2023 Energy Star Appliance Rebate Form

The Electrify and Save Program is administered in conjunction with Tri-State Generation and Transmission Association, Inc. (“Tri-State”). The applicant listed on the front of this form, by electing to participate in the Electrify and Save Program, and in consideration of such participation, accepts and agrees to the following terms and conditions: 1. Empire Electric Association, Inc. (EEA) and Tri-State make no representation or warranty whatsoever regarding any product installation or service in connection with the Electrify and Save Program, including without limitation, installation services or workmanship of vendors installing products or providing services in connection with the program, performance of installed equipment or products qualifying for rebates, and energy savings derived from participation in the Electrify and Save Program. 2. Applicant does hereby RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE EEA or Tri-State and officers, agents, and employees (hereinafter referred to as “Releasees”) from any and all liability, claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, damage or injury, including death, that may be sustained by you, or any of the property belonging to you, whether caused by the negligence of the Releasees, or otherwise, in any way arising from participation in the Electrify and Save Program. 3. Applicant understands that it is participating in the Electrify and Save Program at its own risk, and that it is Applicant’s responsibility to independently research the products and services covered by the program, and to further exercise care and diligence in selecting vendors and installation contractors. 4. EEA’s and Tri-State’s review of rebate applications for the Electrify and Save Program may subject EEA or Tri-State to certain requirements of the Colorado Consumer Privacy Act (CRS § 6-1-1301, et. seq.). EEA’s or Tri-State’s collection of data for the Electrify and Save Program is limited to data provided on rebate applications, or otherwise provided for rebate qualification, and is used for the sole purpose of evaluating compliance with the requirements of the Electrify and Save Program. EEA and Tri-State will not share Applicant data with third parties in connection with the administration of the Electrify and Save Program; or otherwise as may be required by law or governmental regulation. Questions regarding EEA’s use of applicant data may be directed to energymanagement@eea.coop. Questions regarding Tri-State’s use of applicant data may be directed to eeprebates@tristategt.org.