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Controller Rebate-Cactus Flower-ParkwaysCOACHELLA VALLEY WATER DISTRICT HOA AND COMMERCIAL SMART CONTROLLER REBATE PROGRAM APPLICATION PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024 Page 1 of 5 File: 0585.09.01 ABOUT THE PROGRAM The Coachella Valley Water District (CVWD) established the Landscape Water Management Program for the purpose of water conservation and to eliminate nuisance water, overspray, and run-off. CVWD is offering a rebate for eligible Homeowner Associations (HOAs) and Commercial customers who upgrade to more efficient irrigation hardware. The program involves installing smart, weather-based irrigation clocks that automatically adjust the irrigation system’s run time based on weather data. CVWD will contribute 75% of the cost of the controller(s), up to $10,000 per project. All projects must be pre-approved before work begins. If you begin or complete your project before applying and receiving pre-approval, your project is not eligible for a rebate. No retroactive rebates will be approved. Eligible projects are funded on a first-come, first-served basis. There is no guarantee that funds will be available for an entire program year. Applications may be submitted in person to CVWD, or by email or postal mail as listed below. Your application will be reviewed and you will be contacted for a pre-site inspection. Do not begin you Project before receiving your written pre-approval. Please confirm your application includes all of the following. Your application will not be processed until it is complete. 1.[ ] Initial each page of the Terms and Conditions, complete and sign the application 2.[ ] If you are not the account holder, you must complete the attached designation letter 3.[ ] Complete, sign, and return the Internal Revenue Service W-9 Form. The W-9 can be submitted to CVWD in person, by postal mail, by fax to (760) 837-5848, or by email. Coachella Valley Water District Offices- In person delivery only: Email address only: Mailing Address Only: CVWD Water Management 75-525 Hovley Lane East Palm Desert, CA CVWD Water Management 51-501 Tyler Street Coachella, CA OutdoorRebates@cvwd.org CVWD Water Management P.O. Box 1058 Coachella, CA 92236 Phone: (760) 398-2651 COACHELLA VALLEY WATER DISTRICT HOA AND COMMERCIAL SMART CONTROLLER REBATE PROGRAM APPLICATION PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024 Page 2 of 5 File: 0585.09.1 TERMS AND CONDITIONS ELIGIBILITY All HOA and Commercial Rebate Projects must be pre-approved before work begins. If you begin or complete your Project before applying and receiving written pre-approval from CVWD, your Project is not eligible for a rebate. No retroactive rebates will be approved. Eligible projects are funded on a first-come, first-served basis. There is no guarantee that funds will be available for an entire Program year (July 1 through June 30). ELIGIBILITY CRITERIA 1.Applicant must be a CVWD HOA or Commercial account holder or property owner with a dedicated large landscape meter. Only domestic water customers are eligible for this program. Private pumpers, recycled water and canal users are not eligible. 2.Applicant must have a full functioning irrigation system and working irrigation timer/controller. 3.Applicant must be the owner of the property site, or be a designated representative with written authorization to represent the property owner. 4.Applicant’s account must be in good standing. CONDITIONS 1.Applicant must: •Complete and sign rebate application prior to starting Project •Complete and sign an Internal Revenue Service W-9 Form. The federal tax code treats landscape rebates as taxable income. 2.Applicant agrees to schedule, and allow CVWD representative(s) onto the property for the Pre-site and Post- Conversion Inspections. 3.Receive written pre-approval before purchasing and installing your smart controller. Notification will be sent to the email address on the application or by USPS if none is provided. 4.Do not purchase your new Smart Controller until you receive written authorization to proceed. 5.Applicant must complete the Project within 90 days after written approval is given. 6.The smart controller device should be Smart Water Application Technologies (SWAT) certified, Water Sense labeled, or must meet the Irrigation Association’s definition of a Smart Controller: …monitor and use information about environmental conditions for a specific location and landscape information such as soil moisture, rain, wind, the plant’s evaporation and transpiration (I/TO) rates, and in some cases, plant type and more-that enables the device to decide when to water, and when not to, providing exactly the right amount of water to maintain lush, healthy growing conditions. 7.Rebate amounts will be determined by verification at the Post-Conversion Inspection and proof of purchase. 8.Applicant will contact CVWD to schedule Post-Conversion Inspection and will provide proof of original sales receipt or itemized invoice that shows the make and model of the installed smart controller(s). 9.Applicant agrees to leave the smart controller in place for a minimum of three (3) years, provided ownership of the property does not change. 10.Applicant agrees to allow CVWD to inspect the smart controller system within the first three (3) years after its installation. 