Verification forms for eco-label for tourist accommodation serv

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					  VERIFICATION FORMS

          FOR

THE EUROPEAN ECO-LABEL




        EU Eco-Label




           For


  TOURIST ACCOMMODATION
                                                    SERVICE



[Insert date of issue]
General Information

Section 1 – details of applicant and product

Please complete or type in black, and submit in               For official use
duplicate (as a paper copy, not by e-mail) to the
Competent Body.
A. The applicant
Full name of applicant company:




Address:




Contact name, and function:




Tel no, and fax no:


E-mail:


Website:
Please complete or type in black, and submit in duplicate   For official use
(as a paper copy, not by e-mail) to the Competent Body.
B. The accommodation
Registered trade name(s) of the accommodation.




Type of accommodation (hotel, B&B, etc) according to
official registration.




Please tick the types of services offered which are under
the ownership or direct management of the
accommodation in addition to the lodging service:

Food service
-only breakfast
-bar
-vending machine
-other restaurant services
-other: specify __________________________


Fitness and sport activities
-swimming pool
-sauna
-other: specify __________________________

Green areas
-garden
-park
-forest
-farm
-other: specify __________________________
Category: Micro enterprise, SME, national chain,
international chain.1




1
  Enterprises are defined as on Commission Recommendation 96/280/EC : Micro enterprise has less
than 10 employees, SME has less than 250 employees or annual turn over according to the
Recommendation.




Range: if a chain, how many elements of the same chain
intend to apply. Characteristics: Please describe any
special service or tourist activity which you provide in
addition to the above.




Other EU countries in which this accommodation is
present under the same name.




Rough estimate of annual number of overnight stays.
Rough estimate of value of annual sales, excluding
VAT, of the accommodation in the European Economic
Area (the European Community plus Norway, Iceland
and Liechtenstein). Please specify currency, if different
from the euro:




Please complete or type in black, and submit in duplicate      For official use
(as a paper copy, not by e-mail) to the Competent Body.
C. This application
Is this an application to add the EU Eco-label to an
existing eco-label for accommodation? (please check or
underline the appropriate answer)

-yes
-no
-I am concurrently applying for both the EU Eco-
           label and another existing eco-label.

Please name any other environmental labelling
initiative (eco-labels, charts other initiatives) under
which the service has already been registered or is
applying to.




The Competent Body will invoice applicants for a non
returnable application fee on receipt of the application. If
the application is successful, the Competent Body will
invoice the licensee for an annual fee. It will apply all
relevant reductions.

1. Do you wish to claim a fee reduction as an SME? If
so, please provide proof of status.
2. Do you wish to claim a fee reduction for EMAS
registration or EN ISO certification? If so, please
provide proof of status, such as EN ISO certification or
EMAS registration.




Please complete or type in black, and submit in duplicate                         For official use
(as a paper copy, not by e-mail) to the Competent Body.
D. Applicant’s undertaking (all applicants must sign and date this undertaking: Regulation EC
No 1980 / 2000 is shown in Annex 3 of this user manual)
As the applicant for an EU Eco-label, I hereby declare
that: I understand and accept the provisions of Regulation
EC No 1980 / 2000 on the EU Eco-label scheme, and in
particular Article 2, which states that the Eco-label may not
be awarded to goods manufactured by processes which are
likely to significantly harm man and / or the environment,
or which in their normal application could be harmful to
the consumer; I understand and accept the standard
assessment and contract procedures proposed by the
Competent Body, and accept its terms during the duration
of the contract; I undertake to ensure that the service
compiles with the Eco-label criteria at all times and to
notify the Competent Body immediately of any significant
modification to it or to the processes relative to the
provision of the service; I take responsibility for the correct
and proper use of the EU Eco-label.
Signed: Name in capitals: Position in company: Date:




Section 2 – Compliance undertakings

In order to apply for the Eco-label the applicant needs to comply with national and local legality
requirements for tourist accommodation structure and service. The following self-declaration
shall be signed by the applicant.

I declare that:
1.       1. the tourist accommodation structure is legally built and respects all relevant laws or
regulations of the area on which it is built, especially regarding landscape and biodiversity
conservation if present,
2.       2. the tourist accommodation service is registered as required by national and/or local
laws.



Signed:


Name in capitals:


Position in company:


Date:
I       hereby      declare      that        the                 accommodation
___________________________________ complies with

       •       the legal requirements related to the service provided;
       •       the legal requirements related to building permits;
0       •       the legal requirements regarding landscape integration, management of
natural resources and on biodiversity.
1       I include the following available documentation:
       Technical documents/measurements;
       Declaration from public authority;
       Other ___________________________


In truth, I hereby declare that criterion n.1 is not applicable to the accommodation
________________ ______________________________ due to the following situation:




                                                                                            
0             The accommodation does not have access to renewable sources of energy.
1       I enclose the following documents:
             Documentation reporting a list of the electricity providers available and
their impossibility to provide electricity from renewable energy resources (see sheet 3).

In truth,




I hereby declare that our company has been asked by ________________________ to
    supply electricity from renewable resources.
Our company, however, is not able to provide such electricity.


We imagine that by the date ___________________ we could be able to provide
electricity from renewable resources.




In truth,




Signature of the electricity provider Date




    Situation where the provider provides at least 22% of electricity from
                     Renewable Energy Sources (RES)
At least 22% of the electricity used by the accommodation comes from Renewable
Energy Sources

I enclose one of the following documents:


0            Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of the electricity provided from Renewable Energy
Sources;
1       or
            Declaration from the electricity provider reporting the nature of the energy
source and the percentage of the electricity provided from Renewable Energy Sources
(see sheet 8).

In truth,




Situation where the provider can provide only less than 22% of electricity from Renewable
                                        Energy Sources (RES)
I hereby declare that the accommodation _______________________________________           complies
with criterion n. 1 The maximum electricity from Renewable Energy Sources which can be provided to the
accommodation by electricity providers is less than 22%.



I enclose the following documents:



0             Declaration from the electricity provider reporting the nature of the
electricity source and the percentage of electricity provided from Renewable Energy
Sources , including a declaration stating that the provided percentage is the maximum
possible percentage of electricity from Renewable Energy Sources which can be provided
(see sheet 8);
1       and
             Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of the provided electricity from Renewable Energy
Sources .

In truth,




   Situation where auto-production of electricity from Renewable Energy Sources (RES)
                                       reaches at least 22%
The auto-production2 of electricity within the accommodation is at least 22% of the
overall electricity consumption per year.



I enclose the following document:


   Declaration of a technician stating the nature of the electricity used and the
     percentage of auto-production of electricity achieved by the accommodation with
     respect to overall yearly consumption (see sheet 9).




In truth,




         Signature of the applicant                                     Date
 Auto-production of energy in this context is intended as: the production of energy which originates
within the tourist accommodation grounds. For example, if the accommodation has a photovoltaic system it
has auto-production of electricity; if it has solar heat panels, it has auto-production of energy used for
heating purposes.




The auto-production of electricity within the accommodation does not reach 22%
of the overall electricity consumption per year but is equal to _______________%.

The remaining percentage of electricity from Renewable Energy Sources is purchased
from an energy provider as the Renewable Energy Source part of the electricity mix.

The electricity purchased has a mix from Renewable Energy Sources of at
least3 : ______________________%


I enclose the following documents:
.1             Declaration of a technician or equivalent document stating the nature of
the electricity used and the percentage of auto-production of electricity achieved by the
accommodation with respect to overall yearly consumption (see sheet 9);
.2      and
.3             Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of electricity from Renewable Energy Sources provided
in the electricity mix;
.4      or
              Declaration from the electricity provider reporting the nature of the energy
source and the percentage of electricity from Renewable Energy Sources provided in the
electricity mix (see sheet 8).

In truth,

         Signature of the applicant                                                       Date

3
 The % of RES electricity purchased from an energy provider refers to his electricity mix as the overall
amount of energy coming from RES needs to be equal to 22 %. For example, if the accommodation
produces 15% of its electricity consumption, it shall purchase electricity from an electricity provider with a
mix equal to 7% RES electricity (22-15 = 7).

    Declaration of the energy provider on the provision of
      electricity from Renewable Energy Sources (RES)
I hereby declare that our company is supplying the accommodation_____________________
 __________________________________________________________________ electricity generated
from Renewable Energy Sources.



The nature of these renewable sources of electricity is

        Wind;
        Solar;
        Geothermal;
        Wave;
        Tidal;
        Hydropower;
        Biomass;
                 gas;
         Landfill
        Sewage treatment plant gas and biogases;
        Cogeneration Heat and Power (CHP)4.


The percentage of the overall electricity which the company is providing
to the accommodation is ________%


The maximum percentage of electricity from Renewable Energy Sources which the
company can provide is __________%.


