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2. Title II Compliance

   In accordance with the requirements of Title II of the Americans with Disabilities Act (“ADA”) of 1990, the Fair Employment & Housing Act (“FEHA”), the Rehabilitation Act of 1973 (as amended), Government Code section 11135 and other applicable codes, the City of Modesto (“City”) will not discriminate against individuals on the basis of disability in the City’s services, programs, or activities. For more information, please visit the City of Modesto website.

6. Name*
7. Email Address
   Providing an Email address will speed up the response time to your application.
9. Address*
10. Alternate Mailing Address
    If your mailing address differs from your physical address please provide it here.
12. City*
13. State*
14. Zip Code*
16. Phone Number*
20. Are you the Property Owner?*

    1. Yes
    2. No
21. Have you previously applied for this rebate?*

    1. Yes
    2. No
22. Type of Property*

    1. Residential
    2. Commercial
24. Where did you learn about the rebate?*
26. NOTE: Tenants: Participation requires written approval from property owner/property manager.
    Attach to Application
27. Please indicate the date of the last rebate.
    Please indicate the date of the last rebate.
29. Landscape Design Sketch*
30. Upload Conversion Area Photo*
34. Inspection Required
    Do not begin your project until pre inspection is completed and approved.
36. Rebate Information
    • The rebate value cannot exceed the actual cost of the drip irrigation products used in the conversion.
    • An original itemized dated sales receipt is required at the post-inspection.
    • Limit of $1000 rebate per account per fiscal year (July 1 to June 30)
    • Compliance with attached guideline is required.
38. Terms and Conditions
    The City of Modesto may deny any application that does not meet program requirements. The undersigned expressly agrees that the City may inspect all items submitted for the Drip Irrigation Rebate Program. The City does not guarantee the performance of any drip irrigation system; does not warrant any drip irrigation system or installation to be free of defects, the quality of the workmanship, or the suitability of the premises or the drip irrigation system for installation. The undersigned further agrees to hold harmless the City of Modesto against all loss, damage, expense and liability resulting from the loss, destruction or damage to property arising out of or in any way connected with installation of drip irrigation. The City reserves the right to alter this program at any time. Funding for this rebate program is limited to available resources. Rebates are processed on a first come, first served basis.
40. Electronic Signature*

    1. I have read, understand, and agree to the terms and conditions of this rebate program.
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42. 1. Receive an email copy of this form.
43. Email address

    This field is not part of the form submission.

44. Submit

* indicates a required field