Rooftop Management Agreement

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					 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.




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     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 _______________



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   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:




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     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




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   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.

				
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