I certify that, to the best of my knowledge, all statements made in this application are true and correct, and all information about the proposed project(s) is representative of the energy efficiency measures my company expects to implement if my electric utility awards rebate funding for the proposed project(s). I understand this program may be modified or discontinued at any time without notice, it has limited funding and applications will be accepted on a first-come firstserved basis, until allocated funds are spent. I agree to the terms and conditions set forth in this application for this program. I UNDERSTAND THAT MY ELECTRIC UTILITY MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, WITH RESPECT TO ANY EQUIPMENT PURCHASED AND/OR INSTALLED AS A RESULT OF THE PROGRAM, INCLUDING BUT NOT LIMITED TO, ANY WARRANTY OR MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number. 2. I am not subject to withholding due to failure to report interest and dividend income, and 3. I am a U.S. person, as defined in the instructions to IRS Form W-9
