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Water Conservation Rebate - Washing Machine Rev. 11/2/2022 WASHING MACHINE WATER CONSERVATION PROGRAM Your Water Conservation Representative: Madeline Kacsinta - mkacsinta@pismobeach.org This program is subject to change without notice and is subject to the availability of funding. Program Goal: The intent of the Water Efficient Washing Machine Rebate Program is to encourage the use of water efficient appliances, with the added benefits of energy efficiencies– to save water. Background: More than 20% of all water consumed in a home is used in the washing machine. Running a conventional washing machine can use more than 50 gallons of water per cycle. However, there are high-efficiency models that use 50% less water and energy. Most full-sized high-efficiency clothes washers use 18-25 gallons of water per load. Receive up to a $150 rebate with the purchase of a new energy and water efficient washing machine. Continue to save money each month on your water and energy bills! Rebate Amount for a Water Efficient Washing Machine If all of the terms and conditions are satisfied, receive a $150 reimbursement for the purchase and installation of a CCE (Consortium for Energy Efficiency) tier 3 washing machine. The rebate will be mailed to the customer after all requirements have been met. For current list of qualifying washers, see www.waterenergysavings.com. How to APPLY: 1. Fill out application: See first page of this document for application 2. E-mail, mail, or turn in application to a City representative. <<<< Include a photo of your existing washing machine (if applicable)>>>>> Mail: Attn Madeline Kacsinta, 760 Mattie Road, Pismo Beach CA 93449 E-mail: mkacsinta@pismobeach.org Phone: (805)773-7060 3. Pre-retrofit inspection of existing washing machine: City Staff will contact you to schedule an inspection. 4. Make Approved Update: City Staff will give approval at pre-retrofit inspection. 5. Post-retrofit Inspection: After retrofit is 100% completed, call to schedule a post-retrofit inspection with a City Representative to confirm retrofit has been made in accordance with the terms and conditions of the rebate. (PLEASE HAVE VALID, DATED SALES RECEIPT TO TURN IN TO THE INSPECTOR) 6. City Will Mail Rebate Check: Once your post-retrofit inspection has passed, the City Representative will contact the City’s Finance Department to mail a check to the address on the application. Please allow 30 days from post- installation inspection to receive the rebate. NOTE: The City of Pismo Beach does not warrant or assume any liability for the design, manufacture, installation or operation of any item obtained under this program. Rev. 11/2/2022 Terms and Conditions: PLEASE READ THIS INFORMATION CAREFULLY. In order to receive a Washing Machine rebate from the City, the applicant must completely fill out the application and comply with the requirements on this form. Failure to do so may result in disqualification. 1. The property receiving the washer must be a water customer of the City of Pismo Beach. 2. Your utility account must be in good standing. 3. The machine being replaced must be a non-efficient model. 4. Single-family, multi-family, Homeowner Associations, and certain mixed-used accounts are eligible. 5. The washer must be CEE (Consortium for Energy Efficiency) Tier 3 compliant with a Water Factor of 4.0 or less at the date the application is received from the customer (go to www.waterenergysavings.com for more information). 6. The purchase must be made on or after November 2, 2022. The City will not honor rebates for used or reconditioned washers, or washers purchased prior to the above date. 7. The application form must be completely filled out. 8. Applicant must attach a legible copy of a valid, dated sales receipt to this application. 9. Installations must be completed within six (6) months following receipt of the City’s executed agreement. Once the City receives notice of installation project completion, any wait time for the City’s final inspection shall not be counted against this six-month period of time. The converted area must remain in compliance with all program terms and conditions for a period of five (5) years following receipt of the rebate. An applicant may be required to refund the entire rebate, or a portion thereof, if rebate program terms and conditions are violated. Notwithstanding the foregoing, this requirement is void upon transfer of ownership. 10. Once the City is notified of an installation project’s completion, the City will conduct an inspection to verify program compliance. If the installation fails inspection, the applicant will be permitted to bring the installation project into compliance with the program terms and conditions for a period of sixty (60) days or the remainder of the six-month period, whichever is greater. 11. The City enforces only the terms and conditions of this agreement. The applicant is solely responsible for complying with any and all laws, regulations, policies, conditions, covenants and restrictions that may apply and for any and all liabilities arising out of an installation project. Applicants are encouraged to consult any applicable covenants, conditions and restrictions (”CC&Rs”) or neighborhood Homeowner’s Association (“HOA”) regulations that may apply to an anticipated installation project prior to submitting an application with the City. Applicants must also comply with all state and local laws relating to landscape maintenance. The quality, maintenance and appearance of the installation are the exclusive responsibility of the applicant. Rebates may be considered taxable income. 12. The Washing Machine Rebate Application must be submitted to the City of Pismo Beach and the applicant must participate in a pre-conversion site review conducted by the City prior to the removal of existing washing machine. Conversions that are initiated without the City’s approval are ineligible. 13. The washer must be installed in accordance with all relevant building codes prior to submittal. 14. For rental properties one rebate per address every three years. Additional rebates may be issued only if all tenants at the address have turned over. 15. Schedule a post-installation site visit with a City of Pismo Beach representative once installation has been completed in accordance with the terms and conditions of the rebate program. 16. Washing machine may be inspected at any time by the City to determine ongoing compliance with the program. Rev. 11/2/2022 For further information, please contact the Public Works Department at 773-4656, email your Water Conservation Representative at mkacsinta@pismobeach.org, or go to www.thinkh2onow.com for more water conservation information. The number of rebates is limited. Only one rebate will be issued per household. NOTE: The City of Pismo Beach does not warrant or assume any liability for the design, manufacture, installation or operation of any automatic valve obtained under this program. Rev. 11/2/2022 WASHING MACHINE WATER CONSERVATION PROGRAM Please carefully read all the terms and conditions before filling out this application. Date: How did you hear about this program? Customer Name: (As you would like it to appear on the check; please print clearly) Customer Address: Installation Address: (If different from above) Phone #: Email Address: Preferred way to contact you? Email____ Make and model of machine being installed: Phone ____ Existing make and model of machine: Indicate efficiency rating on new machine What is your connection to the property where the washing machine is being installed: ___Property Owner ___Tenant Water Account Number: (This information may be obtained from a previous water bill) By signing below, you indicate that you have read and complied with the requirements of the Washing Machine Rebate Program as outlined above. You must call for an inspection: (805) 773-4656. Authorized Signature Date CITY USE ONLY Date Received: Pre-Inspection Date: Post-Inspection Date: Approved / Signature: