Contact Information for the individual responsible for the operation and maintenance of your facility:

Name    Phone #  

Email  

Facility Name   

Size  square feet                                     Age of Facility  years           

Type and function of facility with corresponding % square footage..  (For Example: 20% Office, 50% Manufacturing, 30% Warehouse)  Also, include brief description of manufacturing, if applicable.
 

Number of Occupants                Hours of Operation 

Mechanical/HVAC Systems:

Select the type of current systems:
Air cooled chillers  tons
Water cooled chillers   tons
Split systems and/or package units  tons

Description of air distribution systems (ex:  AHU's, VAV boxes, fan-powered boxes, etc.)

Description of heating systems (ex:  electric strip heat, boilers, etc.)

Description of temperature control systems (ex: wall mount mechanical stats, DDC Controls, time clocks, etc.)

Does the temperature control system employ any energy reducing strategies, such as load shedding, demand limiting, or thermal storage? yes no   If yes, describe below.

Description of current strategy for occupancy scheduling

Lighting Systems:

Description of primary lighting systems (ex:  T12, T8, etc.)

Any lighting control system? yes no   If yes, describe 

Does the facility have a parking garage?  yes no   If yes, list its automobile capacity?

Does the facility have any HID fixtues?  yes no   If yes, where are they located?

What percentage of the building's exterior has glass or windows? 

Is any glass tinted or has any window film?  yes no

Building Automation Systems/Control Systems:

Does the facility currently have a building automation system?  yes no
If so, what is the manufacturer? 

Does it monitor real time energy consumption?  yes no

Is there any security systems?  yes no
If yes, what is the manufacturer? 
Is the security system monitored by the BAS/Control system?  yes no
If yes, describe the current strategy for occupancy scheduling

List all current comfort or production issues.

List capital projects currently planned or in progress.

Utility usage history for 18-24 months including electric (usage and demand), natural gas, and water.

Upload files of actual energy bills (copies of actual bills are preferred for benchmarking purposes)