• In order for Lane Electric and its members to insure quality heat pump installation, we are requiring that all systems meet the necessary qualifications for the Bonneville Power Administration (BPA) Energy Efficiency Incentive (EEI) Program. DHPs must be a split system employing an inverter driven outdoor compressor, with inverter driven or variable speed indoor blowers.

• System efficiency requirements are: 9.0 HSPF for single head units and 8.0 HSPF for multi-head systems.

• Systems must be listed on BPA’s DHP Qualified products list.

• All systems must be pre-authorized by Lane Electric before any incentives can be offered. If a member wishes to participate in our loan or rebate program, please contact us and ask for a heat pump packet before starting any work on the installation.

• The maximum rebate for a qualifying low income ductless heat pump is $3800. Because these members have a limited income, only DHPs that fall at or below the maximum grant amount are eligible.

• Participating contractors are required to have a signed agreement on file at Lane Electric prior to beginning work under our program.

• Lane Electric will inspect the installations once we have received an inspection request from the homeowner and the contractors final invoice.

Low Income Ductless Heat Pump Program

787 BAILEY HILL ROAD EUGENE, OREGON 97402 541.484.1151 (FAX) 541.484.7316 www.laneelectric.comover...

Heat Pump Installers

Alpine Heating & Air Conditioning

PO Box 251

Creswell, OR 97426

Phone (541) 688-0426

Fax

193586

HVAC

CCB#

Associated Heating

90330 Hwy 99 N

Eugene, OR 97402

Phone (541) 683-2590

Fax (541) 607-0287

106275

HVAC

CCB#

Automatic Heat Company

1140 Ocean St

Eugene, OR 97402

Phone (541) 726-7656

Fax (541) 726-7657

188592

Coleman / Rheem / Carrier

CCB#

Beymer Heating

300 River Rd

Eugene, OR 97404

Phone (541) 688-5004

Fax (541) 688-0954

4483

HVAC, Lennox

CCB#

Comfort Flow Heating

1951 Don St

Springfield, OR 97477

Phone (541) 726-0100

Fax (541) 726-4577

460

HVAC / Trane Heat Pumps

CCB#

Emerald Valley Weatherization

148 N 14th St

Springfield, OR 97477

Phone (541) 726-1027

Fax (541) 744-7841

105404

Windows & Insulation, Ductless Heat Pumps

CCB#

Home Comfort Heating & Air Conditioning

2730 Rooselvelt

Eugene, OR 97402

Phone (541) 345-2838

Fax (541) 302-3070

84164

American Standard, Ductless Mini-splits, Insulation

CCB#

J Co Heating & Air Conditioning

5729 Main Street #233

Springfield, OR 97478

Phone (541) 746-7065

Fax (541) 688-5816

169209

American Standard

CCB#

Josh Lowe's Dr Energy Saver

PO Box 21337

Eugene, OR 97402

Phone (541) 485-2282

Fax (541) 485-2292

176741

Daiken Ductless/ Ruud Heat Pumps/ Windows/ Insualtion

CCB#

Kent Witham Air

38320 McKenzie HWY

Springfield, OR 97478

Phone (541) 543-6580

Fax

189283

Ductless Heat Pumps, Heat Pumps

CCB#

Marshall’s Inc.

4110 Olympic St.

Springfield, OR 97477

Phone (541) 747-7445

Fax (541) 741-0821

25790

Insulation / Carrier Heat Pumps/Ductless Heat Pumps

CCB#

NuWave Heating & Cooling

4536 Camelia

Springfield, OR 97478

Phone (541) 525-7214

Fax

199906

HVAC

CCB#

Priority One Heating & Air Conditioning

4232 W 7th Ave

Eugene, OR 97402

Phone (541) 689-1004

Fax (541) 607-4457

154686

HVAC / Carrier

CCB#

Temperature Pros, Inc.

