SJDO_TE-12 Energy and Water Efficiency Use Plan Template.pdf

TE-10 – Energy and Water Efficiency Use Plan Template

CONTRACT INFORMATION – to be completed by Contractor in fields provided

Contract umber:

Building number, name and address:

Building annual energy performance target: Btu/GSF

Building annual water performance target: Gal/GSF Dates covered in this report:

Report submitted by (name of Contractor, name of individual responsible for follow-up actions):

Date submitted:

CONTRACTOR REPORTING ELEMENTS – to be completed by Contractor in fields provided

1. Use by resource – For each purchased utility resource, provide the use for the most recent EUAS reporting period for each utility, and the corresponding reporting period from the previous year in the table below.

Resource (please note units)

Billing Period (enter dates for the most recent EUAS billing for the corresponding utility)

Yearly Use Previous Contract Year

Target Use Current Contract Year

Electricity (kWh) Water (kgal) Steam (mmBtu) Natural gas (CCF) Total Energy (KBtu)

2. Significant energy and water efficiency actions/measures completed in the last year that should be considered for the current year.

a. Identify previous overtime utility requests and verify current year

b. request

3. Additional recommendations for improvement in the next Contract year

– with con- sideration to the following

a. Changes to operations practices such as

i. Equipment and/or buildings scheduling

ii. Set points

iii. Trend report assessments

b. Plant or equipment changes for

i. Low-cost/site funded measures

ii. Project funding

c. Contractor/Property Manager coordination and communication

4. Identify support actions needed from HHS/FDA/SJDO to assist in the energy and water efficiency efforts.

HHS/FDA/SJDO REVIEW AND RESPONSE ELEMENTS – to be completed by property manager in the fields provided

1. Re viewing official:

2. Date reviewed by GSA:

3. Comments to Contractor: