Massachusetts

National Grid High-

Efficiency Heating,
Water Heating and
Controls Program
Save money, improve comfort and ensure
a cleaner environment with energy savings
offers for residential natural gas heating and
hot water customers from National Grid.

High-Efficiency Heating Equipment

High-Efficiency Water Heaters
Programmable Thermostats
Weather-Sensitive Outdoor Boiler
Reset Controls
No Cost In-Home Energy Assessment

1.800.292.2032 www.nationalgridus.com/maheat
Use this form to apply for any of the
equipment rebates listed below.

Follow these steps to receive a rebate for the equipment listed below:
1) Consult a licensed contractor to determine what equipment will be installed and that the new equipment will
qualify for the listed rebates.
2) Your licensed heating contractor should install eligible high-efficiency equipment between January 1, 2012 and
December 31, 2012.
3) Review, complete and return this rebate application with a dated contractor invoice by January 31, 2013.
Please make sure your invoice includes:
a) The type of equipment installed with the complete equipment manufacturer and model number(s)
b) AFUE for heating equipment, Energy Factor or Thermal Efficiency for water heating equipment
c) Contractor’s name and address
d) Contractor’s license number
Mail application and documentation to:
National Grid High-Efficiency Heating Equipment Rebate (MA) • Offer # H943801 • PO Box 130013 • El Paso, TX 88513-0013

Please call 1-800-292-2032, e-mail ngridinfo@smartenergy-zone.com or visit nationalgridus.com/maheat

if you have any questions.
You may track the status of your rebate by visiting www.smartenergy-zone.com/nationalgrid.

2012 Residential Energy Efficiency Rebates for Massachusetts Customers

PRODUCT REBATE PRODUCT REBATE

REPLACEMENT THERMOSTATS
7-day programmable thermostats
Limit two per household. May be self-installed or
contractor installed. Rebate cannot exceed purchase price.
Must submit a dated receipt and original UPC code from the package.
AFTER MARKET OUTDOOR BOILER
RESET CONTROLS
Add on unit attached to a natural gas forced
hot water boiler
HIGH-EFFICIENCY NATURAL GAS WARM
AIR FURNACE
AFUE* Rating 96% or greater with Electronic
Commutated Motor
AFUE* Rating 95% or greater with Electronic
Commutated Motor
HIGH-EFFICIENCY NATURAL GAS BOILER
Hot water boiler with an AFUE* Rating of 96% or greater
Hot water boiler with an AFUE* Rating of 90% or greater
HEAT RECOVERY VENTILATOR
$25/ea. A factory-assembled, packaged unit including fans $500
or blowers that transfer heat between two isolated
air streams. Must be a natural gas heating customer;
excludes portable units
HIGH-EFFICIENCY WATER HEATERS**
On-demand tankless water heater with an Energy Factor $800
$225 of .95 or higher and electronic ignition
On-demand tankless water heater with an Energy $500
Factor of .82 or higher and electronic ignition
Condensing gas water heater with $500
95% thermal efficiency or greater
$800
Indirect water heater connected to a natural $400
gas forced hot water boiler
$500
Storage tank type gas water heater with an $100
Energy Factor of .67 or greater
COMBINED HIGH-EFFICIENCY BOILER
$1,500 AND WATER HEATING UNIT
$1,000 Combined condensing boiler and on-demand $1,200
water heating unit with an AFUE* Rating of 90%
or greater; must be considered one unit by manufacturer

* AFUE = Annual Fuel Utilization Efficiency

** Participants do not need to be a gas heating customer
to be eligible for water heater rebates.
Residential Natural Gas Equipment Rebate Application
Please review terms and conditions. Form must be completed entirely.
If eligible, you are entitled to only one rebate per category listed in bold below.
You are not entitled to an additional GasNetworks rebate.
Please mail completed rebate form and required documentation to:
National Grid High Efficiency Heating Equipment Rebate (MA) • Offer # H943801 • PO Box 130013 • El Paso, TX 88513-0013

CUSTOMER INFORMATION (all information required)

Account Holder’s Name: ________________________________________________________________________________________

E-Mail: _________________________________________________________________________ r Existing Dwelling r New Construction

National Grid Gas Account Number: —

National Grid Electric Account Number: —

Installation Address: _______________________________________ City: _____________________ State:_____ Zip: _____________

Mailing Address: __________________________________________ City: _____________________ State:_____ Zip: _____________

(where equipment was installed)

Name of person to whom rebate should be made payable:________________________________ Phone: ____________________

(If different from installation address listed above)

CONTRACTOR INFORMATION (all information required)

Heating Contractor Name: __________________________________________ Gas Permit Number: __________________________

Gas Fitter/Plumber License Number: ______________________________________________________________________________

(For High-Efficiency Heating/Water Heating Equipment Rebate)

