Business/Multifamily

Eligibility requirements:

• Must be a Minnesota Power customer.

• Appliances eligible for recycling: Refrigerators, Freezers. Complimentary pickup of Window Air Conditioners, Dehumidifiers and Mini Fridges when coupled with a refrigerator or freezer pickup.

• Appliance(s) must be in working condition.

• Appliance(s) must be empty, clean and defrosted.

• Appliance(s) must be accessible with a clear and safe path for removal.

• Water line must be disconnected prior to pickup.

• Appropriate physical pickup address must be provided.

*Required fields. Please avoid using characters (e.g., $,&,#) in all fields.

Utility Account Information Enter account name as it appears on your Minnesota Power bill.

Account Name Minnesota Power Account Number (No dashes)

Applicant Information

Phone Number

First Name

Last Name

Pickup Address Street Address Street Address Line 2

City

State

ZIP Code

Appliance Information Appliance type

Refrigerator

Freezer

Window Air Conditioner

Dehumidifier

Mini Fridge

Note: In order to qualify for window air conditioner, dehumidifier or mini fridge pickups, you must also recycle an eligible refrigerator or freezer.

Are all appliances listed here in working condition?

Total units:

Pickup Information Appliance location(s)

1st floor

Basement

Curb

Garage

Other

2nd floor

Porch

Outbuilding

Outside

Rebate Mailing Address Rebate check will be issued to the primary account holder listed on your Minnesota Power bill. Please address any payment questions with your Customer Service Representative when we call you to schedule your pickup. Is the Mailing Address the same as the Pickup Address?

Rebate address Street address Street Address line 2

City

State

ZIP Code

How did you hear about Minnesota Power's Appliance Recycling Program?

Please choose which aspect most influenced your decision to participate in this program.
Eligibility Agreement

By submitting this request, I certify and represent that I am the owner of or the authorized representative of the owner of the listed appliance(s). I authorize my electric utility partner, CLEAResult, to remove my appliance(s) for recycling. I confirm that the appliance(s) meets utility requirements for participation in this program, including being in working condition, within the size requirements (refrigerators: 10-30 cu ft; freezers: residential-sized; window air conditioners and dehumidifiers: residential-sized; mini fridges: < 10 cu ft) and picked up at a location listed on the billing account.

Terms and Conditions

I have read and agree to the Terms & Conditions.

Terms & Conditions

These Standard Terms and Conditions for Participating Customers and the Minnesota Power Appliance Recycling Program (collectively, the "Agreement") are made and entered into by and between CLEAResult Consulting Inc., a Texas corporation and/or an affiliate thereof ("CLEAResult"), and Customer for the purpose of evaluating and installing energy efficient measures ("EEM") under the Appliance Recycling Program (the "Program") funded by Allete, Inc. d/b/a Minnesota Power, ("Sponsor"). CLEAResult and Customer may be referred to in this Agreement individually as a "Party" and collectively as the "Parties." The Parties acknowledge and agree that the state regulatory governing body (the "PUC"), Sponsor and third-party Program contractor ("Contractor") are third party beneficiaries of this Agreement. In consideration of the mutual covenants and agreements set forth below, the adequacy and sufficiency of which are hereby acknowledged, the Parties hereby agree as follows:

1.     ACCESS AND PARTICIPATION. Customer agrees to support CLEAResult to facilitate services provided under this Agreement. Customer acknowledges its intent to have eligible appliances removed from its premises. Customer agrees to allow CLEAResult to access its residence or facilities, for the purposes of implementing this Agreement. If Customer is a tenant, Customer represents that by signing this document they have obtained the property owner's permission to have eligible appliances removed under this Agreement. Customer agrees not to use the name or identifying characteristics of Sponsor or its contractors for any advertising, sales promotion, or other publicity of any kind. Customer also confirms that it has not and will not receive incentives or services under this Program from another program funded by Sponsor. The Program may be modified or terminated without prior notice and this Agreement is subject to modifications by Sponsor.

2.     ELIGIBILITY. Sponsor determines eligibility of Customers at its sole discretion. CLEAResult may request verification of eligibility requirements at any time during the Program period. .

3.     INCENTIVE PAYMENT. Customer acknowledges that incentives will be paid by Sponsor only if: (a) Customer(s) services meet the Program eligibility requirements and the requirements outlined by the Program; (b) appliances are removed at eligible project sites; and (c) appliances are removed at a project site that has not received incentives from any other of Sponsor's energy efficiency programs for the same service(s). Customer understands that Sponsor, in its sole discretion, may withhold incentive payments committed to Customer if a project site is proven ineligible or a project otherwise does not comply with the requirements set forth by the Program.

4.     CONFIDENTIALITY. CLEAResult shall keep Customer information confidential. Only Sponsor and the PUC shall be granted access to Customer data as needed or required. CLEAResult will not use the name or identifying characteristics of Customer in advertising sales promotion or other publicity without Customer's written approval.

5.     NO WARRANTY. CLEARESULT, SPONSOR AND THE PUC MAKE NO REPRESENTATIONS OR WARRANTIES, AND ASSUME NO LIABILITY WITH RESPECT TO QUALITY, SAFETY, PERFORMANCE, OR OTHER ASPECT OF ANY SERVICE PURSUANT TO THIS AGREEMENT AND EXPRESSLY DISCLAIM ANY SUCH REPRESENTATION, WARRANTY OR LIABILITY, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, AND NONINFRINGEMENT. NOTHING IN THIS AGREEMENT SHALL BE CONSTRUED TO CREATE ANY DUTY TO, ANY STANDARD OF CARE WITH REFERENCE TO, OR ANY LIABILITY TO ANY THIRD PARTY. NEITHER THE PUC, SPONSOR, NOR CLEARESULT SHALL BE RESPONSIBLE FOR COSTS OR CORRECTIONS OF CONDITIONS ALREADY EXISTING IN THE FACILITIES INSPECTED WHICH FAIL TO COMPLY WITH APPLICABLE LAWS AND REGULATIONS.

6.     INDEMNIFICATION; LIMIT ON LIABILITY. CUSTOMER AGREES TO INDEMNIFY THE PUC, SPONSOR AND CLEARESULT AGAINST ALL LOSS, DAMAGES, COSTS AND LIABILITY ARISING FROM ANY CLAIMS RELATED TO ANY SERVICES PERFORMED DURING THE INSTALLATION. NEITHER THE PUC, SPONSOR, CLEARESULT, NOR CUSTOMER SHALL BE LIABLE TO EACH OTHER FOR ANY INCIDENTAL, SPECIAL, INDIRECT OR CONSEQUENTIAL DAMAGES RELATED TO THIS AGREEMENT.

7.     MISCELLANEOUS. This Agreement shall be governed by and construed under the laws of the State of Minnesota, without regard to conflict of law rules. The parties agree that all actions, disputes, claims and controversies arising out of or relating to this Agreement or the work performed hereunder will be subject to binding arbitration administered in the county where the Customer is located by the American Arbitration Association under its Commercial Arbitration Rules and judgment on the award may be entered in any court having jurisdiction. Customer shall not assign, delegate or subcontract this Agreement or its duties thereunder, in whole or in part, voluntarily or involuntarily (including a transfer to a receiver or bankruptcy estate) without the prior written permission of CLEAResult. CLEAResult may assign its rights and delegate its duties under this Agreement to any third party at any time without Customer's consent. If any provision of this Agreement is invalid or unenforceable in any jurisdiction, the other provisions in this Agreement shall remain in full force and effect in such jurisdiction and shall be liberally construed in order to effectuate the purpose and intent of this Agreement. The invalidity or unenforceability of any provision of this Agreement in any jurisdiction shall not affect the validity or enforceability of any such provision in any other jurisdiction. The failure of either Party to enforce strict performance by the other of any provision of this Agreement, or to exercise any right available to the Party under this Agreement, shall not be construed as a waiver of such Party's right to enforce strict performance in the same or any other instance. Sections 1 and 4 through 7 shall survive the term of this Agreement.

I have read and understood the Customer Participation Agreement and the attached Standard Terms and Conditions for Participating Customers and certify that the information I have provided is true and correct. [This will be a check box and "Accept"]

Minnesota Power Appliance Recycling Request Form

Business/Multifamily