In truth,



Signature of the energy provider Date


4
 Cogeneration is not in itself a renewable source of energy, however, due to the efficiency with which it
produces energy, in this context is considered as environmentally positive as the production of energy
through renewable sources of energy. Often combined heat and power plants do use renewable sources of
energy.
                        Declaration of the project technician on the electricity
                          from Renewable Energy Sources (RES) produced
                                  within the tourist accommodation




I hereby declare that the accommodation__________________________________________ has in place a
     system of auto-production of electricity from Renewable Energy Sources.



The source of the auto-production of electricity is:

        Wind;
        Solar;
        Other     ______________________________

The percentage of the electricity which is auto-produced by the
accommodation is ________% of the yearly electricity consumption.




In truth,
Signature of the project technician for the electricity auto-production system. Date




                                     Coal and heavy oils


I hereby declare that criterion n.2 is not applicable to the accommodation ________________
    ______________________________ due to the following situation:




The   accommodation does not have independent heating system.




In truth,
                                          Coal and heavy oils
I declare that the nature of the energy used (excluding electricity for non heating purposes) within the
    accommodation is :



       Gas (methane)
       Heavy oil with less than 0,2% sulphur content;
       Solar (note that you may also fulfil optional criterion n. 39);
       Cogeneration Heat and Power (CHP) (note that you also fulfil optional
criterion n. 43);
       Electricity used to run a heat pump (note that you also fulfil optional criterion
n. 44);
       Other ___________________________.


In truth, I hereby declare that criterion n.3 is not applicable to the accommodation
    ________________ ______________________________ due to the following
    situation:




                                                                                                           
          The accommodation does not have an independent heating system;
          The accommodation does not have access to electricity from Renewable
Energy Sources (RES);
          The tourist accommodation uses a different energy source:

        To specify_________________________________________
In truth, I hereby declare that our company has been asked by the accommodation
    ________________       ___________________________to supply electricity from
    Renewable Energy Sources




and that it is not possible at the moment to provide them with such electricity.


We presume that by the date ___________________ we will be able to provide
electricity from renewable sources.




In truth,
Signature of the electricity provider Date At least 22% of the electricity used by the
accommodation for heating rooms and sanitary water comes from Renewable Energy
Sources.




In addition to electricity, the accommodation uses the following energy sources for
heating rooms and sanitary water:

             Gas (methane)
             Heavy oil with less than 0,2% sulphur content;
             Solar (note that you may fulfil optional criterion n. 39);
             Cogeneration Heat and Power (CHP) (note that you also fulfil optional
criterion n. 43);
             Electricity used to run a heat pump (note that you also fulfil optional
criterion n. 44);
             Other ___________________________;
.1            No other source of energy.
.2      I enclose one of the following documents:
.3            Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of electricity from Renewable Energy Sources provided
to heat rooms and sanitary water;
.4      or
             Declaration from the electricity provider reporting the nature of the energy
source and the percentage of electricity from Renewable Energy Sources provided to heat
rooms and sanitary water (see sheet 16).

In truth,




 Situation where the provider can provide only less than 22% of electricity
                        from Renewable Energy Sources
The maximum electricity from Renewable Energy Sources to heat rooms and sanitary
water which can be provided to the accommodation by electricity providers is less than
22%.

In addition to electricity, the accommodation uses the following energy sources for
heating rooms and sanitary water:

             Gas (methane)
             Heavy oil with less than 0,2% sulphur content;
             Solar (note that you may fulfil optional criterion n. 39);
             Cogeneration Heat and Power (CHP) (note that you also fulfil optional
criterion n. 43);
             Electricity used to run a heat pump (note that you also fulfil optional
criterion n. 44);
             Other ___________________________;
.1            No other source of energy.
.2      I enclose the two following documents:
.3            Declaration from the electricity provider reporting the nature of the energy
source and the percentage of electricity from Renewable Energy Sources provided to
heat rooms and sanitary water (see sheet 16);
.4      and
             Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of electricity from Renewable Energy Sources provided
to heat rooms and sanitary water.

In truth,

  Declaration of the energy provider on the provision of
  electricity for heating from Renewable Energy Sources




I hereby declare that our company is supplying the accommodation_____________________
 __________________________________________________________________ electricity used to heat
rooms and sanitary water generated from Renewable Energy Sources.
The nature of these renewable sources of electricity is:

        Wind;
        Solar;
        Geothermal
        Wave;
        Tidal;
        Hydropower;
        Biomass;
                 gas;
         Landfill
        Sewage treatment plant gas and biogases;
        Cogeneration Heat and Power (CHP)5.


The percentage of the overall electricity used for heating rooms and sanitary water
which the company is providing to the accommodation is ________%


The maximum percentage of electricity from renewable resources which the company
can provide is __________%.


In truth,


Signature of the energy provider Date


5
  Cogeneration is not in itself a renewable source of energy, however, due to the efficiency with which
it produces energy, for the purposes of this document it has been considered as environmentally
positive as the production of energy through renewable sources of energy. Often combined heat and
power plants do use renewable sources of energy




    Situation where auto-production of electricity from Renewable Energy
     Sources reaches at least 22%
Electricity for heating

I hereby declare that the accommodation _______________________________________                 complies
with criterion n. 3.

The auto-production of electricity within the accommodation is at least 22% of the overall electricity
consumption per year used to heat rooms and sanitary water.

In addition to electricity, the accommodation uses the following energy sources for heating rooms and
sanitary water:

              Gas (methane)
              Heavy oil with less than 0,2% sulphur content;
              Solar (note that you may fulfil optional criterion n. 39);
              Cogeneration Heat and Power (CHP) (note that you also fulfil optional
criterion n. 43);
              Electricity used to run a heat pump (note that you also fulfil optional
criterion n. 44);
              Other ___________________________;
0              No other source of energy.
1       I enclose the following document:
              Declaration of a technician or other equivalent document stating the nature
of the electricity used and the percentage of auto-production of electricity achieved by the
accommodation with respect to overall yearly consumption to heat rooms and sanitary
water (see sheet 19).

In truth, The auto-production of electricity within the accommodation is at least 22% of
the overall electricity consumption per year used to heat rooms and sanitary water.




The auto-production of electricity within the accommodation does not reach 22% of
the overall electricity consumption per year but is equal to _______________%.


The remaining percentage of electricity from Renewable Energy Sources is purchased
from an energy provider as the renewable energy source part of the electricity mix.
The mix of electricity purchased has a mix of at least6 : ______________________% (1)



In addition to electricity, the accommodation uses the following energy sources for
heating rooms and sanitary water:

       Gas (methane)
       Heavy oil with less than 0,2% sulphur content;
       Solar (note that you may fulfil optional criterion n. 39);
       Cogeneration Heat and Power (CHP) (note that you also fulfil optional
criterion n. 43);
       Electricity used to run a heat pump (note that you also fulfil optional criterion
n. 44);
       Other ___________________________;
       No other source of energy.

6
 The % of RES electricity purchased from an energy provider refers to his electricity mix. When there is
auto-production it shall be equal to: 22- % of RES electricity from auto-production. For example, if the
accommodation produces 15% of its electricity consumption, it shall purchase electricity from an electricity
provider with a mix equal to 7% RES electricity (22-15 = 7).
I enclose the following documents:


.1             Declaration of a technician or equivalent document stating the nature of
the electricity produced within the accommodation and its percentage with respect to
overall yearly consumption of electricity used to heat rooms and sanitary water (see sheet
n.19);
.2      and
.3             Contract with the electricity provider or bill reporting the nature of the
energy source and the percentage of electricity from Renewable Energy Sources used to
heat rooms and sanitary water provided in the electricity mix [as reported in (1) above];
.4      or
              Declaration from the electricity provider reporting the nature of the energy
source and the percentage of electricity from Renewable Energy Sources used to heat
rooms and sanitary water provided in the electricity mix [as reported in (1) above] (see
sheet n.16).

In truth,
   Declaration of the project technician on the system in place within the
  accommodation for the production of electricity from Renewable Energy
              Sources used to heat rooms and sanitary water




I hereby declare that the
accommodation__________________________________________ has in place a
system of auto-production of electricity from Renewable Energy Sources to heat rooms
and sanitary water.


The source of the auto-production of electricity is:
      Wind;
      Solar;
      Other    ______________________________

The percentage of the electricity which is auto-produced by the
accommodation is ________% of the yearly electricity consumption to heat
rooms and sanitary water.
In truth,




Signature of the project technician for the electricity auto-production system. Date I
hereby declare that criterion n.4 is not applicable to the accommodation
________________ ______________________________ due to the following situation:




                                                                                              
             The accommodation does not have a hot water boiler heating system;
             The accommodation at the time of application is not purchasing a hot
boiler heating system.

In truth,



Declaration of compliance for the                                        Criterion n.4
PURCHASE OF A NEW BOILER
                                                                             Sheet n.21

      Purchase of a new boiler within the duration of the EU Eco-label award.
I declare that on date _______________ I have purchased a new boiler of the following kind:


       Standard boiler
       Low-temperature boiler
       Gas condensing gas boiler
       Other: specify ______________________________


And that it □ is □ is not (please tick the appropriate answer) included in the field of
application of Directive 92/42/EEC on efficiency requirements for hot-water boilers fired
with liquid or gaseous fuels.

I enclose a technical report from professionals (maintenance or providers) of the
boiler indicating the efficiency being at least 90%, as calculated by Directive
92/42/EEC or other relevant national or local law on boiler efficiency.




In truth, I declare that :




Declaration of compliance for the                                Criterion n.4
EXISTING BOILER
                                                                    Sheet n.22

              the boiler is included in the field of application of Directive 92/42/EEC
on efficiency requirements for hot-water boilers fired with liquid or gaseous fuels and
that it is in compliance with the Directive;
              the boiler is excluded from the field of the Directive 92/42/EEC and it
complies with product norms and regulations on efficiency.

I enclose a technical report from professionals (maintenance or providers) of the boiler
indicating the type of boiler7 and its efficiency, as indicated in Directive 92/42/EEC or
other relevant product norms and regulations on boiler efficiency.

I declare that at the time of purchase of a new boiler, if within the duration of the EU
Eco-label, the efficiency requirements shall be at least 90%, as required by criterion n.4. I
shall notify the Competent Body and send a technical report stating compliance with the
criterion.




In truth,




Signature of the applicant                                           Date
7
 The types of boilers indicated by Directive 92/42/EEC are: standard boiler, low-temperature boiler, gas-
condensing boiler; it is necessary to indicate any other type of boiler which may not included in the
Directive.




I hereby declare that criterion n.5 is not applicable to the accommodation
   ________________ ______________________________ due to one of the following
   situations:



0            The accommodation at the time of application is not purchasing an air
conditioning system included in the field of application of Directive 2002/31/EC;
1      or
            The accommodation at the time of application is purchasing an air
conditioning system not included in the field of application of Directive 2002/31/EC.

In truth,



Declaration of compliance for the                                                  Criterion n.5
PURCHASE OF A NEW AIR CONDITIONER
                                                                                       Sheet n.24

 Purchase of a new air conditioning system within the duration of the EU Eco-label award.
I hereby declare that the accommodation _______________________________________ complies
with criterion n.5 regarding the energy efficiency of air conditioners.


I declare that on date _______________ I have purchased a new air conditioning system included in the
field of application of Directive 2002/31/EC.




I enclose a technical report from professionals (maintenance or providers) of the air conditioning
system indicating the energy efficiency being Class B, or equivalent, as requested by criterion n.5.
In truth,






                                               or
     I declare that the windows in rooms are not insulated. I enclose a report from a
 professional technician, including a description of the climate zone of the accommodation as
 defined by the national or local authority, reporting the winter situation, a description of the
 shading elements (such as trees or other buildings, reporting the summer situation), and a
 description of the surroundings, reporting the noise around the accommodation, to explain how
 thermal and acoustic insulation are nonetheless guaranteed;
.




In truth, I hereby declare that criterion n.7 is not applicable to the accommodation
    ________________ ______________________________ due to the following
    situation:
                                                                                              
           The accommodation at the time of application has no heating NOR air
conditioning;
           The accommodation has an automatic switching off heating or air
conditioning when windows are open (note that you may fulfil criterion n.49).

In truth, I enclose a copy of the information text given to guests on switching off heating
    and /or air conditioning when windows are open.




I enclose also where the information is situated in the accommodation.




In truth, I hereby declare that criterion n.8 is not applicable to the accommodation
    ________________ ______________________________ due to the following
    situation:
                                                                                             
     The accommodation has an automatic system of switching off lights when
       guests leave the room (note that you may fulfil criterion n. 53).




In truth, I enclose a copy of the information text given to guests on switching off lights
    when they leave the room.




I enclose also where the information is situated in the accommodation.
In truth,




        Signature of the applicant Date




                                 Energy efficient light bulbs


I hereby declare that criterion n.9 is not applicable to the accommodation ________________
    ______________________________ due to the following situation:




0            The accommodation has no light bulbs which can be substituted by energy
saving Class A light bulbs.
1       Within the accommodation there are light bulbs with the following energy
efficiency:
            Class B please indicate where ________________________
            Class C please indicate where ________________________
            Class D please indicate where ________________________
            Class E please indicate where ________________________
            Class G please indicate where ________________________

The total number of non-energy efficiency light bulbs in the accommodation               is
   __________.




In truth,
        Signature of the applicant                                         Date




                                 Energy efficient light bulbs
0             I declare that I shall replace all non energy saving light bulbs with their
Class A equivalent, where physical fittings allow it, within one year from the date of
application and priority shall be given to those light bulbs which are switched on for over
5 hours. daily.
1       Within the accommodation there are light bulbs with the following energy
efficiency:
             Class A please indicate where ___________________
             Class B please indicate where ___________________
             Class C please indicate where ___________________
             Class D please indicate where ___________________
             Class E please indicate where __________ _________
             Class G please indicate where __________ _________

The total number of non-energy efficiency light bulbs in the accommodation is
___________ The total number of energy efficient (Class A) light bulbs in the
accommodation is ________ The total number of light bulbs in the accommodation is
________




In truth,




                       One year after award of the EU Eco-label
The accommdation complies with the conditions below:

.1           At least 60% of the light bulbs with the adequate fittings are Class A
energy efficiency.
       •       The total number of non-energy efficiency light bulbs within the
accommodation is __________.
       •       The total number of energy efficient light bulbs within the accommodation
is ________________.
       •       The percentage of Class A light bulbs within the accommodation is
_________%
.2           At least 80% of the light bulbs light bulbs which are switched on for over
5 hours daily are Class A energy efficiency.
       •       The total number of non energy-efficiency light bulbs within the
accommodation which are switched on for more than 5 hours per day is
_______________.
       •       The total number of energy efficiency (Class A) light bulbs within the
accommodation which are switched on for more than 5 hours per day is
______________.
       •       The percentage of Class A light bulbs lit for over 5 hours daily within the
accommodation is _________%

Within the accommodation, due to fittings which do not allow substitution, there still are
light bulbs with the following energy efficiency:


      Class B please indicate where ________________________
      Class C please indicate where ________________________
      Class D please indicate where ________________________
      Class E please indicate where ________________________
      Class G please indicate where ________________________


In truth, 
In truth,




                                   Sauna timer control
I enclose a report from a technician responsible for the installation and/or maintenance of
    the sauna timer system.




In truth, 
In truth, I enclose the letter sent to the public authority stating my willingness to change
water source, according to the alternative given to me, if studies show that environmental
damage results from my water captation,.




In truth, The measure(s) which have been taken in order to comply with the criterion are
one or more of the following:
                                                                                                          
            instalment of flow reducers (air mixers and other such devices);
            instalment of pressure reducer at the beginning of the pipe of the
accommodation;
            no measures were necessary (for example because the water pressure
already allows less than 12 litres/minute);

             other:_______________________________________________________
        ______.




In truth,




                                   Water flow from taps and showers
I enclose a copy of the information text given to guests on helping the accommodation to save water and
    stating where the information is situated in the accommodation.
In truth, I enclose a copy of the information text given to guests on using the waste bin for waste disposal,
     stating where the information is situated in the accommodation.




In truth, 
In truth,




                                                Urinal flushing
I enclose a copy of the technical features of the urinals showing compliance with the criterion.




In truth, I enclose the following documents:
                                                                                                               
        a copy of the training program highlighting the coverage of fixing leaks.
        a copy of the information to guests on leaks.


In truth,




                                                                                                               
            The accommodation does not provide sheets or towels;
            Staff does not regularly change sheets and towels of guests;
            The accommodation already changes by default sheets and towels as
requested by the criterion.

In truth,




                                         Changing sheets and towels
I also enclose a copy of the text of the information material available to the guest providing the following
information:
        •         information on the environmental policy of the tourist accommodation;
        •         invitation to the guest to contribute to the respect of the environmental policy and to
accept the change of towels and sheets only on his request.

I state that the information is given to the guest at the reception desk and that it is visible within the
room.
I also provide evidence of the acceptance by the guest of changing towels and sheets only on his request.
In truth,




                                                                                            
            The accommodation has no outside green areas;
            The accommodation is situated where climatic conditions do not make it
appropriate to comply with the criterion.

            Specify:___________________________________________________________
            __




In truth, I enclose a description of how and when plants are watered, including a copy of
        the watering procedures if there are any in place.
In truth,



                    Declaration of compliance
                                                                              Criterion
                                                                              n.19

                                                                                  Sheet
                                                                                  n.47




                                        Waste water treatment

I hereby declare that the accommodation _______________________________________    complies
     with criterion n.19.



I enclose one of the following documents:

           Declaration or other documentation showing linkage to the local public or
private sewage treatment;
           Documentation on the individual treatment system of the accommodation.

In truth,




                                                                                              
      The accommodation is not linked to mains sewage treatment but has an own
        sewage water treatment plant.
I enclose documentation on the individual treatment system of the accommodation.




In truth, I enclose one of the following documents:




                                                                                           
             of request to local authority on the presence of a local waste water plan.
       letter
      answer from the local authority (if available);


If there is a waste water plan, I include procedures on how the waste water plan is
implemented within the accommodation.
In truth, I enclose the documentation showing where and when (frequency) disinfectants
    are used in the accommodation.




In truth, I enclose a copy of the training program highlighting the coverage of
   disinfectant and detergent use and dosage.
In truth, I enclose following documents:




                                                                                               
             a list of the waste categories tackled by local authority (such as plastic,
paper, glass, aluminium, other metals, organic waste – kitchen and/or garden, etc…) as
advertised through communication media;
             a list of the receptacles made available to the guests for waste collection;
             a copy of the information to guests on separate waste collection,
specifying where the information is situated in the accommodation.

In truth, The following hazardous wastes are consumed within the accommodation:




                                                                                               
              Pharmaceuticals, medicines and veterinary compounds;
              Wood preservatives;
              Biocides and phyto-pharmaceutical substances (insect-killers, garden
fertilisers and similar);
              Residue of substances employed as solvents;
              Mineral oils and oily substances;
              Electric material;
              Inks, dyes, pigments (toners);
              Paints, lacquers, varnishes;
              Resins, latex, glues, adhesives;
              Photographic chemicals and processing materials;
              Batteries and other electrical cells;
              Vegetable oils;
             Household material (equipment, containing refrigerating liquid or
electronic materials);
             Other
__________________________________________________________
.1            Other
__________________________________________________________
.2      I enclose the following documents:
.3            statement from local authority on the lack of collection of hazardous
waste;
.4      or
             procedures stating how these wastes are handled, including identification
of the agency responsible for the collection and/or disposal;

                                          and /or
     other relevant documentation such as contracts with third parties responsible for
       the collection/disposal of hazardous waste.



I also declare that in case of lack of collection of hazardous waste services from the local
Authority, the request of such services shall be renewed yearly and necessary
documentation kept available for the on-site inspection.




In truth, In addition to documentation provided for criterion n. 23, I enclose the following
documents:
                                                                                               
      a copy of the procedures by which waste is handled, disposed of within the
        tourist accommodation;
      other relevant documentation such as contracts with third parties responsible for
        the collection/disposal of waste.


I declare that in case of lack of collection of waste services, the request of such services
    shall be renewed yearly and necessary documentation shall be provided.




In truth,




                                     Waste transportation
I enclose the following documents:


            indication on the location of the sites where different wastes are collected;
            a copy of the procedures describing how waste is transported there,
including an accurate estimate of distances.
I declare that in case of lack of collection of waste services from the local Authority, the
request of such services shall be renewed yearly and necessary documentation kept
available for the on-site inspection.




In truth,




                                                                                               
         the accommodation does not provide toiletries NOR cups, plates and
cutlery;
         there is legislation requiring the use of the disposable products within the
accommodation.

I enclose the evidence of legislation requiring the use of the disposable products within
the accommodation.
In truth, I enclose the description of the non–disposable alternative products provided in
the accommodation.




In truth, I enclose a description of the number of the non smoking sections and where
    they are situated in the accommodation.
In truth,




                                      Public Transportation
I enclose a copy of the text of the information material available to the guest providing the
following:

             information on public transportation (trains and buses) or collective
private transportation (private buses) leading to the accommodation from the main nearby
destinations;
0             information to the guest on public transportation or collective private
transportation in the area;
1       and
             inviting the guest, when possible, to choose collective transportation.

I enclose also where the information is situated in the accommodation.




In truth,
   FOR APPLICANTS HAVING AN ENVIRONMENTAL MANAGEMENT SYSTEM IN PLACE
The accommodation has:


       an  EMAS registration;
0       EN   ISO 14001 certification.
1       I enclose the relative
       EMAS registration number
       copy of EN ISO 14001 certification.


In truth,




        Signature of the applicant Date



                                   Go to criterion n.37




The following equipment have been serviced in compliance with the law or more often as
   appropriate by qualified personnel:

EQUIPMENT                                             NAME OF MAINTENANCE COMPANY
Energy
Heating, Ventilation and air conditioning equipment
(HVAC): except boilers, including heat pumps,
thermoregulation devices etc;
Equipment: refrigerators, washing machines,
dishwashers, office equipment whether household or
professional
Water
Rainwater collecting and water recycling systems;
Water using equipment (dishwashers, washing
machines)
Dangerous Chemical substances
Heat pumps
Refrigerators
Other services
Swimming pool and other fitness equipment
Waste
Fat/oil filters

I enclose a declaration from the technicians on the frequency with which the law requires maintenance
checks.



In truth, 




In truth,
                             Maintenance and servicing of boilers
The boiler(s) in place in the accommodation is (are) the following:

     Standard boiler
     Low-temperature boiler
     Gas condensing gas boiler
     Other: specify ______________________________
According to law requirements and/or needs the maintenance plan is the following:

       Once a year
       More often specify ______________________________


The following elements are checked, as required by law or manufacturer, during
maintenance:

       Efficiencylevel
       Other specify ___________________________________
       Other specify ___________________________________
       Other specify ___________________________________
       Other specify ___________________________________
       Other specify ___________________________________


The name of the company/companies/persons responsible for the maintenance is (are):




In truth,
                                   Policy setting and action program
I enclose the following documentation:



          environmental Policy statement of the accommodation;
          procedures for taking into account input from guests;
          action program to implement the environmental policy including targets
on environmental performance regarding energy, water, chemicals and waste.

The action program is set every two years and documentation kept available for the on-
   site inspection.




In truth, I enclose the following documentation:




                                                                                             
       contentof the training programme;
       calendar and attendance of the courses.


In truth, I enclose the information notice given to guests, covering the following issues:
                                                                                              
      environmental policy regarding reduction of environmental impacts;
      some of the main actions taken to reduce environmental impacts;
      information on the EU eco-label;
      invitation to guests to help the accommodation in its intent. I enclose also
where the information is situated in the accommodation.

In truth, I enclose the procedures in place to collect the information requested, reporting
the measurements possible.




Enclosed □ are □ are not included the data relative to the criterion for the previous three
   months.

Successive to the EU Eco-label award I shall send data yearly to the Competent
Body according to the form in the following tables.

As follows is the working calendar of the accommodation:


Number   of    months      that    the
 accommodation is open Period


                                                                              Notes yearly
In truth,




Signature of the applicant                                                                           Date



                                                                                                                 77




                  Consumption table of the tourist accommodation.

These data refer to at least three months prior to the application.
Table I
ELECTRICITY CONSUMPTION                                      Please fill in the consumption values for each trimester


Currency if different from Euro:                              DATE            DATE               DATE              DATE
Total electricity consumption*               in KWh
•electricity purchased of from               in KWh
standard electric network (non
RES)*
•electricity purchased as RES                in KWh
electricity from electric network*
                                             in KWh
•electricity auto- produced on site*      percent of total
                                           consumption
               I. Through photovoltaic       in KWh
               II. Through wind power        in KWh
           III. Through small                in KWh
                    hydroelectric plant
           IV. Through biogas                in KWh
V. other                                     in KWh
Total electricity costs
Number of Overnight stays*
Total inside area of the tourist               in m2
accommodation*
Total electricity consumption per            in kWh
overnight stay*
Total electricity consumption per             in kWh
m2 of inside area*
Total electricity cost per overnight
stay*
Total electricity cost per m2 of
inside area*


                                             * mandatory fields




                   Consumption table of the tourist accommodation.

                                                    YEAR:
                                                    Table II
ELECTRICITY CONSUMPTION                                        Please fill in the consumption values for each trimester


Currency if different from Euro:                                DATE            DATE               DATE              DATE
Total electricity consumption*                in KWh
•electricity purchased of from                in KWh
standard electric network (non
RES)*
•electricity purchased as RES                 in KWh
electricity from electric network*
                                              in KWh
•electricity auto- produced on site*       percent of total
                                            consumption
              VI. Through photovoltaic        in KWh
     VII. Through wind power                  in KWh
           VIII. Through small                in KWh
                     hydroelectric plant
           IX. Through biogas                 in KWh
X. other                                      in KWh
Total electricity costs
Number of Overnight stays*
Total inside area of the tourist                in m2
accommodation*
Total electricity consumption per             in kWh
overnight stay*
Total electricity consumption per          in kWh
m2 of inside area*
Total electricity cost per overnight
stay*
Total electricity cost per m2 of
inside area*




                 Consumption table of the tourist accommodation

These data refer to at least three months prior to the application.


Table III
ENERGY CONSUMPTION FOR HEATING ROOMS AND SANITARY WATER

Currency if different from Euro:                          DATE   DATE   DATE   DATE
Total energy consumption*                   in m3

Total cost of energy
•Natural Gas consumption*                   in m3
                                          in kWh*
Cost of Natural Gas
•Heavy oil consumption*                    in Litres
                                          in kWh*
Cost of Heavy oil
•Fire-wood consumption*                     in m3
                                          in kWh*
Costs of fire-wood
                                            in m3
    I. Self-produced fire-wood*        percent of total
                                       consumption
•Gasoline consumption*                     in Litres
                                          in kWh*
•Diesel oil consumption*                   in Litres
                                          in kWh*
                                           in Litres
                                          in kWh*
     I. Bio-diesel consumption*        percent of total
                                           diesel
                                       consumption
Total Costs of gasoline/diesel oil
•Solar thermal                            in kWh*
•District heating                         in Kcal*
•Other types of energy                    in kWh*




Total costs



Number of Overnight stays*
Total inside area of the tourist           in m2
accommodation*
Total energy consumption per              in m3**
overnight stays* (please choose
                                         in kWh*
most appropriate measure unit)
                                         in Kcal*
Total energy consumption per m2            in m3
of inside area* (please choose
most appropriate measure unit)           in kWh*
                                         in Kcal*
Total energy cost per overnight
stay*
Total energy cost per m2 of inside
area*


•* mandatory fields ; ** it is possible to convert litres in m3: 1000 litres = 1 m3

Conversion tables for the expression of energy in different units:
1 kcal = 4.184 kJoules
1 kcal = 0.00116 kWh

Consumption table of the tourist accommodation

YEAR:

Table IV
ENERGY CONSUMPTION FOR HEATING ROOMS AND SANITARY WATER

Currency if different from Euro:                         DATE        DATE       DATE   DATE
Total energy consumption*                  in m3

Total cost of energy
•Natural Gas consumption*                 in m3
                                        in kWh*
Cost of Natural Gas
•Heavy oil consumption*                  in Litres
                                        in kWh*
Cost of Heavy oil
•Fire-wood consumption*                   in m3
                                        in kWh*
Costs of fire-wood
                                          in m3
II. Self-produced fire-wood*         percent of total
                                     consumption
•Gasoline consumption*                   in Litres
                                        in kWh*
•Diesel oil consumption*                 in Litres
                                        in kWh*
                                         in Litres
                                        in kWh*
    II. Bio-diesel consumption*      percent of total
                                         diesel
                                      consumption
Total Costs of gasoline/diesel oil
•Solar thermal                           in kWh*
•District heating                        in Kcal*
•Other types of energy                   in kWh*




Total costs




Number of Overnight stays*
Total inside area of the tourist          in m2
accommodation*
Total energy consumption used            in m3**
for heating per overnight stay*
(please choose most appropriate         in kWh*
measure unit)                            in Kcal
Total energy consumption used             in m3
for heating per m2 of inside area*
(please choose most appropriate         in kWh*
measure unit)                              in Kcal*
Total energy cost per overnight
stay*
Total energy cost per m2 of inside
area*


      •* mandatory fields ; ** it is possible to convert litres in m3: 1000 litres = 1 m3

Conversion tables for the expression of energy in different units:
1 kcal = 4.184 kJoules
1 kcal = 0.00116 kWh
          Please fill in the cells, according to the results obtained in the previous measurements



TOTAL ENERGY CONSUMPTION                                           kWh or Kcal (specify)
Total electricity consumption                              a)                    (see from data above)
Total consumption of energy used for
                                                           b)                            (see from data above)
heating
Total energy consumption                                                                (a + b)




                  Consumption table of the tourist accommodation
These data refer to at least three months prior to the application.


Table V
                                                            Please fill in the consumption values for each trimester
WATER CONSUMPTION
Currency if different from Euro:                                DATE         DATE               DATE              DATE
Total water consumption*                    in litres
Cost of water
                                            in litres
natural sources of water, excluding     percent of total
water from aqueduct* Use of                  water
rainwater or other on site               consumption

Water sent to sewage                        in litres
Cost of treated water
Number of Overnight stays*
Total inside area of the tourist            in litres
accommodation*
Total water consumption per              in litres
overnight stay*
Total water consumption per m2           in litres
of inside area*
Total water cost per overnight
stay*
Total water cost per m2 of inside
area*

                 Consumption table of the tourist accommodation

YEAR:

Table VI
                                                         Please fill in the consumption values for each trimester
WATER CONSUMPTION
Currency if different from Euro:                          DATE            DATE               DATE              DATE
Total water consumption*                  in litres
Cost of water
                                          in litres
natural sources of water, excluding   percent of total
water from aqueduct* Use of                water
rainwater or other on site             consumption

Water sent to sewage                      in litres
Cost of treated water
Number of Overnight stays*
Total inside area of the tourist         in litres
accommodation*
Total water consumption per              in litres
overnight stay*
Total water consumption per m2           in litres
of inside area*
Total water cost per overnight
stay*
Total water cost per m2 of inside
area*
I enclose the procedures in place to collect the information requested, reporting
the measurements possible.



The accommodation offers the following services:

       Food services
       Swimming pool
       Golf
       Other fitness facilities : specify_______________________________


Laundry service is

In-house outsourced




Enclosed □ are □ are not included the data relative to the criterion for the previous six
months.

Successive to the EU Eco-label award I shall send data yearly to the Competent
Body according to the form in the following tables.

In truth,




                Consumption table of the tourist accommodation

These data refer to at least six months prior to the application.


Table VII
                                                                      Please fill in the consumption
CHEMICAL SUBSTANCES                                                   values for each semester
Currency if different from Euro:                                         DATE               DATE
Total detergent consumption*                            in kg
                                                        In kg
                                                   percent of total
•Eco-labelled detergent consumption
                                                      detergent
                                                    consumption
Total disinfectant consumption*                       in kg
                                                      in kg
                                             percent of total
•Eco-labelled disinfectant consumption
                                             disinfectant
                                             consumption

Number of Overnight stays*
Total inside area of the tourist                     in m2
accommodation*
Total chemical consumption per overnight             in kg
stay*
Total chemical consumption per m2 of
                                                     in kg
inside
area*
Total chemical cost per overnight stay*
Total chemical cost per m2 of inside area*




                 Consumption table of the tourist accommodation
  YEAR:
.
Table VIII

                                                                     Please fill in the consumption values
CHEMICAL SUBSTANCES                                                  for each semester
Currency if different from Euro:                                        DATE                DATE
Total detergent consumption*                           in kg
                                                       In kg
                                                  percent of total
•Eco-labelled detergent consumption
                                                     detergent
                                                   consumption

Total disinfectant consumption*                        in kg
                                                       in kg
                                              percent of total
•Eco-labelled disinfectant consumption
                                              disinfectant
                                              consumption

Number of Overnight stays*
Total inside area of the tourist                      in m2
accommodation*
Total chemical consumption per overnight                in kg
stay*
Total chemical consumption per m2 of inside             in kg
area*
Total chemical cost per overnight stay*
Total chemical cost per m2 of inside area*




                 Consumption table of the tourist accommodation

These data refer to at least six months prior to the application.


Table IX
                                                                Please fill in the consumption values
WASTE PRODUCTION                                                for each semester
Currency if different from Euro:                                    DATE               DATE
                                                   in litres
Total waste produced*
                                                    in kg
Costs for waste disposal
Number of Overnight stays*
Total inside area of the tourist                    in m2
accommodation*
Total waste production per overnight stay*          in kg
Total waste production per m2 of inside             in kg
area*
Total waste cost per overnight stay*
Total waste cost per m2 of inside area*




                 Consumption table of the tourist accommodation

                                              YEAR:

                                              Table X
WASTE PRODUCTION                                                Please fill in the consumption values
                                                                 for each semester

Currency if different from Euro:                                    DATE             DATE
                                                in litres
Total waste produced*
                                                 in kg
Costs for waste disposal
Number of Overnight stays*
Total inside area of the tourist                in m2
accommodation*
Total waste production per overnight stay*       in kg
Total waste production per m2 of inside          in kg
area*
Total waste cost per overnight stay*
Total waste cost per m2 of inside area*




I enclose a sample of the supports on which the label is used.
In truth,
OPTIONAL CRITERIA




                      Photovoltaic and wind generation of electricity (2 points)

I hereby declare that the accommodation _______________________________________             complies
with criterion n.38.

The potential output of electricity from the system is ________________ kWh/year



The actual output of electricity from the system is ________________ kWh/year

I enclose a description of the project and implementation works of the photovoltaic or wind power system
     reporting the electricity generating capacity.




In truth, I hereby declare that the accommodation _______________________________________
    complies with criterion n.39.
The energy consumption for heating rooms and sanitary water from RES is _________ kWh/year.



The total energy consumption of the accommodation for heating rooms and sanitary water is (please report
    from Table III on sheet 66) :_____________________kWh/year.




In truth,




                                 Energy
I hereby declare that the accommodation _______________________________________             complies
with criterion n.40.
I enclose one of the following documents:



      a report from professional technicians stating the kind of boiler, the boiler
        efficiency and declaring that the boiler has four stars;

                                                 or

      a copy of the technical booklet of the boiler reporting the number of stars of the boiler.




In truth,




                                Energy
I hereby declare that the accommodation _______________________________________             complies
     with criterion n.41.




NOx emissions of the boiler are the following: _____________________mg NOx/ kWh.
I enclose one of the following documents:


      a report from professional technicians stating the kind of boiler, the boiler
        NOx emissions and declaring that the boiler has four stars;

                                                 or

      a copy of the technical booklet of the boiler reporting the number class of the boiler.




In truth,




                              Energy
I enclose one of the following documents:
            documentation showing the linkage to the district heating system; or
            a declaration from the energy provider of the presence of a district heating
system to which the accommodation is attached.

In truth, I enclose a declaration from the heat provider or other authorities stating the type
of energy production of the energy received by the accommodation and showing that it
covers the entire yearly consumption of the accommodation.
In truth,




                                Energy
I enclose one of the following documents:
             a copy of the technical booklet reporting the operating conditions of the
heat pump. or
            a technical report from a technician reporting the operating conditions of
the heat pump.

In truth,




                                  Energy
I enclose one of the following documents:



              a copy of the project of the heat recovery works in place in the
accommodation; or
         declaration of a technician of the heat recovery works in place in the
accommodation, briefly describing the heat recovery system;

In truth,




                                Energy




Thermoregulation (1.5 points)

I hereby declare that the       accommodation   _______________________________________
complies with criterion n.46.




I enclose one of the following documents:

0            declaration of a technician responsible the thermoregulation works present within
the accommodation briefly describing the recovery system in place;
1       or
            a copy of the project or other documents showing evidence of the heat recovery
works present within the accommodation.

In         truth,       I        hereby        declare      that                            the
     accommodation_________________________________________
______________________________________________ has insulation performances
   higher than the minimum national requirements and therefore complies with criterion
   n 47 of the EU eco-labelling scheme for tourist accommodation.


Minimum national requirements, according to the location of the accommodation
are as follows8:




Whereas insulation performances of the accommodation are the
following:




In truth,



            Signature of the energy technician                                         Date


8


    Please describe the parameters of insulation requirements, according to national or local legislation.
I hereby include a technical report showing evidence that the accommodation
_______________________________________ has an air-conditioning system
having energy efficiency Class A or equivalent, and therefore complies with criterion
n.48 of the EU eco-labelling scheme for tourist accommodation.

 I understand that the criterion does not refer to the air conditioning appliances which
      •can use energy sources other than electricity from mains system
      •are air to water appliances
      •are water to water appliances
      •have a cooling power higher than 12 kW.


In truth, I hereby declare that the
accommodation_________________________________________
______________________________________________ has an automatic system that
turns off the air-conditioning when windows are open and therefore complies with
criterion n.49 of




the   EU     eco-labelling    scheme     for   tourist
accommodation. .


The system characteristics are briefly described as follows:
In truth, I hereby declare that the accommodation
_______________________________________             complies with criterion n.50 for the
following steps taken within the accommodation (at least 6):




NATURAL HEATING
Measures are taken to make best use of heating from natural climate
1.     1.      appropriate exposure of the building to winter sun;
2.     2.      appropriate shelter of accommodation from winter winds through natural
(vegetation) or artificial devices;
3.     3.      appropriate position of windows to use winter sun;
NATURAL LIGHT
Measures are taken to make best use of natural light
1.     4.       windows are placed in such a way that natural light on a sunny day is
available for at least 8 hours a day for at least six months of the year in common areas;
2.     5.       windows are placed in such a way that natural light on a sunny day is
available for at least 8 hours a day for at least six months of the year in at least 50% of
the rooms;
3.     6.       the accommodation does not interfere with the opportunity of adjacent
buildings to use natural light;
NATURAL COOLING
Measures are taken to make best use of cooling from natural climate
1.      7.     appropriate orientation of the accommodation to summer shade;
2.      8.     appropriate exposure of the accommodation to summer breezes;
3.      9.     appropriate shading of windows with natural or artificial shading devices;
4.      10. appropriate array of windows, rooms and corridors to enhance natural
ventilation;
5.      11. appropriate devices in place to bring air from cool to warm sites (for example
through mechanical ventilation systems which input cool air from basement in common
rooms);
NOISE
Measures are taken to reduce the noise transmission
1.     12. common areas are enhanced with material which hinder noise transmission to
other parts of the accommodation;
2.     13. the accommodation is built with material which reduces noise to the outside;
BUILDING MATERIALS
Measures are taken to increase the use of local building materials
1.     14. at least one main part of the accommodation building is built with local
materials;
2.     15. at least one main part of the accommodation building is built with recycled
material;
3.     16. there are measures in place to minimise the amount of energy embodied in
new construction materials;
LANDSCAPE INTEGRATION
Measures are taken to maximise the integration of the accommodation with
the landscape
1.     17. according to the site, the accommodation is integrated into the landscape;
2.     18. the accommodation makes use of local vegetation (for example vegetation
which does not need much watering);
3.     19. OTHER specify
____________________________________________________

I enclose at least one of the following documents:


       a technical report on how the points are fulfilled;
       a copy of the projects showing the implementation of the points.


In truth,




Energy efficient refrigerators (1 point), dishwashers (1 point), washing machines (1 point) and office
   equipment (1 point)

I hereby declare that the accommodation _______________________________________
complies with criterion n.51 for the following equipment:

       All household refrigerators and all mini – Frigo-bars;
       All household dishwashers;
       All household washing machines;
       At least 80% of office equipment.


I enclose one of the following documents for each of the equipment complied with:

0            a copy of the technical booklet reporting the appropriate energy efficiency
1       Class/Energy Star, as required by the criterion;
or

            a declaration of the provider or manufacturer on the appropriate energy
efficiency Class/Energy Star, as required by the criterion.

In truth,




                           Energy
The actions complied with are at least two of the following and a detailed description
is provided:

      The refrigerator is far from or shielded from sources of heat, such as the oven.
Description:
      The cooling tubes of the refrigerator are well cleaned on a regular basis.
Description:
      There are precise procedures to open the refrigerator as few times as possible.
Description:

In truth,
  Technical report of the professional technician on the
      automatic switching off of lights in guest rooms




                              Energy
Automatic switching off lights in guest rooms (1 point)



I   hereby     declare    that    the    accommodation_________________________________________
______________________________________________ has an automatic system that turns off the lights
when guests leave their room, and therefore complies with criterion n.53 of the

EU eco-labelling scheme for tourist accommodation.



The system is in place in at least 80% of the rooms.



The system characteristics are briefly described as follows:




:




In truth,
  Technical report of the professional technician on the
          automatic switching off of outside lights
                                    Energy




Automatic switching off outside lights (1 point)



I    hereby    declare    that    the    accommodation_________________________________________
______________________________________________ has an automatic system that turns       off the
outside lights and therefore complies with criterion n.54 of the EU eco-labelling

scheme for tourist accommodation.



The system characteristics are briefly described as follows:




In truth,
                                              Water




                   Use of rain water (1.5 points) and recycled water (1.5 points)

I hereby declare that the accommodation _______________________________________     complies
with criterion n.55 for the following water saving actions:

       use of rain water;
       recycling of water.


I enclose the following documents:
             a detailed explanation of the system(s); and
             a copy of the project showing the separate paths of drinking and non-
drinking water, such that they can never be mixed.

In truth,




                         Water
The accommodation complies with the criterion through the following actions:
       use of water flow reducers;
       reduction of the pressure from source; other _______________________.


As follows is a description of the performances of the devices listed above, and any
other relevant documentation:




In truth,




                         Water
The accommodation complies with the criterion through the following actions:

     use two level toilet flush with maximum flush at 6 litres;
     instalment of manual flushes with automatic return; other
_______________________.

As follows is a description of the performances of the devices listed above:
In truth,




                         Water
The accommodation complies with the criterion due to the following situation:

            the dishwasher(s) present in the accommodation have consumption as
required by the criterion: the dishwasher has ____________ place settings and its water
consumption is ________________ litres per cycle.
.1           the dishwasher(s) present in the accommodation have been awarded the
EU Eco-label.
.2     I enclose one of the following:
.3           a technical report from the professional technicians responsible for
sale/maintenance
.4     of the dishwasher;
or

           a copy of the documentation showing the award of the EU eco-label to the
dishwasher.

In truth,




                         Water
The accommodation complies with the criterion due to the following situation:

           the washing machine(s) present in the accommodation have consumption
as required by the criterion: the washing machine has ____________kg washload and its
water consumption is ________________ litres per cycle.
             the washing machine(s) present in the accommodation have been awarded
the EU Eco-label;
0             the laundry service provider complies with the criterion.
1       I enclose one of the following:
             a technical report from the professional technicians responsible for
sale/maintenance of the washing machine;
             a copy of the documentation showing the award of the EU eco-label to the
washing machine;
             a copy of the technical booklet/report from technical maintenance
personnel from the laundry service provider showing compliance with the criterion.

In truth,




                             Water
As follows is an explanation on how the accommodation complies with the criterion:




I enclose one of the following documents:

           a copy of any relevant technical booklets or projects showing the tap flow
reduction:
          a copy of the invoice of the implementation of tap water flow reducing
devices;
          a declaration from technicians responsible for sale/maintenance/
implementation of the tap water temperature flow regulation system.

In truth, I hereby declare that the
accommodation_________________________________________
______________________________________________ has an automatic system that
regulates the temperature and the flow of water from taps.




The system characteristics are briefly described as follows:
In      truth,   I     hereby     declare    that             the      accommodation
       _______________________________________             complies with criterion n.61.




As follows is an explanation on how the accommodation complies with the criterion:




I enclose one of the following documents:

1.     1.     a copy of any relevant technical documentation a showing evidence of
how the system turns the showers off after a certain time;
2.     2.     a declaration from a technician responsible for sale/maintenance/
implementation of the shower timers.

In            truth,          I          hereby     declare that         the
     accommodation_________________________________________
     ______________________________________________ has an automatic system
     that turns off the flow of water from showers.
The system characteristics are briefly described as follows:




In truth,




                    Dangerous Chemicals
I hereby declare that the accommodation
_______________________________________               complies with criterion n.62.

Compliance is achieved with the following detergent categories:

       hand dishwashing detergents,
       dishwasher detergents,
       laundry detergents
        all   purpose cleaners.

I enclose the following data:



Hand dishwashing detergent.

The amount by weight of detergent used in the last year is ____________________kg.
The amount by weight of eco-labelled detergent used last year is _______________kg.
The amount by weight of eco-labelled detergent used is _____________%9
The eco-label of the detergent is ________________________10

Dishwasher detergents,

The amount by weight of detergent used in the last year is ____________________kg. The amount by
weight of eco-labelled detergent used last year is _______________kg. The amount by weight of eco-
labelled detergent used is _____________%11


9
 This ratio should be at least 80%.
 If it is tthe EU Eco-label no further check is necessary, for any other label, best check with the Competent
10


Body that it is an EN ISO Type I eco-label.
 This ratio should be at least 80%.
11




The eco-label of the detergent is ________________________12


Laundry detergernts

The amount by weight of detergent used in the last year is ____________________kg.
The amount by weight of eco-labelled detergent used last year is _______________kg.
The amount by weight of eco-labelled detergent used is _____________%13
The eco-label of the detergent is ________________________14
All purpose cleaners

The amount by weight of detergent used in the last year is ____________________kg.
The amount by weight of eco-labelled detergent used last year is _______________kg.
The amount by weight of eco-labelled detergent used is _____________%15
The eco-label of the detergent is ________________________16
I enclose any relevant invoices of the eco-labelled detergents for the last year.




In truth,




         Signature of the applicant Date

 If it is the EU Eco-label no further check is necessary, for any other label, best check with the Competent
12


Body that it is an EN ISO Type I eco-label.
 This ratio should be at least 80%.
13


 If it is the EU Eco-label no further check is necessary, for any other label, best check with the Competent
14


Body that it is an EN ISO Type I eco-label.
 This ratio should be at least 80%.
15


 If it is tthe EU Eco-label no further check is necessary, for any other label, best check with the Competent
16


Body that it is an EN ISO Type I eco-label.




I hereby declare that the accommodation
_______________________________________                          complies with criterion n.63.


I enclose the following data:


The amount by weight of indoor paints and varnishes in the time span of validity of
the criterion17 is ____________kg.
The amount by weight of eco-labelled indoor paints and varnishes used in the time span
of validity of the criterion is _______________kg.
The amount by weight of eco-labelled detergent used is _____________%18
The eco-label of the detergent is ________________________19



I enclose any relevant invoices for the eco-labelled indoor paints and varnishes.




In truth,




         Signature of the applicant Date

17
  The time span considered for the validity of this criterion is three years back and one year ahead, in case
the
painting of the inside of the accommodation is planned shortly.
18
  This ratio should be at least 50%.
19
  If it is tthe EU Eco-label no further check is necessary, for any other label, best check with the Competent
Body that it is an EN ISO Type I eco-label.




                   Dangerous chemicals
The disinfectant which is currently used in the swimming pool of the accommodation is:

        chlorine ozone
        ultraviolet rays other _____________
        a combination of the elements above: specify
_______________________________

According to minimum national hygiene requirements, the appropriate amount of
   disinfectant used in the swimming pool is _______________mg/litre.


I enclose one of the following documents:

            a technical report from the technical qualified personnel responsible for
the instalment, maintenance and/or sale of the automatic dosage system;
            a copy of the project of the automatic dosage system.

In truth,




                      Dangerous chemicals
The cleaning devices which are used in the accommodation which allow mechanical cleaning are:
       microfibre products
     water vapor machines other _______________ other _______________
other ________________


The procedures by which mechanical cleaning is performed are described in the table
and explanation below.

            Device used             Place of the                        Frequency of cleaning
                                    accommodation cleaned               (times per week)
Explanation:




I enclose any other relevant documentation,

     instruction booklet of the cleaning devices reported above;
     invoice of the cleaning material reported above; other
_________________________________

In truth,
                       Dangerous chemicals
The pesticides which are used by the accommodation are the following:

       specify _______________
       specify _______________
       specify ________________
       none


The procedures by which green areas are managed according to the Regulation on
   organic agricultural products are explained below.




In truth, According to local guidelines, the accommodation fulfils the criterion for the
    following kinds of composting:
                                                                                              
       green  organic
.1      kitchen organic
.2      Green organic composting is:
       carried out within the grounds of the accommodation;
       transported to a public site;
.1      given to a private agency.
.2      Kitchen organic composting is:
       carried out within the grounds of the accommodation;
       transported to a public site;
       given to a private agency.


The procedures by which composting is carried out are explained below:
I enclose, if necessary, one of the following documents:

       a copy of receipt of the organic waste for composting from the public
authority;
       a copy of receipt of the organic waste for composting from a private agency.


In truth,




                             Waste
            There is legislation requiring the provision of disposable drink cans within
the accommodation (fill in both Table I and Table II below);
            There is no legislation requiring the provision of disposable drink cans
within the accommodation (fill in only Table II).

Table I. The disposable drink cans required by law are described in the following
   table:
  Type of drink*            Location in the              Number of cans sold         Reference to law
                            accommodation                yearly                         requiring
                                                                                     disposable can*




                                 * required information to be reported.
Table II. The types of drinks cans which have been replaced with other options are described in the
following table.


   Type of drink*                        Alternative in place*            Number of items sold
                                                                          yearly
soft drinks20 (specify)
colas

Sprite/7 up


Fruit flavoured


Cold tea


Water


Beer




* required information to be reported.
From a management point of view, the accommodation has replaced disposable drink cans with other
non-disposable options in the following way:

     vending machine only distributes glass or plastic bottles
     bar having only glass or plastic bottles or draught21 other:
__________________________________

In truth,



            Signature of the applicant Date

20
  Soft drinks are: water based non alcoholic flavoured drinks, both carbonated and non- carbonated, fruit
juices. Note: if soft drink, water, beer bottles are refillable and there are procedures in place for refilling,
       21


criterion n. 75 is also fulfilled! See sheet n_____.




                                    Waste
I hereby declare that the           accommodation        _______________________________________
complies with criterion n.69.

           There is legislation requiring the provision of single dose breakfast
packages within the accommodation (fill in both Table I and Table II below);
           There is no legislation requiring the provision of single dose breakfast
packages within the accommodation (fill in only Table II).

Table I. The single dose breakfast packages required by law are described
in the following table:

Type of package              Location in the                    Number of packages                   Text and
                             accommodation                      (or Kg of packages)              reference of law
                                                                 purchased yearly                   requiring
                                                                                                 disposable can.
Table II. The types of drinks cans which have been replaced with other options are described in the
following table.


  Type of package                       Alternative in place                  Number of alternative
                                                                               packages (or Kg of
                                                                              packages) purchased
                                                                                    yearly
Jams (specify)


Honey


Chocolate


Cheese




From a management point of view, the accommodation has replaced single use breakfast packaging with
    other non-disposable options in the following way:

     A buffet is in place where the guest helps himself to the food;
     Ready filled plates are served:
     Big refillable dispensers are present on every table; other:
__________________________________
In truth,




                                Waste
I hereby declare that the accommodation _______________________________________   complies
     with criterion n.70.




There are n ________ fat separators in place in the following places:




They are cleaned ________ times per year by qualified personnel. The fat/oil
is disposed of in the following manner:




I enclose one of the following documents:

       receipt of the fat/oil from the public authority;
       receipt of the fat/oil from a private agency.



In truth,
                         Waste
I          hereby        declare       that                       the           accommodation
     _______________________________________                    complies with criterion n.71.

The types of textiles and furniture disposed of as required by the criterion are
the following:

     Type of component                      Means of disposal                  Recipient




I enclose one of the following documents:

       receiptof the textiles/ furniture stated above from the relative associations;
       an invoice/ receipt of any other recipients to whom the material was sold.


