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Table 1
| GSA Solicitation GS-00P-13-BSC-0950 |
| GSA Building Information Data Sheet - Sample Data |
| Building Information |
| What building(s) are you completing this survey for? |
| Please enter the building address: |
| .. |
| In case we have additional questions, please provide us with your contact information. |
| Name: |
| Email Address: |
| Phone Number: |
What is this building used for?
Building Construction
What % of the building's usable space was occupied in the past year?
On average, how many people are in the building when it is in use?
What is the gross square footage of the building?
How Many Floors is the Building
| Is this building occupied on the weekends? |
| .. |
| Heating |
| What is the primary fuel source for heating? |
What percent of the building area is heated with this fuel source?
What is the secondary fuel source for heating (if any)?
| What percent of the building area is heated with this fuel source? |
| Heating Equipment |
| Primary Heating Equipment: |
What percentage of the parts of the building that are heated does this system serve?
Please indicate the age of the boiler (if applicable):
| Pumping & Motor Speed |
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| Cooling Source |
| Percent of Area Cooled: |
What is the primary source for cooling?
What percent of the building area is cooled with this source?
What is the secondary source for cooling (if any)?
| What percent of the building area is cooled with this source? |
| Cooling Equipment |
| What is the type of primary cooling equipment? |
What percentage of the parts of the building that are cooled does this system serve?
If the building uses a chiller, how old is it?
| Pumping & Motor Speed |
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| Does the cooling plant utilize free cooling in the Winter (for example through a well- |
| maintained economizer cycle)? |
| Building Automation System? |
| *Does your facility have a Building Automation System? |
| If there is no Building Automation System••• |
| If there is no Building Automation System how is the equipment started and stopped? |
| Building Automation System Details |
| Approximately how old is the system? |
Has the workstation software been updated within the past 5 years?
Is the system connected to the internet?
| How are building systems controlled? |
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| *DDC = Direct Digital Controls |
| Select the features your Building Automation System |
| uses: |
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| Air Handling Equipment |
| Type of Air Handler? |
Percent of Building Served
Approximate Number of Units
| Fan Motor Control |
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| Heating |
| Cooling: |
| Do any units have Economizer Cycles? |
| Do any units have Heat Recovery? |
| Interior and Perimeter Space Conditioning |
| Terminal Units |
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| Centralized IT Areas |
| How large is your data center? (please enter number of square feet) |
Number of Servers
What cooling equipment is used ONLY for the data center?
| Capacity (Tons) |
| Plug/Receptical Load |
| Please indicate the predominant type of computers in the building |
What percentage of people in the building have computers? (Number can be higher than
100% if some people have more than one)
Do people use electric space heaters?
Do the majority of occupants use task/desk lighting?
| Please describe any additional electrical appliances used in the building. |
| .. |
| Dining Facility? |
| *Does your building include a dining facility? |
| Dining Facility Information |
| How many meals are served per day? |
| Are there different meal schedules on the weekends? If so, please explain. |
| .. |
| What types of fuel do you use for cooking equipment? (You can chose more than one if |
| necessary) |
| Exhaust Hoods? |
| *Does the kitchen have exhaust hoods? |
| Exhaust Hoods |
| How are the exhaust hoods controlled? |
| Do you have a dishwasher? |
| Dishwasher |
| Does the dishwasher have booster heaters? |
| Booster Heaters? |
| Are the booster heaters gas or electric? |
| Indoor Lighting |
| Date of last Retrofit/Upgrade--INDOOR LIGHT FIXTURES |
| .. |
| Fixture Type-INDOOR LIGHT FIXTURES |
| Indoor Fixture Control (please list all that apply): |
| Parking? |
| *co you have a parking lot or garage associated with the building's electricity meter(s)? |
| Exterior Parking Lot |
| *oo you have an exterior parking lot? |
| Exterior Parking Lot Details |
| Total square footage of exterior parking lot? |
| What amount (if any) of the total parking area is included in the Building Area (gsf, nsf or |
| rsf) that you entered earlier? |
| Please indicate the type of |
| the light fixtures: |
| How are the outdoor parking lights controlled? |
| (List any that may apply) |
| When were these outdoor parking lot light fixtures last upgraded/retrofit? |
| .. |
| AdditionalParking? |
| *Is there a parking garage associated with the building's electricity meter(s)? |
| Exterior Parking Garage |
| *Do the building have an exterior parking garage associated with the building's meter(s)? |
| Exterior Parking Garage Details |
| Total square footage of exterior garage? |
| What amount (if any) of the total parking area is included in the Building Area (gsf, nsf or |
| rsf) that you entered earlier? |
| Please indicate the type of |
| the light fixtures: |
| How are the parking structure lights controlled? |
| (Select any that may apply) |
| When were these parking structure light fixtures last upgraded/retrofit? |
| .. |
| Indoor Parking? |
| *Does the building have an indoor parking garage? |
| Indoor Parking Lot Details |
| Total square footage of the indoor parking lot? |
| What amount (if any) of the total parking area is included in the Building Area (gsf, nsf or |
| rsf) that you entered earlier? |
| Please indicate the type of |
| the light fixtures: |
How are the indoor parking lights controlled?
| When were these indoor parking lot light fixtures last upgraded/retrofit? (if applicable) |
| .. |
| Alternative Energy? |
| *Is there alternative energy generated onsite (e.g.CHP,solar, wind etc)? |
| Alternative Energy Details |
| Alternative Energy Source: |
| Size |
| Units |
| Please note any additional alternative energy source(s): |
| Size of additional alternative energy source? |
| Units |
| Conclusion |
| Has the building undergone any retrofits in the past five years? |
| Conclusion 2 |
| Please describe the retrofits. |
| Please add any additional information you think may be important to know about your |
| building |
| .. |
Please indicate how many minutes it took to complete this survey.