11.If applicant fails the Post-Conversion Inspection, CVWD will attempt to allow the applicant to make changes to the Project to comply with the Program and be eligible for the rebate. CVWD will conduct one (1) additional Post Conversion Inspection within 30 days of the failed inspection. CVWD will not provide more than two (2) inspections for failure to follow program guidelines. 12.After the Project is completed, approved and verified, a rebate check wi ll be mailed to the billing or mailing address associated with the applicant’s account within 90 days. CUSTOMER INITIALS__________ COACHELLA VALLEY WATER DISTRICT HOA AND COMMERCIAL SMART CONTROLLER REBATE PROGRAM APPLICATION PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024 Page 3 of 5 File: 0585.09.1 HOW TO APPLY 1.Read the Program’s Terms and Conditions. You must meet the eligibility requirements to participate. 2.Submit application with W-9 Form, Site plan, and letter of authorization (if needed) to CVWD. Applications are processed in the order they are received. Incomplete applications will not be processed until all required information is received. ACCOUNT/CUSTOMER INFORMATION Account/Property Owner Name Mailing Address City Zip Email Address Daytime Phone No. Mobile Phone No. Owner Representative (if any) Rep. Contact No. SITE CONTACT INFORMATION (if applicable) Customer Account Name (if different) Site Address (if different) City Zip Account Number (s) EXISTING CONTROLLER INFORMATION: Landscape Area Served by the Controller ___________________ Manufacturer #1 #2 #3 Model Name or Number Number of Current Valves How did you hear about the program? [ ] Agency Website [ ]Neighbor/Friend [ ]Newspaper [ ]Bill Insert [ ]Customer Service Representative [ ]CVWD Presentation [ ]Radio/TV [ ]Social Media [ ]Community Event [ ]Other:__________________ Date app received______________ Staff ______________ W-9 received Y / N Plans received Y / N THIS SECTION FOR OFFICE USE ONLY Date app approved ______________ By ______________ Post Inspection Date ______________ By ______________ Number of Controllers _________________ Eligible receipt total _________________ 75% Eligible total _________________ Rebate amount _________________ City of La Quinta 78-495 Calle Tampico La Quinta 92253 uayon@laquintaca.gov 760-777-7048 760-275-2789 Ubaldo Ayon Cactus Flower La Quinta 92253 x Rainbird RainbirdRainbird ESP-24-SAT ESP-24-SATESP-24-SAT 278547-737656/ 278549-737658/ 112873-327786 COACHELLA VALLEY WATER DISTRICT HOA AND COMMERCIAL SMART CONTROLLER REBATE PROGRAM APPLICATION PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024 Page 4 of 5 File: 0585.09.1 RELEASE OF CLAIMS AND INDEMNIFICATION By applying for or participating in any component of CVWD’s Programs, personal information listed on your application may be subject to disclosure to any member of the public who requests it pursuant to the California Public Records Act. Neither CVWD, nor its contractors or agents, makes any representation or warranty regarding the contracted services or products that you may select for your Project under the Program. Removal of turf and installation of water efficient devices and plants does not guarantee reduced water use. Any and all claims or causes of action you may have in connection with any defect or failure of performance of any contracted service or installed product or device provided to you for your Project may only be pursued with the contractor you hired or the appropriate manufacturer/distributor. By participating in the Program and accepting the rebates provided, you thereby release CVWD, its contractors and agents, from any and all claims and causes of action that may arise out of your removal of turf from your property and/or the purchase, installation, and/or use of water efficient devices and plants in connection with the HOA and Commercial Smart Controller Rebate Program. CVWD and its representative will take photos of landscapes being renovated through the Program and may use pre and post conversion photos for reproduction or promotional purposes. Identification location features, such as address numbers, will not be included in any promotional materials. CVWD is responsible for operating and enforcing the Terms and Conditions of the Program. CVWD also reserves the right to modify the Terms and Conditions at any time within the Program year. As the Program participant, you are responsible for ensuring that your Project complies with all applicable Federal, State, County, local laws, CVWD rules and regulations, as well as applicable CC&Rs and/or HOA restrictions. Quality of work and appearance of the converted area are the responsibility of the participant. Further, you agree to indemnify, defend, and hold harmless the CVWD, its directors, officers, employees, contractors, and agents, from all liability and claims of any kind arising out of, or related to, your removal of turf and purchase, installation, and use of water efficient devices and plants in connection with this Program. CUSTOMER INITIALS__________ ACKNOWLEDGEMENT AND SIGNATURE I certify that I understand the Program requirements as outlined in the Terms and Conditions, and to the best of my knowledge, the information provided is true and accurate. I further attest that I am the customer of record, or duly authorized agent with authority to execute this Application. Account Owner Signature Date Printed Name COACHELLA VALLEY WATER DISTRICT HOA AND COMMERCIAL SMART CONTROLLER REBATE PROGRAM APPLICATION PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024 Page 5 of 5 File: 0585.09.1 This page is not required. It ONLY used if the property owner is designating another individual to represent their interests and act on their behalf for this rebate. DESIGNATION LETTER Date: _________________ Account/Property Owner Name: _____________________________________________ Service Address: _____________________________________________ CVWD Account Number: _____________________________________________ Account/Property Owner Phone Number: _____________________________________________ TO: CVWD I, _____________________________, hereby authorize _______________________________to represent Customer Name Contractor’s Name my interests in the located at the address above for purposes of the HOA and Commercial Smart Controller Rebate Program. Please consider this written authorization to represent our permission for said contractor to provide landscape property design and/or apply to participate in the HOA and Commercial Smart Controller Rebate Program. All work completed by or on behalf of a residential property owner shall be completed in conformance with all laws, rules, and regulations of all governing bodies and agencies having jurisdiction over the work, including but not limited to Federal, State, County, Local, HOA, and CVWD rules and r egulations. Applicant or designated representative has read and agrees to the terms and conditions as indicated by initialing the agreement. Incomplete applications will not be accepted by the Coachella Valley Water District. Contractor Name: __________________________________________________________________________ Lead Contact Name: _________________________________________________________________________ Address: _____________________________________________ City: _______________________________ _____________________________________________ Date: _________________ Property Owner/Customer’s Signature Form W-9 (Rev. October 2018) Department of the Treasury Internal Revenue Service Request for Taxpayer Identification Number and Certification a Go to www.irs.gov/FormW9 for instructions and the latest information. Give Form to the requester. Do not send to the IRS.Print or type. See Specific Instructions on page 3.1 Name (as shown on your income tax return). Name is required on this line; do not leave this line blank. 2 Business name/disregarded entity name, if different from above 3 Check appropriate box for federal tax classification of the person whose name is entered on line 1. Check only one of the following seven boxes. Individual/sole proprietor or single-member LLC C Corporation S Corporation Partnership Trust/estate Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=Partnership) a Note: Check the appropriate box in the line above for the tax classification of the single-member owner. Do not check LLC if the LLC is classified as a single-member LLC that is disregarded from the owner unless the owner of the LLC is another LLC that is not disregarded from the owner for U.S. federal tax purposes. Otherwise, a single-member LLC that is disregarded from the owner should check the appropriate box for the tax classification of its owner. Other (see instructions) a 4 Exemptions (codes apply only to certain entities, not individuals; see instructions on page 3): Exempt payee code (if any) Exemption from FATCA reporting code (if any) (Applies to accounts maintained outside the U.S.) 5 Address (number, street, and apt. or suite no.) See instructions. 6 City, state, and ZIP code 7 List account number(s) here (optional) Part I Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line 1 to avoid backup withholding. For individuals, this is generally your social security number (SSN). However, for a resident alien, sole proprietor, or disregarded entity, see the instructions for Part I, later. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN, later. Note: If the account is in more than one name, see the instructions for line 1. Also see What Name and Number To Give the Requester for guidelines on whose number to enter. Social security number –– or Employer identification number – Part II Certification Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct. Certification instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later. Sign Here Signature of U.S. person a Date a General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Future developments. For the latest information about developments related to Form W-9 and its instructions, such as legislation enacted after they were published, go to www.irs.gov/FormW9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSN), individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an information return the amount paid to you, or other amount reportable on an information return. Examples of information returns include, but are not limited to, the following. • Form 1099-INT (interest earned or paid) • Form 1099-DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) •Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T (tuition) •Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding, later. Cat. No. 10231X Form W-9 (Rev. 10-2018) Requester’s name and address (optional) Coachella Valley Water District P.O. Box 1058 Coachella, CA 92236