Service must be performed on or after July 1, 2015.

This Program is open to Dominion Virginia Power residential customers. Customer must be on a residential rate schedule. Customers must be responsible for the electric bill.

Only refrigerators or freezers between 10 and 32 cubic feet qualify.

Units must be at least 10 years old to qualify.

Units must be in working condition and in use.

Customer account is eligible for two units during the three-year program time period. Submit one rebate application form per unit.

Work must be completed by JACO, the implementing contractor for the Program.

Service must be completed in accordance with all laws, codes and other requirements applicable under federal, state and local authority.

I understand that I may be contacted by Dominion via survey or questionnaire to provide feedback on my satisfaction with the program.

Rebate payments are based on the date of service. Customers must abide by the rules and rebate levels in effect on the date of service.

It is the responsibility of the customer to assure that all requirements for the rebate are met. Failure to provide any of the required information will delay processing of your application and could result in non-payment.

Program procedures, requirements and rebate levels are subject to change or cancellation without notice and are subject to available program funds.

Dominion and/or its designees including program administrators and evaluation contractors reserve the right to review installations to verify completion and measure energy savings to ensure compliance with all program requirements. Such reviews will be made at a time convenient to the applicant. Misrepresentation of installation location or measure eligibility may result in forfeiture of the rebate.

Payment will be issued to the account holder and mailing address on record with the utility.

Please allow up to four to six weeks from the date all required information is received to process your rebate.

You are urged to seek appropriate consultation concerning any tax liabilities that could be associated with the receipt of the rebate.

Dominion Virginia Power, its parents, subsidiaries, employees, affiliates and agents assume no responsibility for the quality of the work, and/or the acts or omissions of the participating contractor.

The customer hereby agrees to indemnify, defend and hold harmless Dominion Virginia Power, its parents, subsidiaries, employees, affiliates and agents from any and all liability associated with this project.

I understand that Virginia Electric and Power Company (the “Company”) retains all rights to energy and demand reductions that result from measures installed under this Program for a maximum of four years, and that the Company may use such energy and demand reductions to participate in load management programs, demand response programs, or auctions operated by PJM Interconnection, L.L.C. (“PJM”), the regional electric transmission entity of which the Company is a member. The Company may share my pertinent customer information with PJM and with the Company’s agents and contractors for purposes of this Program. Pertinent customer information includes, but is not limited to, account holder name, account number, address, other contact information, and other information necessary to implement and monitor the Program including other information as required by PJM.