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Central Electric Cooperative, Inc.
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NEEM Certified Manufactured Homes Form
NEEM Certified Manufactured Homes Form
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NW Energy Efficiency Manufactured Home (NEEM) Form
Member Name
*
Mr.
Mrs.
Miss
Ms.
Dr.
Prof.
Rev.
Prefix
First
Last
Site Address
*
Street Address
Address Line 2
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Mailing Address
*
Same as site address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Phone
*
Email
*
Project Type
*
New Home On Property
Replacing Existing Manufactured Home On Property
Home Square Footage
*
Please enter a number from
1
to
10000
.
Heating System Type
*
Electric Furnace
Heat Pump
Ductless Heat Pump
Electric Resistance (baseboard, wall heat)
Water Heating System Type
*
Electric Heat Pump Water Heater
Electric Resistance Tank Water Heater
Electric Tankless
File Upload
*
Drop files here or
Select files
Accepted file types: jpg, gif, pdf, png, Max. file size: 5 MB, Max. files: 3.
Please upload a copy of your NEEM certificate that was provided by the manufacturer or sales company you purchased your home through.
Electronic Member Signature
Terms & Conditions
*
FUNDING AVAILABILITY: BPA incentives are available for products purchased, work performed, and homes certified on a first-come, first served basis. BPA funding may be subject to change.
ELIGIBILITY: BPA/CEC incentives are available to Northwest Energy Efficiency Manufactured Homes Program certified homes served by CEC.
PAYMENT: The incentive will be promptly paid on (i) submission of the completed Incentive Application with all required information attached, (ii) verification of compliance of BPA Northwest Energy Efficient Manufactured Home Measure Requirements. Please allow 45 days for receipt of payment after verification and inspection.
ACCESS AND EVALUATION: BPA/CEC and/or its representatives may request access to the property and may review and evaluate the project during and after completion. Builder hereby agrees to provide reasonable access to the property for the purposes described herein.
DISCLAIMER / NO LIABILITY: CEC member understands that, while BPA/CEC is providing member with funding for the incentive payment, BPA/CEC is not supervising the work performed for member nor is BPA/CEC responsible in any way for proper completion of that work or proper performance of any equipment purchased. BPA/CEC is simply providing funding to assist member in implementing energy saving measures. BPA/CEC does not guarantee any particular energy savings results by its approval of the Application or by any other of its actions.
INDEMNIFICATION: CEC member assumes the entire responsibility for, and agrees to indemnify, protect, defend, and hold harmless BPA/CEC and its representatives, officers, agents, employees, contractors and members from any and all claims, damages, losses, expenses or liability, including liabilities to third parties, liability for injuries or damages allegedly sustained by any person or property as a result of, or in any way connected with or arisen out of this agreement.
SURVIVAL OF TERMS AND CONDITIONS: Regardless of whether or not this application is approved, these terms and conditions shall survive the payment of any incentives payment provided hereunder.
By checking this box and typing my name, I certify that all information on this form is true and correct and I am following the terms and conditions outlined above. I also agree that the checkbox and my name typed below are to be used as my electronic signature. I understand that I can be held liable if I provide false or misleading information.
*
I certify the above information is true and correct and I am the person submitting this form.
By checking this box and typing my name, I certify that all information on this form is true and correct and I am following the terms and conditions outlined above. I also agree that the checkbox and my name typed below are to be used as my electronic signature. I understand that I can be held liable if I provide false or misleading information.
Type Full Name
*
Consent
*
I agree to the privacy policy in the link below:
CEC Privacy Policy
Comments
This field is for validation purposes and should be left unchanged.
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Pay by Phone
Walk-In Office
Balanced Payment Plan
Prepaid Program
Customer Service
Business Account Manager
Capital Credits
Energy Efficiency
Electric Vehicles
Inspections
Rate Changes FAQ
Rate Schedules
Community Assistance
Troubleshooting a High Bill
Outage Center
Outage Map
Call 811 Before You Dig
Portable Generator Safety
Power Outage Tips
Safety & Education
Call 811 Before You Dig
Backup Generator FAQ
Residential Battery Storage FAQ
Power Surges FAQ
Protecting Against Phone Scams
Public Safety Power Shutoff (PSPS)
Safety Tips
Safety Trailer Demonstration
Wildfire Preparedness
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