Charge NY Drive Clean Rebate Program Vehicle Purchaser ...

Charge NY Drive Clean Rebate Program Vehicle Purchaser Terms and Conditions

A Vehicle Purchaser is an individual, business, fleet, or government entity that purchases or leases a vehicle that is eligible for a rebate from the Charge NY Drive Clean Rebate Program. A Vehicle Purchaser must be a resident of New York State (if an individual), be a New York State government entity or municipality, or be registered/licensed to do business in New York State and must affirm that it intends to domicile the vehicle in New York State (if a business, fleet, or government entity).

General Terms and Conditions for Vehicle Purchasers:

I hereby acknowledge that I have read and agree to meet and follow the requirements and responsibilities for Vehicle Purchaser participation as set forth below.

1 I certify that I am a New York State Resident, government entity or an entity registered/licensed to do business in New York State.

2 I certify that the Dealer has explained to me the value of the Charge NY Drive Clean Rebate for my vehicle purchase and has clearly shown me that the full amount of this rebate has been taken off of the purchase or lease price of the vehicle. I agree to allow the Dealer to receive the rebate on my behalf.

3 If I am an individual, I agree to register the vehicle with the New York State Department of Motor Vehicles with an address located within New York State for at least thirty-six (36) months from the date of purchase. If I am a Vehicle Purchaser other than an individual, I agree to domicile the vehicle within New York State for at least thirty-six (36) months from the date of purchase. If I leased the vehicle, I agree that my original lease term is at least thirty-six (36) months.

4 I agree to allow NYSERDA or its designee to verify the vehicle identification number (VIN) and registration with the DMV.

5 I agree to maintain vehicle insurance as required by New York State law. 6 I agree to allow NYSERDA to share my address, contact information, and vehicle model purchased

with the electric distribution utility serving the primary location in New York State where the vehicle will be domiciled for the purpose of informing its system planning efforts. I understand that this utility may send me information about programs that it offers to customers that are designed specifically for plug-in electric vehicle owners. 7 I agree to never modify the vehicle's emission control system, engine, engine hardware, software calibrations, or electric drive system. 8 I agree to participate in online surveys and other research efforts that support Program goals. 9 I acknowledge that neither NYSERDA, nor any of its consultants, is responsible for assuring that the vehicle is proper for the Vehicle Purchaser or complies with any particular laws, codes, or industry standards. I acknowledge that NYSERDA has made no representations of any kind regarding the results to be achieved by the Program. 10 I shall protect, indemnify and hold harmless NYSERDA and the State of New York from and against all liabilities, losses, claims, damages, judgments, penalties, causes of action, costs and expenses (including, without limitation, attorneys' fees and expenses) imposed upon or incurred by or asserted against NYSERDA or the State of New York resulting from, arising out of or relating to Vehicle Purchaser's participation in the Program including, without limitation, Vehicle Purchaser's purchase or lease of vehicles in association therewith;

August 2017

11 I agree to reimburse the dealer the full value of the rebate if it is discovered that I provided false or inaccurate information that results in the rebate application being denied; and

12 I certify that I have the legal authority to commit the Vehicle Purchaser to the obligations herein.

If the Vehicle Purchaser is an individual, fill out this section: Name of Vehicle Purchaser: _________________________________ Signature of Vehicle Purchaser: _______________________________ Email of Vehicle Purchaser: __________________________________ Date: ___________________________ Scan a copy of the Vehicle Purchaser's New York State Driver's License and include it in the box below or upload a copy as a separate document in Step 6 of the online rebate application:

If the Vehicle Purchaser is a non-individual (fleet, business, or government entity), fill out this section: Legal Business Name (Government Name): _______________________________ Employer Identification Number: _______________________________ New York State address where the vehicle will be domiciled: _______________________________ _______________________________ _______________________________ Name and Title of Authorized Representative: _______________________________ Signature of Authorized Representative: ____________________________________ Email of Authorized Representative: _______________________________________ Date: ___________________________

August 2017

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download