ECM - Sample Cost Summary Form by xiaoyounan

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```									                                                                                        Electrical                               Natural Gas                                  Water                           Energy Audit           Calculated                     Utility Meter
Cost Summary                 Installation
Project                                              Cost               Energy Audit         Calculated           Energy Audit         Calculated                                Calculated                               Total                                     Verification of
ECM #                                                                                                                                                                                                    Total Yearly    Simple              Simple
Number         New Britain Housing Authority        (Audit)     Yearly Energy Yearly Energy Yearly Energy Yearly Energy Yearly Energy Yearly Energy Yearly Energy Yearly Energy Yearly Energy                             Yearly                 Metering Type      savings after
Savings       Payback             Payback
Savings        Savings      Savings        Savings       Savings      Savings       Savings       Savings       Savings                                Savings                                     installation
(\$)           (KWH)            (\$)          (\$)        (Therms)          (\$)          (\$)           (\$)          (ccf)          (\$)            (\$)        (years)     (\$)     (years)   Elec.   Gas    Water Elec. Gas Water
Baseline Years - 20010, 2001, 2003
Three year average cost per kwh        \$0.0000                                                                                                                                                                                    m = master metered        A = Actual
FY        Jan
Three year average cost per therm      \$0.0000                                                                                                                                                                                    r = retailed metered    S = Stipulated
Three year average cost per ccf        \$0.0000                                                                                                                                                                                                            E = Estimated

Soft Costs
Electrical                   Natural Gas             Water & Sewage                          Energy Audit               Useful Life      Utility Meter                M&V
Cost Summary                    Installation
Cost                 Energy Audit                  Energy Audit                 Energy Audit
Metering Type after            IPMVP
PHA Name                      (Audit)                                                                                                                                                                                                        Weather
Project                                                                                                                                                                                                         ECM installation
ECM #                                                                                                                                                                Total Yearly     Guaranteed     Simple       Life                                      Option A          Adjustment
Number
Yearly Energy Savings        Yearly Energy Savings         Yearly Energy Savings        Savings          Savings      Payback    Expectanc      m = master metered            Option B
Description of ECM                                                                                                                                                                              r = retailed metered          Option C
c = check metered             Option D
(\$)          (KWH)                 (\$)    (Therms)               (\$)      (ccf)            (\$)           (\$)                        (years)     (years)     Elec.   Gas     Water Elec. Gas Water [ ] yes [ ] no

Instructions
(1)           (2)                   (3)                        (4)            (5)                 (6)       (7)                 (8)      (9)              (10)         (11)             (12)        (13)        (14)       (15)    (16)     (17)   (18)     (19)     (20)      (21)

(1) - ECM -List energy conservation numbers consecutively, ie: 1,2,3 …
(2) - Project Number - List Project Number for each ECM
(3) - Description of ECM - Provide brief description of ECM, ie: Lighting Retrofits.
(4) - List the estimated construction cost for the EMC
(5) - List yearly electrical energy savings in KWH
(6) - List yearly electrical cost savings in dollars (\$).
(7) - List yearly natural gas energy savings in Therms. Units of energy shall match units on form HUD-52722-A
(8) - List yearly natural gas cost savings in dollars (\$).
(9) - List yearly water and sewage energy savings in CCF. Units of energy shall match units on form HUD-52722-A
(10) - List yearly water and sewage cost savings in dollars (\$).
(11) - Calculate total energy savings, (6)+(8)+(10)
(12) - Total energy savings after ESCo discount.
(13) - Calculate simple payback by dividing installation cost (4) by total energy savings(10).
(14) - List life expectancy of ECM measure.
(15)(16)(17) - List the metering type. This is the type of metering servicing the ECM after the installation.
m = master metered. A main utility meter where the PHA pay the utility bills.
r = retailed metered. Individual utility meters, one per dwelling unit, where the tenant pays the utility bills.
c = check metered. A combination of master meters and retail meters where the PHA pays the utility bills, monitors monthly tenant consumption and charges the tenants a surcharge for excess utilities.
Reference 24 CFR 965 for further information.
(18)(19)(20) - List the methodology for verification of actual energy savings. Applies to ESCO contracts only. Reference the International Performance Measurement and Verification Protocol (IPMVP) website at www.IPMVP.org
(21) - List if a weather adjustment factor will be applied in computing actual energy savings. Applies to ESCO contracts only.

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