Irrigation Upgrade Rebate-Star Flower Trial and Dune PalmsCOACHELLA VALLEY WATER DISTRICT
HOA AND COMMERCIAL IRRIGATION UPGRADE REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 1 of 5
File: 0541.39
ABOUT THE PROGRAM
The Coachella Valley Water District (CVWD) established the Landscape Water Management Program for the
purpose of water conservation and to eliminate the practice of using overhead spray, adjustable bubblers, and
adjustable emitters in planter areas, including areas watering flowers, plants, shrubs, and trees, and replace these
items with subsurface/in-line drip tubing and non-adjustable, pressure compensating bubblers and emitters. CVWD
is offering a rebate for eligible Homeowner Associations (HOAs) and Commercial customers who upgrade to more
efficient irrigation hardware. The HOA and Commercial Irrigation Upgrade Rebate Program pays an incentive of
$0.50 per square foot of converted irrigated area, up to a maximum of 20,000 square feet, which equates to a
maximum of $10,000. Multiple projects are allowed. Each project requires a separate application.
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.[ ] Provide a Project plan/map that meets listed requirements.
3.[ ] If you are not the account holder, you must complete the attached designation letter
4.[ ] 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 IRRIGATION UPGRADE REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 2 of 5
File: 0541.39
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. Only domestic water customers are eligible
for this program. Private pumpers, recycled water and canal users are not eligible.
2.Applicant must be the owner of the property site, or be a designated representative with written
authorization to represent the property owner.
3.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.
•Submit a site plan or aerial map for all areas within each Project to be converted.
Site plan or aerial map will include:
▪Approximate square footage for each Project area and delineated area of upgrade locations.
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 starting Project conversion. Notification will be sent to the email address
on the application or by USPS if none is provided.
4.Receiving pre-approval is solely an estimate and does not guarantee a rebate. Rebate amounts are subject to
change and will be determined by verification at the Post-Conversion Inspection using field and aerial
measurements.
5.Applicant must complete the Project conversion per the CVWD approved plan, within 90 days after written
approval is given.
6.Drip irrigation systems may incorporate subsurface/in-line drip tubing and non-adjustable, pressure
compensating bubblers and emitters. No overhead spray irrigation, adjustable bubblers or adjustable
emitters are permitted at Project completion.
7.A pressure regulator and filter are required for drip zones. Customer will ensure retrofitted areas have an
operating pressure either within or per the manufacturer’s specifications.
8.No mixed zones are permitted at Project completion — A mixed zone has different types of irrigation on the
same zone. Mixed zones do not qualify for a rebate.
9.If customer fails the Post-Conversion Inspection, CVWD will attempt to allow the customer to make changes
to the Project to comply with the Program and be eligible for the rebate. CVWD will conduct one additional
post inspection within 30 days of the failed inspection. CVWD will not provide more than two inspections for
failure to follow program guidelines.
10.After the Project conversion is completed, approved, and verified, a rebate check will be mailed to the billing
or mailing address associated with the customer account within 90 days.
11.The converted Project areas must remain in compliance with all Program conditions for a period of at least
five (5) years from the date of Post Conversion Approval.
CUSTOMER INITIALS__________
COACHELLA VALLEY WATER DISTRICT
HOA AND COMMERCIAL IRRIGATION UPGRADE REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 3 of 5
File: 0541.39
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)
IRRIGATION CONVERSION REQUEST
Provide approximate total square footage of converted irrigated planter area(s) _________________
*Maximum Project size is 20,000 square feet. Multiple Projects are allowed. Each project requires a separate application.
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 _______________
Final date __________________
By __________________
Total SF approved __________________
Rebate amount __________________
City of La Quinta
78-495 Calle Tampico
La Quinta 92253
uayon@laquintaca.gov
760-777-7048 760-275-2789
Ubaldo Ayon
Star Flower Trail/ Dune Palms Rd.
La Quinta 92253
20,000
x
112873-327786
COACHELLA VALLEY WATER DISTRICT
HOA AND COMMERCIAL IRRIGATION UPGRADE REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 4 of 5
File: 0541.39
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 perform ance 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 Irrigation Upgrade 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 IRRIGATION UPGRADE REBATE PROGRAM APPLICATION
PROGRAM YEAR: JULY 1, 2023- JUNE 30, 2024
Page 5 of 5
File: 0541.39
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 Irrigation Upgrade 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 Irrigation Upgrade 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 regulations.
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