5250 high Banks Rd STE 450

Springfield, OR 97477

Phone (541) 844-8395

Fax

213084

Heat Pumps

CCB#

The Green Store

500 Olive St

Eugene, OR 97401

Phone (541) 344-1530

Fax (541) 344-1897

180259

Ductless Heat Pumps

CCB#

The Heat Pump Store

1600 Berkeley Lane E.

Monmouth, OR 97361

Phone (503) 606-9165

Fax

177229

HVAC

CCB#

787 BAILEY HILL ROAD EUGENE, OREGON 97402 541.484.1151 (FAX) 541.484.7316 www.laneelectric.com

“Owned by those we serve”

Low Income Ductless Heat Pump Program

Notice of Bid Preference / Income Statement

I have chosen the following contractor to perform a ductless heat pump installation:

Contractor: ___________________________ ________________________________

Verification of Income

I have provided documentation that as of this date my total household income is 60% or less than the median

income identified below.

I, (print name) ___________________________________ am a member of Lane Electric Cooperative and have

electric resistance heat in my home at (Address) ____________________________________________

Account #: ________________________________________ Phone #: _______________________________________

2018 (please circle one)

Size of Family

Annual Income 60% of Median

Monthly Income 60% of Median

1 $23,088 $1,924

2 $30,204 $2,517

3 $37,308 $3,109

4 $44,412 $3,701

5 $51,516 $4,293

6 $58,632 $4,886

Note: Income includes all gross wages, tips, rental income, public assistance, Social Security or pensions, income

from self- employment, alimony, interest or any other sources of income defined by the IRS on form 1040, line 22.

A representative from Lane Electric has reviewed a verifiable source of income documentation and certifies that

this household qualifies for assistance.

Program Tracking Information:

1. I _own / rent my home. (circle one)

2. Type of heating systems in home ________________________________________

3. Year home was constructed _________

4. __Site built or Manufactured Home_(circle one)

LEC representative____________________________________ Date______________________________

How a Ductless System works.And why it works better!

More Comfortable.Ductless Systems have an ultra-quiet fan that circulates air evenly throughout living areas, eliminating hot and cold spots.

More Flexible.In addition to lowering your heating bill, and providing air conditioning, adding a Ductless System increases the flexibility of your home’s heating system. You can install a Ductless System in your main living area and keep your existing heating system in place to ensure your bedrooms and bathrooms remain at the desired temperature even on the coldest days.

*Cost estimates based on average insulated home. Fuel price estimates as of 2/2009

Ductless Systems Have 3 Main Parts. An indoor unit, mounted on a wall. An outdoor unit, that sits on the ground. A remote control that controls the unit. The indoor and outdoor units are connected by a small bundle of cables including a refrigerant line. These cables only require a 3 inch hole in the wallfor installation.

How a Heat Pump Works.A heat pump transfers heat using refrigerant expansion and compression within a cycle...What does that mean?

It means it takes cold air and makes it warm - and takes warm air and makes it cold, when you want it and where you want it!

More Efficient.The diagram below shows how a Ductless System compares with other heating systems. It uses less energy and provides more heat for every dollar you spend - That’s technology!

Annual Heating Cost*

$1,704

$2,502

$867

$984

$771

$328Ductless Heat Pump system

Heating Fuel Type

Fuel Oil

Propane

Wood

Resistance Electric Heat

Pellets (wood)

787 BAILEY HILL ROAD / P.O. BOX 21410 EUGENE, OREGON 97402-0407 541.484.1151 (FAX) 541.484.7316 www.laneelectric.com

Last Updated: October 1, 2017 Page 1 of 3

Please Return This Form To:

Ductless Heat Pump (DHP) and Ducted Mini-Split Installation Form All sections must be filled out by the installer at the time of installation. A copy of this completed form and the purchase receipt or invoice must be promptly submitted to the homeowner’s utility in accordance with utility policy.

Eligibility Guide for DHPs and Ducted Mini-Splits: Ducted Mini-Splits do not include homes with whole house centrally ducted systems. See PTCS Air Source Heat Pumps for further information on whole home centrally ducted systems.

Select what you are Installing (Select One) Eligible Home Types (Select One)

Eligible Existing Heating System Being Replaced

(Select One)

Single Indoor Head DHP

Single Ducted Mini-Split (not whole home centrally ducted)

Existing Single Family

Existing Manufactured

New Single Family (in all states except WA)

New Manufactured

Electric Forced Air Furnace

Electric Zonal1

Multi Indoor Head DHPs

Multiple Indoor Ducted Mini-Splits (not whole home centrally ducted)

Combination DHP/Ducted Mini-Split

Existing Single Family

Note: Multi-head DHPs, multi ducted mini-splits and combination installs in New & Existing Manufactured Homes or New Single Family Homes (in all states except WA) may be eligible for single indoor head DHP or single ducted mini-split incentive (see above).

Electric Forced Air Furnace

Electric Zonal

DHP Existing Single Family

Existing Manufactured DHP

Household Information

Customer Name Customer Electric Utility

Installation Address City State Zip

Year Built:

Total Heated Area of the Home: Sq Ft

Customer Phone

Mailing Address, if different:

Installation Information

1 Zonal heating includes electric, non-ducted: ceiling cable, wall, baseboard, plug-in and an electric boiler/water heater attached to a zoned hydronic floor heating system.

Lane Electric CooperativeAttn: Energy Services787 Bailey Hill Rd.Eugene, OR 97402-0407

Min HSPF 9.0

Min HSPF 8.2

Min HSPF 11.0

Project ID:

Last Updated: October 1, 2017 Page 2 of 3

AHRI Certified Reference #:

HSPF Rating: Installation Date:

Outdoor Unit Manufacturer:

Outdoor Unit Model(s) #:

Associated Indoor Units Indoor Unit Model Number(s) Associated Indoor Units Indoor Unit Model Number(s)

Indoor Unit 1: Indoor Unit 3 (if installed):

Indoor Unit 2 (if installed):

Indoor Unit 4 (if installed):

Total Installed Cost (before rebates): $________________ Additional repair cost (if low income): $________________

Yes, this DHP is listed on BPAs Qualified Product List.

Yes, this DHP has been installed on a dedicated electrical circuit.

Yes, I have installed refrigerant line protection on the entire length of exterior, insulated refrigerant lines.

Yes, I have installed the system in accordance with manufacturer specifications, including adherence to proper refrigerant charging.

If installing a single head DHP, I have received the contractor orientation available at https://goingductless.com/partners.

Yes, I have all the required licenses, registrations and permits for the work performed at the site address on this form.

Installer Required Signature

By signing below, the installer certifies that this form and any accompanying documentation are complete and accurate, and that all measures associated with this project were completed as of the signature date below. The signature certifies that the installer is licensed, bonded, insured, and has been trained by the manufacturer of the installed product and, if installing a single head Ductless Heat Pump, has received the contractor orientation available at https://goingductless.com/partners. This form must be signed by the installer. Installer Name Installation Company Contractor

Homeowner/Other

Installer Signature Installer Phone # Date

*Home type not eligible for rebate: New Construction Site Built in Washington.**Existing Heating system types not eligible for rebate: Air Source Heat Pump, Geothermal Heat Pump, Natural Gas Furnace

Number of Indoor Units:

PRIVACY ACT STATEMENT

Basic authority for collecting this information is authorized by 16 U.S.C. §§ 832 et. seq., and 838 et. seq., pursuant to Bonneville Power Administration’s Conservation Program system of records established in 46 FR 31700. This information is primarily intended to further, but is incidental to the performance of, BPA’s overall Energy Efficiency Program, the objective of which is to acquire energy resources through energy efficiency, to determine what cost-effective conservation and direct application renewable resources measures should be installed or adopted under different circumstances, and to provide incentives for the installation of such measures. Other routine issues of this information include: aggregation into a public database on energy efficiency; furnished to authorized personnel for installation/repair of equipment; aggregated into a database for program publicity; and in some instances information regarding buildings will be made available to subsequent purchasers of the buildings. Your disclosure of the requested information is voluntary; however failure to provide requested information means that it will not be possible for you to participate in this BPA Energy Efficiency program.