities representative reasonable access to verify the installation of qualifying products.

Customer Signature: Date:

Don’t forget:

ENERGY EFFICIENCY PROGRAM PARTICIPATING CONTRACTOR

Met-Ed ®

Penelec ®

Penn Power ®

West Penn Power ®

FirstEnergy Companies

The costs of energy efficiency programs are recovered through customer rates in accordance with Pennsylvania Act 129 of 2008. For a complete list of commercial, industrial, residential and low-income energy efficiency programs, please visit energysavePA.com.

energysavePA.com · 1-855-848-9610

Met-Ed ®

Penelec ®

Penn Power ®

West Penn Power ®

FirstEnergy Companies

PA_HVACequipmentRebate2015.indd 1 2/2/15 8:21 PM

*The Air-Conditioning, Heating and Refrigeration Institute (AHRI) maintains a directory of certified product performance for HVAC equipment. To obtain a copy of the AHRI certificate, certificate number or products that meet the program’s minimum efficiency requirements, please visit: http://www.ahridirectory.org/ahridirectory/pages/home.aspx

HVAC Equipment Rebate ApplicationParticipating contractor must complete all required fields on this side of the application.

FEPA-HEA

0115

Customer Name: Account No.:

Incomplete information will delay or disqualify your rebate.

HVAC Energy Efficiency Systems

MeasureRebate Amount

Minimum Efficiency Requirement

Manu-facturer

Condenser Model No. Outside Unit

Condenser Serial No. Outside Unit

Coil Model No.Inside Unit

AHRI Certificate No.

Central Air Conditioner

$150 $225 $300

SEER ≥ 14.5SEER ≥ 15SEER ≥ 16

Did you install a furnace with your central air conditioner? Yes No Furnace is existing Furnace Model Number If your AHRI reference number includes a furnace, please provide the furnace model number as this information is required to qualify for the central air conditioner rebate.

Air Source Heat Pump

$250 $325 $400

SEER ≥ 14.5, HSPF ≥ 8.5SEER ≥ 15, HSPF ≥ 8.5SEER ≥ 16, HSPF ≥ 8.5

Did you install a furnace with an air source heat pump? Yes No Furnace is existing Furnace Model Number If your AHRI reference number includes a furnace, please provide the furnace model number as this information is required to qualify for the heat pump rebate.

Ductless Mini-Split Air Conditioner $50 SEER ≥ 15

Ductless Mini-Split Heat Pump $100 SEER ≥ 15, HSPF ≥ 8.5

MeasureRebate Amount

Minimum Requirements

Manu-facturer

Model No. Serial No.SEER – Seasonal Energy Efficiency Ratio HSPF – Heating Season Performance Factor **As found on www.energystar.gov

***ECM rebate cannot be combined with a central air conditioner or heat pump rebate.

Geothermal Heat Pump

$600ENERGY STAR® qualified**

Whole House Fan $50Home must have central air conditioner or heat pump

MeasureRebate Amount

Minimum Requirements

ECM Manu-facturer

ECM Model No. ECM Serial No.

ECM Motor $100

Replacement of standard blower motor with high-efficiency ECM*** in existing furnace or air handler.

Does your home have a central air conditioner or a heat pump? Yes No (for whole house fan only)

Total Rebate

Contractor’s Name: Signature: Date:

$

HVAC Equipment Terms and Conditions1. Equipment and services must be purchased and installed between June 1, 2013, and May 31, 2016. 2. Rebate application must be submitted within 180 days of installation and be postmarked by June 7, 2016. Must submit one rebate application form per unit.3. Work must be completed by a participating contractor.4. Applicant must be a Pennsylvania residential customer of Met-Ed, Penelec, Penn Power or West Penn Power, FirstEnergy’s Pennsylvania utilities.5. It is the responsibility of the customer to assure that all requirements for the rebate are met. Failure to provide any of the required information will prevent processing of your application.6. Rebate payments are based on the equipment purchase date. Customers must abide by the rules and rebate levels in effect on the date of purchase. Rebate levels cannot exceed the cost of the equipment.7. Whole house fan must be installed in a home with a central air conditioner or heat pump to qualify for the rebate.8. Purchase must be of a qualified high-efficiency electric central air conditioner, heat pump, geothermal heat pump or ductless mini split air conditioner or heat pump as defined in the table on this rebate application form. Both the condenser and coil /indoor unit must be replaced and installed as a matched set as defined by AHRI.9. The efficiency levels are based on the Air-conditioning, Heating, Refrigeration Institute (AHRI) certified performance criteria of an outdoor unit and indoor coil (and/or furnace/blower) working together. These ratings are found on the AHRIdirectory.org website. All ENERGY STAR qualified equipment must be listed at energy.gov in order to participate in this program. Both the outdoor unit and coil /indoor unit must be replaced and installed as a matched set.10. FirstEnergy’s Pennsylvania utilities and/or their designees including program administrators and evaluation contractors reserve the right to review installations to verify completion and measure energy savings to ensure compliance with all program requirements. Such reviews will be made at a time convenient to the applicant. Misrepresentation of installation location or measure eligibility may result in forfeiture of the rebate.

11. Program procedures, requirements and rebate levels are subject to change or cancellation without notice and are subject to available program funds.12. Payment will be issued to the account holder and mailing address on record with the utility.13. Please allow up to 90 days from the date all required information is received to process your rebate(s).14. Installations must be completed in accordance with all laws, codes and other requirements applicable under federal, state and local authority.15. You are urged to seek appropriate consultation concerning any tax liabilities that could be associated with the receipt of the rebate.16. FirstEnergy’s Pennsylvania utilities and Honeywell International, Inc., their parents, subsidiaries, affiliates, officers, employees, contractors and agents assume no responsibility for the performance of the equipment or equipment warranty, the quality of the work, labor and/or materials supplied, and/or the acts or omissions of the participating contractor.17. The customer hereby agrees to indemnify, defend and hold harmless, FirstEnergy’s Pennsylvania utilities, their parents, subsidiaries, affiliates, officers, employees, contractors and agents from any and all liability associated with this project.18. I understand that I may be contacted by FirstEnergy’s Pennsylvania utilities via survey or questionnaire to provide feedback on my satisfaction with the program.19. By participating in this program, Customer agrees to allow the local utility (Metropolitan Edison Company, Pennsylvania Electric Company, Pennsylvania Power Company or West Penn Power Company) to take ownership of the Energy Efficiency resource credits associated with the measures generated through this program. Your local utility may at its sole discretion then aggregate your credits with other similarly situated customers and bid the credits into the PJM market through an auction. Any proceeds from any such bids accepted by PJM will be used to offset the costs charged to the utility’s customers for compliance with state mandated energy efficiency and/or peak demand requirements.

PA_HVACequipmentRebate2015.indd 2 2/2/15 8:21 PM