Form – App Cool Techies

2025 CenterPoint Energy Midstream MTP - HVAC

Type:

Single FamilyMultifamily

Homeowner Name:

Homeowner Email:

Homeowner Phone #:

Street Address, Unit #:

City, State, Zip:

County:

All incentive requests report the newly installed equipment here

System #1

System #2

Date of Installation:

Type of Unit Replaced:

AC/GasAC/Elec. Res.Heat Pump

Type of Unit Installed:

ACHeat PumpDC InverterMini-SplitCentral System

Compressor Type:

MultiVariable

AHRI Number:

New System Tonnage :

Manufacturer :

Efficiency Levels:

SEER2 (15.2+)

EER2 (10.0+)

HSPF2 (7.5+)

SEER2 (15.2+)

EER2 (10.0+)

HSPF2 (7.5+)

Outdoor Unit Model # :

Outdoor Unit Serial # :

Indoor Coil Model # :

Indoor Coil Serial # :

Furnace Model # :

Bonus Incentive: Downsizing

Estimated Area Served:

Original System Tonnage:

Nameplate photos and Manual J attached:

YesNo

Bonus Incentive: ENERGY STAR® Certified Smart Thermostat

Brand :

Model # :

Serial # :

Additionally, all incentive requests must submit:

1) The homeowner's invoice that shows: model/serial numbers of all installed equipment.

2) The incentive amount that is passed on to the homeowner- labeled as "CenterPoint Energy Incentive".

3) Required photos, if applicable.

Dealer Signature:

Date:

Incentive Claim Form

Dealer Name:

PUNBAR LLC

Dealer Email:

SUPPORT@PUNBARAIR.COM

Dealer Phone #:

832-736-4432

Dealer Contact Name:

RONALD AMAYA

Equipment Distributor:

ESID Number:

1 0 0 8 9 0

Claim Type:

Early RetirementReplace on BunoutNew Construction

System #1

System #2

Bonus Incentive: Electric Resistance to Heat Pump

1) A clear photo of the existing furnace nameplate, including the model and serial numbers, of the equipment being replaced,

2) A picture of the electric heat strips can be submitted if the nameplate is inaccessible or obscured.

Nameplate photos attached:

YesNo

Bonus Incentive: Early Retirement

Age of existing outdoor unit:

Bonus Incentive: Electric Resistance to Heat Pump

1) Unit must be 15 years old or less

2) A clear photo of the outdoor unit nameplate, with the model and serial numbers of the equipment being replaced.

3)If the model and serial number cannot be determined by the outdoor unit, a clear photo of the indoor unit nameplate will
suffice.

4) A clear photo of the amp meter that shows the existing equipment is operational at the time of replacement. This is recorded as evidence that the system was functional at the time of decommissioning and will be submitted with the Early Retirement incentive request.

Nameplate & Amp Meter photos:

YesNo

Bonus Incentive: Low/Moderate Income

Eligible Community Name:

Zip code:

Homeowner Acknowledgement

Congratulations on your new high efficiency HVAC system! We hope that you and your family will benefit from more comfort and greater energy savings; your new system will contribute to reducing energy consumption in our state.

To comply with the CenterPoint Energy Midstream HVAC Program, please confirm the following:

Was the old heating equipment an Electric Resistance system and was it replaced with a new Heat Pump system?
YesNo

Was your existing system operational at the time of replacement and did the Program incentives motivate you to retire your existing system early by offsetting the cost of higher SEER2 equipment?
YesNo

Next, an inspector representing CenterPoint Energy may come by and conduct a quick inspection of the unit to verify the installation. This CenterPoint Energy inspector will contact you to set up an appointment to inspect your unit before arriving at your home. Your signature below is an acknowledgement that the equipment referenced above was installed in your home and that you have read and agreed to the Quality Assurance verification criteria outlined above. Thank you for your participation!

Incentive Amount Homeowner Received:

Homeowner Signature:

Date: