Energy Benchmarking Information WBA Schools K - 12 Questionnaire K-12 School applies to facility space used as a school building for Kindergarten through 12th grade students. This does not include college or university classroom facilities and laboratories, or vocational, technical, and trade schools. The total gross floor area should include all supporting functions such as administrative space, conference rooms, kitchens used by staff, lobbies, cafeterias, gymnasiums, auditoriums, laboratory classrooms, greenhouses, stairways, atria, elevator shafts, small landscaping sheds, storage areas, etc Facility Name Street Address City State County ZIP Code Year Built Property Type An identifying name for the portion of the facility that you are defining (for Space Name example, East Wing, Vocational Module, etc.) The total gross floor area is measured between the principal exterior surfaces of the enclosing fixed walls and includes all supporting functions such as kitchens and break rooms used by staff, storage areas, Gross Floor Area administrative areas, elevators, stairwells, atria, vent shafts, etc Typically Opened on Weekends? No. of walk-in refrigeration/freezer units If the school has dedicated space in which food is prepared and served to students, answer "Yes." If the school has space in which food for students is only kept warm and/or served, or has only a galley that is used by On-Site Cooking Facilities? teachers and staff, answer "No." This is the percentage of the total floor space within the facility that is served by mechanical cooling equipment. The percent cooled cannot be % AC greater than 100 This is the percentage of the total floor space within the facility that is served by mechanical heating equipment. The percent heated cannot be % Heated greater than 100. Is this a High School? Indicates the total number of personal computers and servers in this Number of PCs school space School District (optional) The school's administrative district. Parking Enclosed Parking Floor Area The area in square feet that is an enclosed garage space. Non-Enclosed Parking (with a Roof) Floor Area The area in square feet that is not enclosed but is under a roof. Open Parking (No Roof) Floor Area The area of parking hours per week when it under a roof. The total number of in square feet that is notis possible for a vehicle to Parking Hours of Access/Week enter/exit Data Center Computer Data Center Floor Area Total floor area of the computer data center. The weekly operating hours of the computer data center space. This Weekly Hours cannot exceed 168 hours. Pool Select from one of the following four possibilities:Olympic (50 meters x 25 meters), Olympic (50 meters x 25 yards),Short Course (25 yards x 20 Swimming Pool Size yards), or Recreational (20 yards x 15 yards) Indoor or Outdoor? Months in Use This it the number of months out of the year that the pool is open for use. de25d5b6-9475-4b39-9480-56c457c3980b.xls Energy Benchmarking Information 7/21/2011 Detailed Facility Information WBA Schools K - 12 Questionnaire Facility Owner Facility manager Provide Name and Phone number Primary operator (if different from Manager) Building Operations Describe any major building changes or Describe planned changes, schedule and renovations planned Sqft building impacted Note audit date, scope of audit, name of Provide info on any energy efficiency audits company that performed the audit. Also note completed in last 10 years: if report is available for review. Have you implemented any energy conservation or efficiency measures or practices? If yes, descibeand note when implemented: What is your biggest energy or facility (i.e. Non-functioning equipment, lack of operation “headache”? temperature control, etc) Heating Systems Indicate the % of the building that is supplied Boiler (hot water) by each type of heating equipment? Furnace (hot air) Boiler (Steam) Packaged Rooftops Heat Pumps Unit Heaters Other:_______________ Indicate the % of the building that is supplied Air Conditioning by each type of air conditioning equipment? Chiller Packaged Rooftops Split Systems Window/Wall Units Other: ________________ Indicate the % of the building that is supplied Ventillation Systems by each type of air conditioning equipment? Packaged Rooftops Interior Air Handlers Unit Ventilators Other: ________________ Other: ________________ Building Controls Are there automatic or manual controls? 7-Day Mechanical Clock. Electronic If it is automatic, describe type of controls: timeclocks, Energy Management System Note year when control system was installed: List the % of facility served by the different Lighting Systems types of lighting: Fluorescent (T8) Fluorescent (T12) Incandescent Metal Halide (MH) High Pressure Sodium (HPS) Mercury Vapor (MV) Other: ________________ Note areas where occupancy sensors are installed? Provide rough numbers of each of the Other Equipment various equipment types Copiers Printers Refrigerators: Walk-in Coolers: Walk-in Freezers: Laundry: Cooking Air Compressors: Vending Machines v) Other _______________ de25d5b6-9475-4b39-9480-56c457c3980b.xls Detailed Facility Info 7/21/2011 Occupant & Equipment Schedules WBA School K - 12 Questionnaire Fill in the tables below Facility Occupancy Schedules Weekday Saturday Sunday # of # of # of Schedule Areas Occupied Start End Occupants Start End Occupants Start End Occupants Typical School Day After-school Activities Evening Activities Other Other Other Other Other Summer Schedules Vacations: Notes: Facility Equipment Schedules Weekday Saturday Sunday day/night day/night day/night Equipment Description Areas Served Start End set points Start End set points Start End set points Boiler(s) Whole Building Rooftop Air Handlers Gym Rooftop Air Handlers Cafeteria Rooftop Air Handlers Auditorium Air Handler Administration Unit Ventilators Classrooms Exhaust Fans Other Other Other Other Notes: Notes: Notes: de25d5b6-9475-4b39-9480-56c457c3980b.xls Occupant and Equip Schedules 7/21/2011 Energy Consumption WBA Schools K - 12 Questionnaire ENERGY SUPPLIERS Electric Supply Company Electric Distribution Company List all National Grid account numbers for the building: Account Numbers 1 2 3 4 5 Natural Gas Supply Company If, National Grid /KeySpan Customer list all account numbers Account Numbers 1 2 3 4 5 Do you have steam? Do you have propane? National Grid Electric and or Gas Customers: For National Grid customers (electric and or gas) your billing and energy use data will be obtained from the computer files. A copy of one electric/gas bill must be provided NOTES: for each account to help verify the data. Other Gas Supplier: For customers who obtain natural gas from a utility other than National Grid/Keyspan please provide copies of bills for the last 24 consecutive month period. Power Purchase Agreements: For customer's that have a power purchase or gas supply agreement please provide documentation of the purchase rate and contract period. Do you burn oil? Is it #2, #4 or #6 oil? Please provide copies of the oil bills for the last 24 consecutive months. Delivery Dates Gallons Total Cost Unit Cost 1 2 3 4 5 6 7 8 9 10 de25d5b6-9475-4b39-9480-56c457c3980b.xls Energy Consumption 7/21/2011 Instructions Whole Building Assessment (WBA) K - 12 Schools Questionnaire There are four sections (4 tabs) that make-up the WBA Questionnaire. Each section should be completed. They include: 1. Energy Benchmarking Information 2. Detailed Facility Information 3. Occupant and Equipment Schedules 4. Energy Consumption This information will allow National Grid to: Better understand the building’s operating characteristics, Calculate the building’s energy intensity through generating an ENERGY STAR Building benchmarking score, and Calculate the cost effectiveness of energy efficiency opportunities. The Energy Consumption data needed is detailed on the Energy Consumption Tab. For National Grid customers (electric and gas) the billing and energy use data will be obtained from National Grid’s computers. Please provide a copy of one electric and one gas bill to verify that the appropriate data is obtained. Customers who purchase natural gas from another utility will need to provide copies of the bills for the most recent 24 consecutive months. Customers with a power purchase or gas supply agreement will need to provide documentation of the purchase rate and the contract period. Customers that use oil will need to provide copies of the oil bills for the last 24 consecutive months.