In       truth,   I     hereby     declare    that                    the      accommodation
        _______________________________________                    complies with criterion n.72.
I enclose a copy of the material which is distributed to the guests, including where it is
situated in the accommodation:




In       truth,   I     hereby     declare   that     the       accommodation
     _______________________________________    complies with criterion n.73.




The non-smoking rooms are distributed as follows:
            Type of rooms             Number of non smoking       Total number of rooms
                                      rooms
Single
Double
Triple
Suite
Other

Total


The total number of rooms is _____________
The total number of non-smoking rooms is ____________.
The percentage of non-smoking rooms is _____________.




In truth,




I hereby declare that the accommodation _______________________________________   complies
     with criterion n.74.



Bicycles are made available to guests in the following ways:
In truth, I hereby declare that the accommodation _______________________________________
    complies with criterion n.75.




The refillable bottles in use are the following22:

 Type of drink         Type of bottle Number of bottles used
                                      yearly
                       (glass, pet,   Up to 1 litre                                                   Over 1litre
                       other)
soft drinks23
(specify) colas


Sprite/7 up

Fruit flavoured

Cold tea


Water


Beer



………


22
  Note: if due to the procedures of refilling soft drink, water and beer bottles no disposable cans are sold,
you
also fulfil criterion n. 68! (see sheet n. ____)
23
  Soft drinks are: water based non alcoholic flavoured drinks, both carbonated and non-carbonated, fruit
juices.

I enclose the following documentation:
       declarationfrom the supplier stating the handling and refilling of the bottles;
       invoice from the service provider of handling and refilling of the bottles


In truth,




                      Other services
Compliance is achieved with the following paper categories:

             toilet/tissue   paper,
             office   paper.




I enclose the following data:



Toiler/tissue paper.

The amount by weight of paper used in the last year is ____________________kg.
The amount by weight of eco-labelled paper used in the last year is _______________kg.
The amount by weight of eco-labelled paper used is _____________%24
The eco-label of the detergent is ________________________25
 This ratio should be at least 80%.
24


 If it is tthe EU Eco-label no further check is necessary, for any other label, best check with the Competent
25


Body that it is an EN ISO Type I eco-label.

Office paper.

The amount by weight of paper used in the last year is ____________________kg.
The amount by weight of eco-labelled paper used in the last year is _______________kg.
The amount by weight of eco-labelled paper used is _____________%26
The eco-label of the detergent is ________________________27


I enclose the invoices of the eco-labelled paper products for the last year.




In truth,




         Signature of the applicant Date
 This ratio should be at least 80%.
26


 If it is tthe EU Eco-label no further check is necessary, for any other label, best check with the Competent
27


Body that it is an EN ISO Type I eco-label.




                     Other services
I          hereby        declare       that                             the           accommodation
     _______________________________________                          complies with criterion n.77.


Compliance is achieved with the following categories:

        bed linen;
        towels;
        table linen;
        PCs;
        Portables;
        Televisions;
        Mattresses;
        Furniture;
        Washing machines;
        Dishwashers;
        Refrigerators;
        Vacuum cleaners;
        Hard-floor converings;
        Light bulbs;
        Other ______________________
        Other ______________________
        Other ______________________


I enclose for each category is the following data:


Name of category: __________________

The pieces of _______________________ used in the last year is _________.
The pieces of eco-labelled ____________ used in the last year is __________.
The pieces of eco-labelled _____________________ used is _____________% 28        of total pieces.
The eco-label of the _______________ is ________________________29


Name of category: __________________

The pieces of _______________________ used in the last year is _________.
The pieces of eco-labelled ____________ used in the last year is __________.
The pieces of eco-labelled _____________________ used is _____________% 30        of total pieces.
The eco-label of the _______________ is ________________________31


Name of category: __________________

The pieces of _______________________ used in the last year is _________.
The pieces of eco-labelled ____________ used in the last year is __________.
The pieces of eco-labelled _____________________ used is _____________%32         of total pieces.
The eco-label of the _______________ is ________________________33

I enclose the invoices of each of the eco-labelled categories here presented for the last
year.



In truth,



         Signature of the applicant Date

 This ratio should be at least 10%.
28


 If it is the EU Eco-label no further check is necessary, for any other label, best check with the Competent
29


Body that it is an EN ISO Type I eco-label.
 This ratio should be at least 10%.
30


 If it is the EU Eco-label no further check is necessary, for any other label, best check with the Competent
31


Body that it is an EN ISO Type I eco-label.
 This ratio should be at least 10%.
32


 If it is the EU Eco-label no further check is necessary, for any other label, best check with the Competent
33


Body that it is an EN ISO Type I eco-label.
                   Other services
I        hereby       declare       that                   the           accommodation
_______________________________________                complies with criterion n.78.


The main ingredients present in at least two dishes which are produced according to
   organic farming methods, as laid down by Regulation 2092/91 are:


1.      1. ____________________________________________;
2.      2. ____________________________________________.

I enclose one of the following documents:


       a declaration from the supplier that the ingredients comply with the criterion;
       a copy of any logo which certifies that the ingredients comply with the
criterion; I enclose the invoices of each of ingredients here presented for the last year.

In       truth,   I     hereby     declare   that     the       accommodation
     _______________________________________    complies with criterion n.79.




The two locally sourced food products offered at each meal are:
                                                                     Distance from the
                                                                  accommodation (if over 100
Locally sourced food                                              km please specify the setting of the
                                 Location of the source
product                                                             accommodation and the “local”
                                                                       character of the product)

Bread


Mineral Water


Fruit (specify)


Meat


Fish


Vegetables


Other …………………


Other …………………



0             I enclose the invoices of each of the products here presented for the last
year stating the supplier.
1       or
             I declare to grow the products within the accommodation grounds or to
source the products myself.

In truth,
EMAS registration (3 points) or EN ISO certification (1.5 points) of the tourist accommodation
The accommodation has:


       an  EMAS registration;
0       an  EN ISO 14001 certification.
1       I enclose the relative
       EMAS registration number
       copy of EN ISO 14001 certification.


In truth, The main supplier of the accommodation which has an Environmental
   Management System in place is:




______________________________________________. I declare that this is one of
my main 10 suppliers by product quantity.


The supplier has


       an  EMAS registration;
0       an  EN ISO 14001 certification.
1       I enclose his relative
       EMAS registration number;
       copy of EN ISO 14001 certification.


In truth,
                    Management
I       hereby        declare      that                            the          accommodation
_______________________________________                         complies with criterion n.82.


I enclose the environmental questionnaire given to guests, covering the following issues:


             Room temperature (intent to avoid overheating and over cooling);
             Sensitivity to other energy saving initiatives;
             Sensitivity to water consumption (asking for main elements of comfort in
order to identify where it is possible to save water without reducing comfort);
             Responsiveness to alternative transportation;
             Other issues;
             Suggestions.

I also state where the information is situated in the accommodation.




In truth,




                              Management
I hereby declare that the accommodation _______________________________________       complies
with criterion n.83.



The extra meters which I have put in place are the following:
             for laundry service;
        water
     energy for laundry service;
     water for the kitchen;
     energy for the kitchen;
     water relative to only one floor;
     energy relative to only one floor;
     water relative to specific machines (refrigerators, washing machines, etc);
     energy relative to specific machines (refrigerators, washing machines, etc);
other___________________________ other __________________________


I enclose an explanation on the meters in place:




In truth, I hereby declare that the accommodation
_______________________________________               complies with criterion n.84.




The additional environmental actions undertaken by the accommodation are the
following:



       ________________________________ 
       ________________________________ 
       ________________________________
I enclose a full description for each environmental action stated above.


In truth,
Or:
                              Management




Eco-label award (3 points)

I hereby declare that the accommodation _______________________________________                  complies
with criterion n.84.



The national or local eco-label which the accommodation has been awarded with is the following:




0      ________________________________
1      I enclose the following documents:
            information from the eco-label management team on the elements which
make it a Type I eco-label34.
            evidence that the accommodation has been awarded the eco-label.

In truth,




         Signature of the applicant                                                       Date



 Type I Eco-label is an eco-label which has been developed according to the ISO 14024 guidelines.
34


These guidelines include taking into consideration the life cycle of the eco-labelled product, carrying out
consultation with stakeholders, guaranteeing transparency of the criteria development and third party
verification of compliance with the criteria.
TOTAL NUMBER OF POINTS SCORED IN THE ENERGY SECTION:


______________ TOTAL NUMBER OF POINTS SCORED IN THE WATER SECTION:


______________ TOTAL NUMBER OF POINTS SCORED IN THE CHEMICAL


SECTION: ______________ TOTAL NUMBER OF POINTS SCORED IN THE WASTE


SECTION: ______________ TOTAL NUMBER OF POINTS SCORED IN THE OTHER


SERVICES SECTION: _________ TOTAL NUMBER OF POINTS SCORED IN THE


MANAGEMENT SECTION: ___________ TOTAL NUMBER OF POINTS SCORED IN


THE ADDITIONAL ENVIRONMENTAL


ACTIONS SECTION: ______________



TOTAL NUMBER OF POINTS REACHED: _________________________________

				
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