Merced Irrigation District
Residential Home Appliance Rebate Application
744 West 20
St. PO Box 2288, Merced, CA 95340Phone: 209-722-5761 Fax: 209-726-7010Page 2 of 4
I agree that:
I must be a residential customer on a residential rate with an active meter serviced by MID. Theproduct(s) I have installed shall be designated to reduce the energy consumption distributed tome by MID at the installation address above.2.
I understand the rebate offer is limited to residential customers for residential use. The energy-efficient product(s) must be installed in a residential dwelling within MID’s service area and musthave been purchased within 12 months of the submittal of this application .3.
Resale products, products leased, rebuilt, rented, received from insurance claims, won as a prizeor new parts installed in existing products do not qualify.4.
I understand that this signed and dated Rebate Form, all appropriate proof(s) of purchase, andother required documentation as referenced in this application must be sent to MID.5.
A rebate check for qualifying product(s) is generally mailed 6 to 8 weeks after MID receives andapproves a completed application including all required documentation. Additional time maybe necessary if an application is selected for verification.6.
I understand that the selection of qualifying product(s), manufacturer, dealer, supplier and/orinstaller and purchase, installation and ownership/maintenance of the qualifying product(s)referenced in this application are my sole responsibility. I understand that my manufacturer,dealer, supplier or installer of these products and measures is not an agent or representative of MID. I understand that MID makes no representation regarding manufacturers, dealers,contractors, materials or workmanship
. I ALSO UNDERSTAND THAT MID MAKES NO WARRANTY WHETHER EXPRESSED OR IMPLIED, INCLUDING WITHOUT LIMITATION THE IMPLIED WARRANTIES OFMERCHANTABILITY AND FITNESS FOR ANY PARTICULAR PURPOSE, USE OR APPLICATION OF THEPRODUCTS OR MEASURES
. I agree that MID has no liability whatsoever concerning (1) the quality,safety and/or installation of the product(s) or measures, including their fitness for any purpose; (2)the estimated energy savings of the product(s) or measures; (3) the workmanship of any thirdparties, (4) the installation or use of the product(s) or measures including, but no limited to, effectson indoor pollutants; and any other matter with respect to the MID Home Appliance Rebateprogram. I waive any and all claims against MID, its directors, officers, employees, or agentsarising out of activities conducted by or on behalf of MID in connection with my application forany rebate(s) under the MID Home Appliance Rebate Program.I have read and understand the above terms and conditions. I certify that the information I haveprovided is true and correct and the product(s) and/or equipment for which I am requesting arebate meets the requirements in this rebate form.Customer Signature:Name:Date: