This does not constitute tax advice. All persons considering use of available incentives should consult with their own

tax professional to determine eligibility, specific amount of benefit available, if any, and further details.

STATE OF CALIFORNIA

ELECTRIC VEHICLE SUPPLY EQUIPMENT (EVSE) REBATE- LOS ANGELES DEPARTMENT ON WATER AND POWER (LADWP)

Short Description: The Los Angeles Department of Water and Power (LADWP) provides rebates to commercial and residential customers toward the purchase of Level 2 or DC fast charge EVSE.

Beneficiary: Customers within the LADWP service area who purchase or lease a new or used EV and install an EVSE

Type of Incentive: Home Charging Incentive

Effective Dates: March 1, 2016 through June 30, 2018, or until funds are exhausted, whichever comes first.

Value of Benefit: Up to $500

Full Description: The LADWP has updated its electric vehicle (EV) charger rebate program that seeks to expand EV charging infrastructure for the home and workplace. “Charge Up L.A.!” rebates are available to the LADWP residential and commercial customers, including multi-family building owners, who install qualified Level 2 chargers (240-volt) within the LADWP’s service area, which includes the City of Los Angeles and parts of the Owens Valley. Residential customers are reimbursed up to $500 per wall-mounted charger.

State Statutory References: N/A

Other Link(s):

http://www.afdc.energy.gov/laws/9232 (AFDC Website)

https://www.ladwp.com/ladwp/faces/ladwp/residential/r-gogreen/r-gg-driveelectric?_adf.ctrl-state=1d4357epvd_4&_afrLoop=253059449859034&_afrWindowMode=0&_afrWindowId=null#%40%3F_afrWindowId%3Dnull%26_afrLoop%3D253059449859034%26_afrWindowMode%3D0%26_adf.ctrl-state%3D650py5rlx_71 (Charge Up L.A! Website)

See application form below.

UPDATED 2016! RESIDENTIALEV

CHARGER

RESIDENTIAL REBATE APPLICATIONELECTRIC VEHICLE CHARGER

CHARGE UP L.A.!

Rev. 3/16

The Los Angeles Department of Water and Power (LADWP) is offering the Electric Vehicle (EV) Charger Rebate Program, “Charge Up L.A.!”, to encourage our customers to “drive electric,” and to support EV charging throughout the city – at home, at work, or on the go!

For LADWP residential customers, the EV Residential Charger Rebate Program offers L.A. City residents a rebate of up to $500 to offset the cost of a qualifying EV home charger.

Please confirm your eligibility by reviewing the terms and conditions listed inside this application. Once you have confirmed eligibility, complete all sections of this applications where indicated.

Send the required documentation with the completed application to:

LADWP EV Charger Program P.O. Box 51111, Room 1019, Los Angeles, CA 90051

Learn more about LADWP Electric Vehicle initiatives at www.ladwp.com/EV

Keep this page for your record

1. The LADWP Electric Vehicle (EV) Charger Rebate Program, “Charge Up L.A.!” (Hereinafter referred to as “Program”) provides rebates to assist City of Los Angeles residents, who purchase or lease a new or used EV on or after October 1, 2015, with the purchase of qualifying EV chargers. The Program begins on March 1, 2016 and expires June 30, 2018. The Program may be modified without prior notice and terminated when the program goals are met, or funds are exhausted; whichever comes first. Applications are accepted on a first-come, first-served basis and processed in the order received.

2. The maximum rebate offered is $500 for the installation of a qualifying Level 2 (240-volt) EV charger. The final rebate will be based on the total cost of the charger, minus any additional EV charger incentives or rebates received from a third party/parties. The actual cost of the charger must be itemized on a paid invoice, installation contract or purchase/lease agreements. The maximum rebate of $500 shall not exceed the total cost of the EV charger. Participants are limited to one EV charger rebate per vehicle, per LADWP residence.

3. The qualifying Level 2 (240-volt) EV charger must be: new and unused; purchased on or after October 1, 2015; certified by Underwriters Laboratories Inc. (UL Listed); ETL Listed; or approved by the Los Angeles Department of Building and Safety (LADBS) Test Lab. Chargers that are portable, resold, rebuilt, received from warranty insurance claims, won as a prize, or new parts installed in existing units are not eligible for rebates under this program. The EV charger must be wall-mounted and installed by a licensed contractor at the LADWP electric service address provided in this application. Tesla EV owners must install a high-power wall connector to qualify.

4. The EV listed in Section 5 of this application must be DOT-approved for highway application. Golf carts, neighborhood carts, motorcycles and electric scooters are not qualifying vehicles under this program. The qualifying, new or used EV, must be leased or purchased on or after October 1, 2015. The registered owner or lessee of the EV must permanently reside at the LADWP address provided in Section 1 of this application. The qualifying EV must be registered at the address provided in this application.

5. The program application must be signed by the named customer(s) of record who permanently resides at the address provided in Section 1, and, has an active electric meter served by LADWP. An additional $250 rebate is available for residential program participants that install, at their discretion, a dedicated EV charging station Time-Of-Use (TOU) service and meter which would allow them to take advantage of the LADWP EV rate discount.

6. The LADWP customer of record must submit a completed application with an original signature (not copied), along with all required support documentation, to the LADWP by U.S. Mail within six months of purchase of the EV charger, and which must be postmarked no later than June 30, 2018. Only applications with an original signature will be accepted. Faxed, scanned, or emailed applications WILL NOT be accepted. Applications received by LADWP that are missing required support documentation, or that do not meet the program criteria, will be considered ineligible for a rebate. LADWP is not responsible for documents lost or destroyed in the mail via transit

or misdirected applications. Submitted rebate applications and accompanying documents become the property of LADWP.

7. Program Participants must be in compliance with all federal, state, county, city government regulations (including LADBS) regarding the installation of EV Chargers, metering equipment, or any other support equipment required or necessary for the proper and safe installation of an EV Charger. In addition, the Program Participant has the sole responsibility of securing all necessary and required permissions from the property-owner, homeowner association, or any other organization from which permission to make such installations would be required. The Program Participant is solely responsible for the adherence to all applicable conditions, covenants and restrictions imposed by the aforementioned persons or organizations. All permits necessary must be obtained prior to the EV charger installation.

8. LADWP reserves the right to inspect the EV charger installation at any time with reasonable notice. The Program Participant must agree to provide LADWP’s representative reasonable access to the installation location during normal business hours. Any refusal by the Program Participant to allow reasonable access to the EV Charger installation site for the purpose of inspection by an authorized LADWP representative may result in forfeiture of the estimated earned rebate. The EV charger shall remain in service at the installation location indicated on the rebate application for a minimum of six months unless the LADWP electric service account is closed during the designated six-month timeframe. Failure to adhere to the six month service requirement may result in the forfeiture of all paid rebates, or a portion thereof.

9. The City of Los Angeles and LADWP make no warranties and are not responsible for any representations, whether expressed or implied, including, but not limited to, the warranty of merchantability, fitness for a particular use product performance and useful life, or application of the item(s) or measure(s) manufacturers, dealers, contractors, or any other third parties, materials, workmanship, the quality, safety and/or installation of the item(s) or measure(s), effects on pollutants or any other matter with respect to the Program.

10. LADWP may utilize, without compensation, the data generated by the use of the EV charger to improve LADWP services, conduct studies, or for any other purpose in furtherance of LADWP’s operations. Such data may also be provided to other entities for research and grant purposes and/or as required by law.

11. Program Participants shall agree to participate in the LADWP’s future Demand Response Program, which would enable the LADWP to interrupt EV Charger operations for a specified time period (commonly referred to as a “DR event”) for the life of the installation. I understand that if LADWP has a DR event or condition where electric load to the distribution system needs to be curtailed; LADWP has the right to remotely or manually disconnect or reduce the load from the EV meter for the duration of the event or condition without notice. Program participants may have the option and ability to opt-out of a limited number of DR event interruptions each year.

12. Please allow four to six months after application submittal to receive the estimated earned rebate.

Confirm eligibility by reviewing the Terms and Conditions below.• Purchase and install an eligible EV Charger for a new or used electric

vehicle purchased on or after October 1, 2015.• Complete all sections of this application. Make sure it is signed and

dated.

• Send the application and required documentation to:

2

HOW TO APPLY

TERMS AND CONDITIONS

By submitting this LADWP EV Rebate Application, I agree to, understand and have met the following terms and conditions.

LADWP Electric Vehicle Processing CenterP.O. Box 51111, Room 1019, Los Angeles, CA 90051-0100Rebate applications must be postmarked within 6 months of the purchase of the EV charger and no later than June 30, 2018. LADWP will only accept original signed applications and all paperwork submitted becomes property of LADWP. Please make a copy of all documents (including your application) before mailing.

ELECTRIC VEHICLE CHARGER REBATE PROGRAMCharge Up L.A.!

Residential Rebate ApplicationApp# (office use only)Before mailing your application, please ensure that this application is complete, signed and

dated. LADWP will only accept original signed applications. Faxed, scanned, or e-mailed applications will not be processed.

SECTION 1: LADWP Account and Property Information PLEASE TYPE OR PRINT

LADWP Account Name LADWP Account Number

LADWP Service Address City Zip Code

Property Type (Check One) Single Family Residence Apartment Mobile Home Duplex Condominium Other:

Day time phone number Alternate phone number Email

Mail Rebate Check to the LADWP Service Address: Yes No (Complete Mailing Address below)

Mailing Address (If Different From The LADWP Service Address):

Address City State Zip Code

Is the rebate Payee the LADWP Account Holder? Yes No - Complete Section 2. If Payee is a Business, Complete Section 2 and Section 3

SECTION 2: Payment Assignment (complete this section if Payee is different than LADWP account holder)

I am authorizing this rebate payment to the third party “Payee” named below. I understand that I will not be receiving the rebate check from LADWP and that my release of this rebate payment to the “Payee” does not exempt me from the rebate requirements outlined in this application.

Payee Name Payee Phone Number Payee Email Address

Payment Assignment Authorized by (Please print LADWP account holder name)

First Name Last Name Signature

SECTION 3: Business Tax Information (complete this section if Payee is a business)

Business Tax Status (Check One) Corporation Partnership Exempt (non-profit) Other:

California Business Entity ID Number ___________________________

Payee BusinessFederal Tax ID

SECTION 4: Vehicle Owner Information (complete this section if EV owner is not the LADWP Account Holder)

First Name Last Name Phone Number Email Address

The LADWP Service address listed on this application is vehicle owner’s permanent residence: Yes No

SECTION 5: Vehicle Owner Information (Vehicle must be registered to LADWP service address)

The EV is New Used Ownership Terms: Lease Purchase

Vehicle ID Number (VIN):

EV Make EV Model EV Year Battery EV (BEV)

Plug-in Hybrid (PHEV)

-

3

SECTION 6: EV Charger Information and Rebate Amount

Purchase Date Installation Date EV Charger Make EV Charger Model#

Serial #

EV CHARGER TYPELimit 1 EV charger per vehicle, per residence REBATE PER UNIT REBATE AMOUNT

Wall Mount Level 2 (240-volt) Charger (up to) $500.00 $

Additional Time of Use (TOU) Meter Installation Rebate*

Meter # $250.00 $

Rebate Total $

* In addition to the charger installed and listed on this application, a separate and independent Time-of-Use (TOU) meter designated for this EV charger must be installed at the LADWP service address listed on this application. For more information or to request a TOU meter, go to www.ladwp.com/EV.

