Form - The Renewable Energy Resource Center
Contents
1. vFY2015 1a Special Category Solar Electric Final Project Documentation A VERMONT CLEAN ENERGY DEVELOPMENT FUND DEPARTMENT OF PUBLIC SERVICE RESOURCE CENTER Vermont Small Scale Renewable Energy Incentive Program SPECIAL CATEGORY CUSTOMER SOLAR ELECTRIC SYSTEM Final Project Documentation and Incentive Request Form Vermont Small Scale Renewable Energy Incentive Program Attn Renewable Energy Resource Center 128 Lakeside Avenue Suite 401 Burlington VT 05401 Email info rerc vt org Fax to Attention RERC 802 658 1643 Incentive Reservation Number from Approval Letter Customer Name Reserving PV Partner Company NOTE If you answer YES to the following question additional requirements will apply Please fill out and submit Expanded Technical Documentation Worksheet found at end of Final Incentive Request Is the Reserving Partner a Provisional Partner or is this one of the Reserving O Yes O No Partner s first two solar electric reservations in the SSREI Program Lead Installer Installation Company if not Reserving Co Date Installation Began Final Inspection Date Date Commissioned 1 Must be an approved REV PV Partner Must be either an employee of the reserving REV PV Partner or under direct contract by the REV PV Partner and must provide on site review of the installation and be on site to complete the final inspection before commissioning Final inspection must be completed before2. RVING PARTNER CERTIFICATION certify that my company has worked with the customer referenced above to install the solar electric system described above my company designed the system as installed and has been substantially involved with the customer The system is now fully installed has been inspected and is operational It has been installed in accordance with the program s eligibility requirements the Vermont Interconnection Safety and Technological Requirements and the National Electric Code The customer was provided with information on the warranty safe operation and maintenance of their system including a copy of a user s manual for this system understand that the incentive payment will be made by check directly to my company only after the Final Project Documentation paperwork has received final approval from the RERC including any necessary site visits understand that the benefit of the incentive is the customer s and it has been or will be applied to the total system cost in a manner agreeable to both parties understand that any deliberate attempt to misrepresent information in this application will disqualify me from participation in the program and all claims to incentives offered through Vermont s Small Scale Renewable Energy Incentive Program and other programs funded by the Clean Energy Development Fund certify that if an expedited application form for a PV system 15 kW or less was submitted in lieu of an app
3. al system 2 System Photographs showing all major field installed structural mechanical and electrical components including must be submitted electronically to info rerc vt org a PVarray b Balance of the system all equipment necessary to integrate the PV with the site load i e array circuit wiring and management of wiring fusing disconnects power processing equipment batteries charge controllers location where solar electric system interconnects to the utility c All labeling associated with NEC posting requirements and d The back of any ground mounted array or pole mount under 8 from the ground Please perform the following calculations and provide information as requested 1 Information as posted on PV Power Source Sign Microinverter systems must use a single module microinverter string for calculations Does the inverter have two inputs O Yes O No Does the system use microinverters O Yes O No SHOW FORMULA REQUIRED Operating Voltage Short Circuit Current 2 Information as posted on sign identifying AC point of connection permanently located on site at AC point of connection as required by NEC Max Operating Current Special Customer PV Final Project Documentation Form vFY2015 1a Page 4 of 5 CUSTOMER CERTIFICATION the undersigned certify that each item below must be initialed by the customer have read and meet the requirements as listed in the current SSREIP Terms Con
4. commissioning and be done by the qualified installer listed RERC USE ONLY Date Rec d Res Number Date Apprvd Page 1of5 Allitems must be included checked or marked N A if not applicable The installation and documentation must meet all of the program requirements outlined in the SSREIP Terms Conditions and Requirements Copy of Final Customer Invoice clearly indicating transfer of benefit to the customer either credit or rebate Copy of the Certificate of Public Good all pages or signed dated copy of CPG Registration for PV systems 15 kW and under System Photograph of the Complete PV Array must show all modules Copy of Letter of Compliance with the State Historic Preservation Act mark N A if not applicable Supporting Documentation for the Efficiency Adder mark N A if not applicable Supporting Documentation for the Electric Vehicle Adder mark N A if not applicable NOTE Fill out ONLY if changes have been made to the system listed in the original reservation Module Manufacturer Model Quantity Total Array Output Inverter A Manufacturer Model Inverter B Manufacturer Model Quantity Total Inverter Output Other Specify 4 The originally approved Vermont Small Scale Renewable Energy Incentive amount must be listed as a line item on the final invoice If there are changes to the system that could justify a larger incentive the original reserved incentive amount AND the new requested amoun
5. cumentation Form vFY2015 1a Page 2 of 5 NOTE Any changes between the system as proposed under the original approved incentive reservation and the system as installed must be fully documented and are subject to review and approval with respect to system eligibility and final incentive amount System s Total Array Capacity as installed DC Watts Estimated Annual kWh Production kWh year Production Ratio Est Ann kWh Production Array Capacity a Total Installed System Cost before incentive amount is removed Originally Approved Incentive Reservation Amount Efficiency Adder if applicable Final Requested Incentive Amount prorated if applicable 1 Solar Electric Module Orientation check one and fill in the blank when applicable O Magnetic degrees O True degrees O Tracker 2 Solar Electric Module Tilt check one and fill in the blank when applicable O Fixed at degrees 0 horizontal 90 vertical O Single Axis Tracking O Double Axis Tracking 3 Derate Factor due to shading or non optimal sitting 4 Warranty Information Module years min 5 years required at of rated power output Inverter years min 5 years required Initial Installation years min 5 years required Answer must be greater than 1 to receive final requested incentive amount Systems that are estimated to generate less than 1 000 kWh yr per kw will only be eligible for a prorated incentive amount equal to the same perc
6. ditions and Requirements have purchased the solar electric system described in this document and it has been installed at the location indicated above and is operational am aware that the incentive payment will be made by check directly to the reserving company only after the company has submitted the Final Project Documentation paperwork and received final approval from the RERC including any necessary site visits am aware that the incentive benefit is mine and has been or will be applied to the total system cost in a manner agreeable to both parties have been provided with a copy of a user s manual for this system and am familiar with recommendations for the system s safe operation and maintenance have received and reviewed warranty information have received and reviewed an estimate of the system s annual output am aware that the incentive program will be conducting randomly selected site visits If requested am willing to schedule and allow a site visit of the system for program verification have given the Small Scale Renewable Energy Incentive Program permission to use photographs of my installation in promotional materials not required understand that any deliberate attempt to misrepresent information in this application will disqualify me from participation and all claims to incentives offered through Vermont s Small Scale Renewable Energy Incentive Program Customer s Signature Date RESE
7. entage that the estimated kWh year per kW of rated DC capacity is of the standard 1000 1 ratio This requirement is intended to discourage poorly sited PV systems E g if a 1kW system 250 incentive is estimated to generate 850kWh year you can expect to receive 85 of your originally reserved incentive or 213 250 x 85 213 You are required to provide the prorated incentive amount on the customer s invoice 1 If fixed with adjustable tilt please select fixed Special Customer PV Final Project Documentation Form vFY2015 1a Page 3 of 5 INSTRUCTIONS Fill out ONLY if you are a Provisional Partner OR if this is your first or second reservation Please include the following documentation in your submission 1 One line Diagram s and or schematic showing system details as installed including the following a All major field installed electrical components e Ratings for all circuit breakers and fuses including inverter make and model f For battery systems charge controllers and non b Detailed module information and series parallel PV generators where applicable configuration of modules g Details of Photovoltaic Output Circuit as posted on c Wire type and wire size to all major system DC connect components including grounding details h Locations of junction or combiner boxes d Conduit type and size i The utility disconnect type and location and j Means and location of connecting to the building electric
8. lication for a CPG no issues were raised during the 10 day review period Company Representative s Signature Date Special Customer PV Final Project Documentation Form vFY2015 1a Page 50f5
9. t with a note about the requested increase must be listed on the invoice A larger incentive may or may not be granted on a case by case basis If the installed system is smaller than originally approved the incentive amount on the invoice must reflect the decreased incentive amount justified by the change 5 The Registration can only be used to meet this requirement if no comments on the registration were received by the Public Service Board during the 10 day comment window 6 Required if the system is roof mounted and the building is fifty years or older or if the project did required any ground disturbance as indicated on the Incentive Reservation Form 7 The following may be submitted as supporting documentation for the Efficiency Adder 1 Documentation of completed energy audit with date performed and recommended measures or 2 Copy of invoice to customer for recommended measures installed or 3 Documentation of participation and completion of the Vermont Energy Star Homes or Energy Code Plus programs new construction or 4 Copy of invoice to customer for eligible cold climate air source heat pump installation plus documentation of completed energy audit with date performed and recommended measures 8 The following may be submitted as supporting documentation for the Efficiency Adder Photo of the Electric Vehicle EV Charging Station cost of EV Charging Station listed as a line item on the invoice Special Customer PV Final Project Do
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