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Webster City Electric Utility
                             C&I Energy Efficiency Loan Program
Commercial & Industrial Accounts Only                                                                Date of Application
Customer Account Number
Customer ____________________________________________
Address                                                                                                        Zip Code
Contact                                         Title
Phone                                           Email

Signature                                                                                               Date

Project Name & Description

                                                                                                               Attachment         Y          N
Scheduled Project Start Date                                                      Date of Completion

              Project Budget                                                            Financial Commitments
Materials  $                                                                      Company $
Labor      $                                                                      Bank        $
Other      $                                                                      Other       $
Total      $                                                                      Total       $
         Project Budget Less Commitments $
      Less Applicable City/Cornbelt Rebates $                                                     (Applies to Materials Only)
                   Total City Loan Request $                                                      (Applies to Materials Only)

     This Project May Qualify for an Energy Efficiency Rebate, Please Contact Webster City Economic Development Prior to Completing Budget
                    Collateral Required for Loans Exceeding $5,000 for Commercial projects and $10,000 for Industrial Projects

Description of Collateral to be Provided:

Contractor                                                                Phone
Address                                                                   Email
License #

Energy Management Engineer (if applicable)
Address
Phone
Email

               Estimated Energy Savings (Attach Verifications, Calculations and Other Supporting Documents)
KW Demand                       Summer          Projected Annual kWh Savings
KW Demand                       Winter          Estimated Annual Savings          $

                                                         FOR OFFICE USE ONLY
        Reviewed By                  Date         Council Approval
                                                          Date      Release of Funds _____________
________________________             _________ _________________
                                                       _________    Authorized By       _____________
                                                               UCC Financing Statement ( ) Y ( ) N
                                                                    Collateral in Place ( ) Y ( ) N
Comments _____________________________________________________________________________________
______________________________________________________________________________________________

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Commercial and Industrial Energy Efficiency Loans

  • 1. Webster City Electric Utility C&I Energy Efficiency Loan Program Commercial & Industrial Accounts Only Date of Application Customer Account Number Customer ____________________________________________ Address Zip Code Contact Title Phone Email Signature Date Project Name & Description Attachment Y N Scheduled Project Start Date Date of Completion Project Budget Financial Commitments Materials $ Company $ Labor $ Bank $ Other $ Other $ Total $ Total $ Project Budget Less Commitments $ Less Applicable City/Cornbelt Rebates $ (Applies to Materials Only) Total City Loan Request $ (Applies to Materials Only) This Project May Qualify for an Energy Efficiency Rebate, Please Contact Webster City Economic Development Prior to Completing Budget Collateral Required for Loans Exceeding $5,000 for Commercial projects and $10,000 for Industrial Projects Description of Collateral to be Provided: Contractor Phone Address Email License # Energy Management Engineer (if applicable) Address Phone Email Estimated Energy Savings (Attach Verifications, Calculations and Other Supporting Documents) KW Demand Summer Projected Annual kWh Savings KW Demand Winter Estimated Annual Savings $ FOR OFFICE USE ONLY Reviewed By Date Council Approval Date Release of Funds _____________ ________________________ _________ _________________ _________ Authorized By _____________ UCC Financing Statement ( ) Y ( ) N Collateral in Place ( ) Y ( ) N Comments _____________________________________________________________________________________ ______________________________________________________________________________________________