Energy SPICE Project Proposal

							Custom Project Completion Report
             Enter Date

           Submitted By
        End-User Name
             Address
            City, State

                For

          Project Title
            Utility Name

            Prepared By

        Project Manager Name
                 Title
            Phone Number
                        Custom Project (Enter Reference Number
                                 Enter Project Name

M&V COMPLETION DATE:


SYSTEM DESCRIPTION:
Baseline:
(Provide description of system used in accepted project proposal.)

Post-Project:
(Include detailed description of completed project including, equipment installed and
modifications to the project from the project description in the accepted proposal.)

ENERGY-SAVINGS VERIFICATION:

BASELINE POWER:
(Provide description of measurement and verification plan from accepted project proposal and
baseline data)



POST-PROJECT POWER:
(Provide post project installation data)



ENERGY SAVINGS CALCULATION:
(Provide description of energy savings calculation



PROJECT COSTS VERIFICATION:
(Provide summary of total project cost, attach invoices and complete Incentive Payment Table)
                                  INCENTIVE PAYMENT TABLE

The incentive payment for this project is based on actual project costs and annual verified energy
savings resulting from the project. Verification is secured through a mutually agreed upon
verification scheme submitted as part of the Project Proposal. The amount of the incentive
payment shall be taken as the lesser of the two quantities given by the following calculation
methods:

      (a)    Annual verified Busbar energy savings(kWh/yr) multiplied by the acquisition incentive
             rate/ kWh.

      (b)    70% of the actual project cost.

Complete the blanks in the From Proposal column below to show the estimate of the incentive
from the project proposal stage. Complete the blanks in the From Completion Report column
after energy savings have been verified. The incentive payment is figure at the bottom of the
ACTUAL column.


Row                                        From Proposal        From Completion Report
 1          Project Cost               $                       $
 2          Annual Site Savings                   kWh/yr                      kWh/yr
 3          Annual Busbar Savings                 kWh/yr                      kWh/yr
            (line 2 * 1.09056)
  4         Incentive rate/kWh
  5         Incentive Payment
            Calculation
 5a         Savings-based Payment
            (line 3 * line 4)
 5b         Project Cost Cap
            (line 1 *.7)
  6         Lesser of Line 5a or 5b