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Workshop Memorandum No. 19-033                                                     Page 4 of 4

                              Water Conservation Rebate Program

                                       $ave Water – $ave Money!

                Yucaipa Valley Water District is offering several rebate programs for homeowners and businesses.  High-efficient
                             sprinkler nozzles, weather-based irrigation controllers and high efficiency toilets.
                                                  Rebate Application

                                                                                          nd
                Please submit application to: YVWD – P.O. Box 730 Yucaipa CA 92399 or deliver to 12770 2  Street Yucaipa, CA
                                                           92399
            Last Name:                                     First Name:                        Account #:


            Company Name (If applicable):                  Address:


            City:                                          State:           Zip:


            County:                    Daytime Phone:      Evening Phone:           Email:



                   Sprinkler Nozzles               Irrigation Controller            Ultra-Low Flush Toilet
                                                                                          
                   Quantity to Install:            Quantity to Install:              Quantity to Install:

                Nozzle Brand and Model::                                               Please include
                                              Irrigation controller must be a    UPC Bar Code (proof of purchase)
                                                weather based irrigation
                                                       controller.            Pre and Post Photos of toilets
                                                                              Receipt
            Rebate Request Date:            Approved         Disapproved    Rebate Approval:
                                                             Why:           Reviewer’s Initials:
            Accounting Verification:        Original Receipt Received:      Rebate Amount:
                                            (Gray portion – YVWD Only)


                                                  Qualifications and Rules
           1.  All participants must be a Yucaipa Valley Water District's (YVWD) customer (water and sewer) and legal owner of
              residential property.
           2.  Customers must provide YVWD with the itemized dated sales purchase receipt(s) for any products included in this
              program.  Purchase must be made before June 30 2019.
           3.  Customer installs the water conservation device.
           4.  Only products within the rebate program are eligible for rebate.  If the purchase price for any of the products
              includes installation charges, the purchase and installation must be listed separately on the original receipt.  There is
              no rebate for installation costs.
           5.  All applications must be complete and signed for approval to be eligible for rebate.
           6.  Rebates will not exceed the purchase amount of the rebate product.
           7.  Rebates will be processed on a first-come-first serve basis until funds for the fiscal year are exhausted.
           8.  Rebates are subject to pre-installation and post-installation inspections to ensure the implementation and use of the
              rebate products.
           9.  All rebates will be credited to the Yucaipa Valley Water District customer water account after validation of purchase
              and installation of the approved product.
           10.  By signing above, you agree to the terms and conditions of the Yucaipa Valley Water District Water Use Efficiency
              Rebate Program.  One time only participation per customer.

                For more information or additional questions, please call Jennifer Ares at (909) 790-3301 jares@yvwd.us





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