Attachment C Table for Factor 1 Experience 2022 06 14.docx

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GSA/PBS National Deep Energy Retrofit (NDER) Round 6 ESPC Procurement
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GSANDER62022
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NDER Round 6 ESPC Attachment C TABLE FOR FACTOR 1 EXPERIENCE

Factor 1 – Past Performance Table Complete this table for each of the 5 projects submitted for Factor 1 (remove text in red). Table can be modified as needed, but please do not delete categories. If a category does not apply to the project mark it as N/A (do not leave it blank.)

Contract/Task Order #

Project Name:

Award Date:
Contract/Task Order Term (# Yrs)
Most Recently Completed Performance Year (e.g. Performance Year #3)
ESPC or UESC Contract/Task Order? (yes/no If yes, indicate whether ESPC or UESC)

If ESPC or UESC: Did contract/task order include a savings guarantee? (yes/no or N/A)

Agency/Owner Point of Contact (Name)
POC Title
Phone Number
Email Address
Location of Project

(city & state)

Project Details

Building Types
Include a brief description of the facilities including types, occupancy, and approximate age of buildings. Buildings that consist primarily of one or more of the following will be considered for Round 6: office buildings; laboratory space; data centers; prisons; courthouses and military bases.
Multiple Locations or Campuses
Provide the proximity of each location to the other locations under the contract/task order.
Project Gross Square Footage
Provide total gsf for the project and list gsf for primary buildings (small buildings do not need to be itemized).
ECMs
Indicate if the project included any of the following ECMs: heating and cooling systems, building envelope upgrades (including insulation and infiltration reduction), metering and submetering systems, building automation system controls, lighting and lighting controls, energy storage, VFDs, geothermal, and photovoltaic or onsite renewable technologies.

Other project ECMs may also be listed.

ESCO obtained financing and was borrower of record.
yes/no
Were any of the facilities on the National Historic Building Registry?
Yes/no if yes include building names and addresses.
Project overall energy consumption savings %
Provide the % of overall energy savings for the project. (Mbtu % reduction) and indicate whether the savings has been verified.

Annual Energy Data (totals for the entire project)

Energy Usage Intensity
Pre-Retrofit (Mbtu/sf/yr)
Post Retrofit (Mbtu/sf/yr)
Baseline Usage
Guaranteed Savings
Verified Savings
% Reduction
Annual Energy Consumption
(Mbtu/yr)
(Provide guaranteed annual $ savings. Include Mbtu/yr if available. Mark as N/A if there is no guarantee)
(Mbtu/yr (from TO4) or N/A if not verified)
(% reduction for full building(s) verified or N/A)
Annual Water Consumption
(kgal/yr)
(Provide annual guaranteed $ savings. Include Kgal/yr if available. Mark as N/A if there is no guarantee)
(kgal/yr (from TO4) or N/A if not verified)
(% reduction for full building(s) verified of N/A)

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