Street: ____________________________________ City: ______________________ State: __________ Zip: ____________________

Business Phone: ______________________________________________________________________________________________

HIGH-EFFICIENCY NATURAL GAS FURNACE REBATE (Information required if this equipment is installed)

REBATE ANTICIPATED
ENERGY EFFICIENCY INSTALLED REBATE
MANUFACTURER MODEL NUMBER AFUE
MEASURE DATE AMOUNT AMOUNT

Natural Gas Furnace with

Electronic Commutated $800
Motor > 96% AFUE

Natural Gas Furnace with

Electronic Commutated $500
Motor > 95% AFUE

Prior Unit’s Fuel Type: ❐ Gas ❐ Oil ❐ Electric ❐ Propane ❐ New Construction TOTAL
REBATE

HIGH-EFFICIENCY NATURAL GAS BOILER/WATER HEATING UNIT REBATE (Information required if this equipment is installed)
REBATE ANTICIPATED
ENERGY EFFICIENCY INSTALLED REBATE
MANUFACTURER MODEL NUMBER AFUE AMOUNT
MEASURE DATE AMOUNT

Natural Gas Hot Water Boiler $1,500

> 96% AFUE*

Natural Gas Hot Water Boiler $1,000

> 90% AFUE*

Combined Condensing Boiler

with On-Demand Water Heater $1,200
> 90% AFUE*

Prior Unit’s Fuel Type: ❐ Gas ❐ Oil ❐ Electric ❐ Propane ❐ New Construction TOTAL
REBATE

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Residential Natural Gas Equipment Rebate Application Continued
Please review terms and conditions. Form must be completed entirely.
HIGH-EFFICENCY NATURAL GAS WATER HEATER REBATE (Information required if this equipment is installed)

INSTALLED INSTALLED REBATE ANTICIPATED

ENERGY EFFICIENCY MANUFACTURER MODEL NUMBER REBATE
MEASURE COST DATE AMOUNT AMOUNT

On-Demand Tankless
Water Heater > .95 Energy $800
Factor with Electronic Ignition
On-Demand Tankless
Water Heater > .82 Energy $500
Factor with Electronic Ignition

Condensing Gas Heater

> 95% Thermal Efficiency $500

Indirect Water Heater $400

High-Efficiency Storage Water

Heater > .67 Energy Factor $100

Prior Unit’s Fuel Type: ❐ Gas ❐ Oil ❐ Electric ❐ Propane ❐ New Construction TOTAL
Energy Factor/Thermal Efficiency:_____________________________________________ REBATE

HEAT RECOVERY VENTILATOR REBATE (Information required if this equipment is installed)

INSTALLED REBATE ANTICIPATED

ENERGY EFFICIENCY MANUFACTURER MODEL NUMBER QUANTITY REBATE
MEASURE DATE AMOUNT AMOUNT

Heat Recovery Ventilator $500

TOTAL
REBATE

AFTER-MARKET OUTDOOR BOILER RESET CONTROL REBATE (Information required if this equipment is installed)

REBATE ANTICIPATED
PRESCRIPTIVE ENERGY MANUFACTURER INSTALLED REBATE
MODEL NUMBER QUANTITY AMOUNT
EFFICIENCY MEASURE DATE AMOUNT

After Market Outdoor Boiler $225

Reset Control

TOTAL
REBATE

7-DAY PROGRAMMABLE THERMOSTAT REBATE (Information required if this equipment is installed)

PRESCRIPTIVE ENERGY REBATE ANTICIPATED

MODEL NUMBER INSTALLED PURCHASE QUANTITY REBATE
EFFICIENCY MEASURE MANUFACTURER
DATE PRICE AMOUNT AMOUNT

7-Day Programmable Thermostat

Limit two thermostats per account. $25/each
Rebate not to exceed the purchase price.

Please submit UPC code from thermostat package. TOTAL

REBATE
Installation of Thermostat: ❐ Self-installed
❐ Contractor-installed

Where did you hear about this program? r Sales Rep/Account Executive r Heating Contractor r Energy Auditor r Equipment Supplier
r Trade Show r Print Advertising r Internet r Radio/TV r Direct Mail r E-Mail r Other __________________________

Work Completion and Rebate Validation.

I hereby affirm the Energy Efficiency Equipment has been installed by a licensed contractor. I acknowledge that all work is subject to on-site work verification
and inspection as may be required by state and local law and by National Grid. I am aware of and agree to the Terms & Conditions stated on the last page
of this application and am attaching copies of (1) itemized proof of purchase for programmable thermostats and (2) contractor invoices for the installation of
high-efficiency heating equipment, water heating equipment and/or outdoor boiler reset controls.

Customer Signature: ____________________________________________________ Date: ________________________________

Qualifying equipment installed between 1/1/12 and 12/31/12 is eligible. Rebate form and required documentation must be postmarked by 1/31/13. One account
number per form. Some restrictions may apply. Rebate offers are subject to change without notice. Projects greater than ten (10) units of equipment require
pre-approval. Pre-approval can be obtained by e-mailing ngridinfo@smartenergy-zone.com
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 National Grid Massachusetts Residential Energy Efficiency Equipment Program
Terms & Conditions

1. Rebates - Subject to these Terms and Conditions, this program is offered by Boston Gas Company, Colonial Gas Company and
Essex Gas Company d/b/a National Grid (“the Company” or “National Grid”). The Company, through its contractual Vendor, Helgeson
Enterprises, (the “Vendor”), will pay rebates to eligible customers in the Company’s Service Territory, for the purchase and installation
of the equipment/products described in this literature and within this application.
2. Customer Eligibility - Equipment installed between 1/1/12 and 12/31/12 is eligible. Equipment must have been installed at the
installation address listed on this application and the required documentation listed must be postmarked no later than 1/31/13.
Applicant must be a National Grid residential gas heating customer to be eligible for the high-efficiency heating, programmable
thermostat and outdoor boiler reset control rebates specified in this form. Applicant must be a National Grid residential gas
or residential electric customer to qualify for the high-efficiency water heating rebates specified in this form. Check
nationalgridus.com/maheat frequently for program updates.
3. Post-Installation Work Verification - The Company reserves the right to perform a verification of the specified installation. If the
Company and/or Vendor determines that the equipment was not installed in a manner that is consistent with program guidelines,
the Company and/or Vendor may require that the installation be modified before making any rebate payments. The cost of such
modifications is the responsibility of the customer. I hereby authorize the Company to release my energy use information to Energy
Efficiency Program Sponsors (EEPS) and System Benefit Charge (SBC) program administrators and/or their designee. I understand
that such information will be kept confidential and used only for the purpose of determining program eligibility and energy savings.
4. High-Efficiency Heating, Water Heating and Boiler Reset Control Rebates - All installations must be completed in conformance with
state and local code requirements by properly licensed contractors.
5. Proof of Proper Installation - As part of his/her application, the Customer is required to submit dated copies of all paid invoices
documenting the installation (including all materials, labor and equipment invoices) which reflect the actual cost of purchasing and
installing the equipment.
6. Indemnification - Customer shall defend, indemnify and hold harmless the Company and its officers, directors, employees, agents,
servants and assigns from and against any and all losses, claims, demands and/or liability for damage to property, injury or death of
any person, or any other liability incurred by the Company, including all expenses, legal or otherwise, arising out of or related to the
equipment or installation, except to the extent attributable to the negligence of Company. In no event shall Company’s liability to
Customer exceed the rebate amounts.
7. Limited Scope Review - The scope of review by the Company, Vendor and their Inspector of the installation of the equipment is limited
solely to determine whether rebates are payable. It does not include any kind of safety or code review and should not be relied upon as one.
8. Rebate Amounts - The Company will provide rebates for approved heating, water heating, thermostat or boiler reset control
equipment, up to rebate amount indicated in the program literature and within this application. Projects greater than ten (10) units
require a pre-approval from the Company. E-mail ngridinfo@smartenergy-zone.com to inquire about pre-approval.
9. Payment - The Company, through the Vendor, expects to make rebate payments to eligible customers within 45 days of a satisfactory
work verification. The Customer must refund any rebate made to the extent the contractor or equipment does not satisfy program
requirements. The Company reserves the right to change or terminate rebate offers without notice.
10. No Warranties - The Company and the Vendor do not endorse, guarantee or warrant any particular contractor, manufacturer or
product installation. The Company and the Vendor do not make any representation of any kind regarding the results to be achieved by
the equipment or the adequacy or safety of such equipment.
11. Changes in the High-Efficiency Heating, Water Heating, Thermostat(s) or Boiler Reset Control Program - Equipment Incentive
Program/Tax Liability Conditions and details of the High-Efficiency Heating and Water Heating Incentive Program are subject to change
without prior notice and rebate offers may increase or decrease over time. The Company reserves the right to modify or terminate the
Program without notice. Participants of the Program may be subject to tax liability for the value of goods and services received through
the program pursuant to state or federal income tax codes. The Company is not responsible for any tax liability which may be imposed
as a result of receipt of the rebate by the Customer.
12. Contractor Insurance - The Company is not responsible for any damage that may be caused by or arise out of an installation of any
equipment. The customer is responsible for selecting contractors who are qualified and carry adequate insurance coverage.

National Grid is one of the largest investor-owned energy companies in the world. In the US, we serve nearly 5 million
electric and 3.4 million gas customers in Massachusetts, New York and Rhode Island. Save energy and money with our
award winning efficiency programs. Visit www.powerofaction.com/efficiency.

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