SECTION 7: Document Submittal Checklist

Complete rebate application

Proof of EV Charger purchase - PAID invoice that includes:

Purchase Date (Purchased on or after October 1, 2015)Retailer name, business address, and phone numberEV charger make and model numberItemized EV charger costPayment terms (paid in full - cash, check, credit card, etc.)

DMV registration (EV must be registered at LADWP service address)

Completed and signed W-9 form (if payee is a business)

Proof of EV ownership (such as lease, purchase agreement, purchase contract, or bill of sale) that includes:

EV owner information (name and address)Purchase Date (Purchased on or after October 1, 2015)EV make and modelPurchase terms (lease or purchase)

Photos Required:

Completed charger installation

TOU meter (if installed)

I understand, and agree with the terms, conditions and requirments of the LADWP Electic Vehicle( EV) “Charge Up L.A.!” rebate program. I certify that the information I have provided is true and correct and the EV charger for which I am requesting a rebate meets the requirements of this program. I am in compliance with all regulations pertaining to the installation of the EV charger listed on this application and have obtained all final approvals/sign-offs required by federal, state, county, and city governments, property owner (tenant participation), and any other persons or organizations.

Customer Signature (LADWP Customer of Record)

First Name and Last Name (Please Print) Signature Date

EV Owner Signature (If different than LADWP Customer of Record)

First Name and Last Name (Please Print) Signature Date

4

App# (office use only)Rebate Application (cont.)

RESIDENTIALEVCHARGER

Fact Sheet

ELECTRIC VEHICLE CHARGER RESIDENTIAL REBATE PROGRAM

CHARGE UP L.A.!

UPDATED 2016!

The Los Angeles Department of Water and Power (LADWP) has relaunched its popular electric vehicle (EV) charger rebate program that seeks to expand EV charging infrastructure for the home and workplace, and for the stops in between. LADWP’s revamped “Charge Up L.A.!” offers incentives to LADWP residential customers who purchase and install a qualified EV charger with the purchase or lease of a qualifying EV. For the first time, the residential “Charge Up L.A.!” also makes rebates available to LADWP residential customers who purchase or lease used EVs. The new program is designed to encourage more widespread installation of EV charging stations, not just at home, but at public locations and businesses for their own employees, as well as multi-family buildings.

REBATE TERMS AND CONDITIONS Rebates are offered to residential customers who purchase or lease a qualifying, new or used EV, on or after October 1, 2015 and install a qualifying Level 2 (240-volt) charger at their residence. The qualifying Level 2 (240-volt) EV charger must be new and unused and also purchased on or after October 1, 2015. Customers can receive a rebate of up to $500 toward the customer’s final cost of the charger after other incentives or rebates are deducted. The EV charger must be installed at the LADWP electric service address by a licensed contractor. The rebate amount shall not exceed the cost of the EV charger, nor does it cover installation. Please see EV Rebate Application for full terms and conditions.

IMPORTANT: For charger installations, all permits necessary must be obtained prior to the EV charger installation.

This program expires June 30, 2018. Rebate Terms and Conditions may be modified without prior notice and the rebate program can be terminated when the program goals are met, or funds are exhausted, whichever comes first. Applications are accepted on a first-come, first-served basis. Funds are limited and rebates are not guaranteed.

CUSTOMER SUPPORT LADWP has EV Program Customer Service Representatives ready to assist you with your new EV charger installation and service. Our representatives can explain the installation process, electric service options available, rate discount, charger incentives, and answer other EV-related questions. Please call 1-866-484-0433 or email us at PluginLA@ladwp.com.

03/2016

RESIDENTIAL RATE OPTIONS When you switch to an electric vehicle, you can expect your energy consumption and costs to change. LADWP offers three service options for residential customers who have an EV.

OPTION 1: CURRENT METER SERVICE – DOES NOT QUALIFY FOR EV DISCOUNT Most LADWP residential customers are billed on the Standard Residential Rate (Schedule R-1, Rate A). You can remain on the standard rate and charge your EV off the same meter that measures the rest of your home’s electricity. The standard rate uses three pricing tiers, so the more electricity you use, the more you pay. Tier 1 is the lowest cost while Tier 3 is the highest. Remaining on this rate is the simplest option, however, your bill may increase because of the additional energy required to charge your EV.

For the rate schedule, please visit www.ladwp.com/electricrates, click on “Electric Rate Schedules” then click on “Schedule R-1 - Residential Service.”

OPTION 2: TIME-OF-USE METER SERVICE– DOES NOT QUALIFY FOR EV DISCOUNT Residential customers who are on the Residential Time-of-Use (TOU) rate for their entire household, including the EV charger, cannot receive the EV discount. As described below, TOU rates are based on when electricity is used, unlike the standard rate that varies according to how much energy is used. This option requires a meter change and is most suited for customers who already consume most of their energy during base hours—on weeknights or anytime on weekends. • Base Period Hours: 8 p.m. – 10 a.m. weekdays and all day on weekends • Low-Peak Period Hours: 10 a.m. - 1 p.m.; 5 p.m. – 8 p.m. weekdays • High-Peak Period Hours: 1 p.m. – 5 p.m. weekdays

For the current rate schedule, please visit www.ladwp.com/electricrates, click on “Electric Rate Schedules” then click on “Schedule R-1 - Residential Service” and scroll down to “Rate B: Time-of-Use Service.”

OPTION 3: SEPARATE EV TOU METER SERVICE AND EV DISCOUNTLADWP offers an additional $250 bonus to customers who install a dedicated Time-of-Use (TOU) service and meter for their EV to encourage charging during weeknights and weekends when there is a lower energy demand. The discount is 2.5 cents per kilowatt-hour (kWh) off the base TOU rate and is available to customers who participate in the residential EV rate option. Under the TOU rate, rates are lowest during base hours, second lowest during low-peak hours and highest during high-peak hours. Under this option, your EV battery must be at least 8 kW in order to qualify and your regular house meter and electrical panel must remain unchanged. This is the best option for customers who expect to charge their EV primarily at night and on weekends. Possible savings are based on the following rate schedules: • Base Period Hours: 8 p.m. – 10 a.m. weekdays and all day on weekends (receive EV discount of 2.5 cents/kWh during Base

Period for TOU meter dedicated to measuring EV charging) • Low-Peak Period Hours: 10 a.m. - 1 p.m.; 5 p.m. – 8 p.m. weekdays • High-Peak Period Hours: 1 p.m. – 5 p.m. weekdays

For the current rate schedule, please visit www.ladwp.com/electricrates, click on “Electric Rate Schedules” then click on “Schedule R-1 - Residential Service” and scroll down to “Rate B: Time-of-Use Service.”

HOW TO APPLY Customers who wish to remain on the Standard Residential Rate (Option 1) do not need to make any changes to their electric service. All customers who plan to charge their EV at home should fill out the EV Charging Station Request Form. For the application, please visit www.ladwp.com/ev or call 1-866-484-0433 to have one mailed to you. LADWP encourages customers to review their electricity costs and usage patterns for the past year before deciding which to request. If you would like a Customer Service Representative to review your account and help you decide on the best option, call us at 1-866-484-0433 or email us at PluginLA@ladwp.com.

UPDATED 2016!

Frequently Asked Questions

ELECTRIC VEHICLE CHARGERRESIDENTIAL REBATE PROGRAM

CHARGE UP L.A.!

WHAT IS “CHARGE UP L.A.!”“Charge Up L.A.!” is LADWP’s Electric Vehicle (EV) charger rebate program, which offers rebates to residential customers toward the cost of a charger. The program is designed to encourage more widespread installation of EV charging stations at homes, businesses and public places in LADWP service area.

WHAT IS THE EV CHARGER REBATE AMOUNT?LADWP will reimburse up to $500 toward the cost of a charger installed, after other rebates or incentives are deducted. Rebates are available on a first-come, first-served basis until funds are depleted, or June 30, 2018, whichever comes first.

HOW DO I QUALIFY FOR A REBATE?There are just a few steps to qualify for “Charge Up L.A.!” rebates:

• You must be an LADWP residential customer or live in the same household as an LADWP customer.

• The charger must be a Level 2 charger with the SAE J1772 charging plug.

• The charger must be located within the LADWP service area with a qualifying EV registered to the same address.

• Both the charger and the new or used EV must be purchased on or after October 1, 2015. Please see EV Rebate Application for full terms and conditions.

WHAT TYPES OF CHARGERS QUALIFY FOR THE REBATE?Rebates will only be provided for qualifying wall-mounted Level 2 (240-volt) chargers with the SAE J1772 charging plug. The charger must be UL (Underwriters Laboratories, Inc.) listed, ETL Listed, or approved by the Los Angeles Department of Building and Safety Test Lab and installed by a licensed contractor in compliance with local codes and permitting and inspection requirements. A specific brand of charger is not required.

Prices and features of electric vehicle chargers vary, and many charger installers will offer to handle the rebate paperwork for you. Some charger installers may have incentive money from other sources. These incentives will reduce the out-of-pocket costs of installing a charger. It is your decision which charger to install to best fit your needs.

WHO WILL INSTALL MY EV CHARGER?As the customer, you arrange for a licensed contractor to install your EV charger. The EV manufacturer or vendor will often help arrange for installation. Please note that the “Charge Up L.A.!” rebate will not cover the cost of installation.

RESIDENTIALEVCHARGER

03/2016

DO I NEED A SPECIAL METER?Residential customers do not need a separate meter to qualify for the rebate. However, customers who choose to install a dedicated EV TOU service and meter are eligible for an additional $250 bonus. This dedicated service will add an additional cost to the installation process but will yield lower electricity costs for base period charging.

HOW DO I APPLY FOR THE REBATE?Follow these steps to apply:

• Purchase or lease a new or used EV on or after October 1, 2015.

• Install a new and unused, qualifying Level 2 (240-volt) EV charger at LADWP residential service address.

• Download the rebate application from our website: www.ladwp.com/ev. You may also call 1-866-484-0433 and have an application mailed to you.

• Review the program terms and conditions and the rebate application to confirm your eligibility for the rebate.

• Complete the application, including your signature and the date.

• Mail the application and supporting information to:

LADWP Electric Vehicle Processing CenterP.O. Box 51111, Room 1019Los Angeles, CA 90051-0100

Applications must be postmarked within six months of purchase of the EV charger. All applications must be postmarked no later than June 30, 2018.

HOW DO I APPLY FOR THE OPTIONAL SEPARATE TOU METER FROM LADWP?To inquire about new meter service, please call 1-866-484-0433 or visit our website, www.ladwp.com/EV.

HOW LONG WILL IT TAKE TO GET A PERMIT FOR CHARGER INSTALLATION?Permit approval will depend on the Building and Safety agency in your area. For Los Angeles City residents, the Department of Building and Safety has an online permit process. Please see www.permitla.org. Requests that meet the criteria are approved immediately.

DOES IT MATTER IF I HAVE A PLUG-IN GAS/ELECTRIC HYBRID OR AN ALL ELECTRIC VEHICLE?The “Charge Up L.A.!” rebate will be available to LADWP customers who meet the qualifying criteria, no matter the make or model of the electric vehicle, provided the new or used EV was purchased on or after October 1, 2015 and has a factory installed SAE J1772 charging plug. In determining your charging needs, consider your driving habits, the type of car you would like, and the amount of time you will typically have to charge your car. Level 1(120-volt) charging takes longer, but it does not require the installation of a special charging unit if your garage or parking area is equipped with the appropriate outlet. The rebate does not apply to Level 1 chargers.