Exhibit L - Certification of Building Energy Performance.pdf

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X1AA--Saginaw CC-HBPC Clinic RLP Amendment 0004 RLP 36C25022R0049
Solicitation number
36C25022R0049
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Text version

REQUEST FOR LEASE DATE: __________________

PROPOSALS (RLP) RLP NO. ____________________

Lessor __________ Gov’t. __________ __________ of __________ Pages

CERTIFICATION OF BUILDING ENERGY PERFORMANCE

CERTIFICATION OF BUILDING ENERGY PERFORMANCE

LOCATION: _____________________________

PROJECT TITLE: _____________________________

PROJECT NUMBER: _____________________________

PROJECT MANAGER: ______________________________

I certify that the energy performance of the above project fully satisfies the energy efficiency requirements of DOE regulations, 10 CFR Part 435, "Energy Conservation Voluntary Performance

Standards for Commercial and Multi-Family High Rise Residential Buildings; Mandatory for New Federal

Buildings."

NAME & TITLE DATE

Name and Address of Architect-Engineer Firm: _______________________________________________

Title/Position: _________________________________________________________________________

Professional Registration No.: ____________________________________________________________

State Where Registered (use seal):

1: Saginaw CC-HBPC
2: Exhibit L
DATE:
RLP NO: 36C25022R0049
CERTIFICATION OF BUILDING ENERGY PERFORMANCE: Saginaw - MI
undefined: Saginaw CC-HBPC
PROJECT NUMBER:
PROJECT MANAGER:
NAME TITLE:
DATE_2:
Name and Address of ArchitectEngineer Firm:
TitlePosition:
Professional Registration No:
Lessor:
Govt:
undefined_2: 1
of: 1

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