5900-197 ENERGY STAR Data Checklist for Commercial Buildings

OMB Control No. 2060-0347
)

! "#$%&'(" %*+,+%-./01234,
567%-688/703+2%9:32;3<=4

!"#$%&$"'#$"(")*+,%+!-".#"/*(,+'0"'#$".1&"232456"7894:"(";$#'&<<+#!(,"2!-+!&&$"=;2>"?*<."@(,+%(.&".1&"(AA*$(A0"#'".1&"%(.("*!%&$,0+!-".1&")*+,%+!-B<"&!&$-0
C&$'#$?(!A&"$(.+!-D"81+<"A1&AE,+<."+<"%&<+-!&%".#"C$#@+%&"(!"(.F(F-,(!A&"<*??($0"#'"("C$#C&$.0B<"C10<+A(,"(!%"#C&$(.+!-"A1($(A.&$+<.+A<:"(<"G&,,"(<"+.<".#.(,"&!&$-0
A#!<*?C.+#!:".#"(<<+<.".1&";2"+!"%#*),&FA1&AE+!-".1&"+!'#$?(.+#!".1(.".1&")*+,%+!-"#G!&$"#$"#C&$(.#$"1(<"&!.&$&%"+!.#";#$.'#,+#"H(!(-&$D
!"#$"%&'()!"*"%#+,%$-.+%*/-$%&/"&0!-$*%#+,%-+&!1,"%-*%2-*/%*/"%$*#()",3%$-.+",%4*#*"("+*%'5%6+"7.8% "75'7(#+&"9
3I82J"6#*"?*<."A1&AE"&(A1")#K".#"+!%+A(.&".1(."&(A1"@(,*&"+<"A#$$&A.:"I4"+!A,*%&"("!#.&D"

:;<=6;<>?

@ABC6%A4%6?=6;6D%;=E>B<>%FA?AG6;

I1-!,-+.%?#(""

I''+A&"7(?C,&"L(A+,+.0"

=8)" "

I''+A&"

@6;?%HC64=<>?4

?>=64

<".1+<".1&"#''+A+(,")*+,%+!-"!(?&".#")&"%+&&1)#+&8
#AA*C(!A0"#'"VYZ"#$"1+-1&$"(A$#<<".1&"PQ"?#!.1
XY"Z"
;#*" "
C&$+#%")&+!-"(<<&<<&%O"
\#&<".1+<"72;"$&C$&<&!."("<+!-,&"<.$*A.*$&O"72;<
A(!!#.")&"<*)?+..&%"'#$"?*,.+C,&F)*+,%+!A(?C*<&<"=G+.1".1&"&KA&C.+#!"#'"(A*.&"A($&"#$
4-+.!"%4*71&*17""
7+!-,&"L(A+,+.0"
A1+,%$&!B<"1#"!#$"A(!".1&0")&"<*)?+..&%"(<
$&C$&<&!.+!-"#!,0"("C#$.+#!"#'"(")*+,%+!-"
I''+A&"7C(A&"=I''+A&>
@ABC6%A4%6?=6;6D%?
@6;?%HC64=<>?4
>;=E>B<>%FA?AG6;
\#&<".1+<"""
<".1+<".1&"!*?)&$"#'"C&$<#!(,"A#?C*.&$<"+!".1&
?1(K"7%'5% :$%
aR"
I''+A&O"
B'&#*-'+"

"7&"+*%:''!", "

Y]Z"#$"?#$&"

"7&"+*%L"#*","

Y]Z"#$"?#$&"

\(.("T&!.&$"=T#?C*.&$"\(.("T&!.&$>
@ABC6%A4%6?=6;6D%?
>;=E>B<>%FA?AG6;

?>=64

""

""

""

""

<".1+<".1&"C&$A&!.(-&"#'".1&".#.(,"',##$"?%HC64=<>?4

?>=64

>+=/%?%65%@

G7'$$%E!''7%A7"#%

VU]"7/D"L.D"

\#&<".1+<"
:;<=6;<>?

@ABC6%A4%6?=6;6D%;=E>B<>%FA?AG6;

G7'$$%E!''7%A7"#%

PU:aXS"7/D"L.D"

6+&!'$",%E!''7
A7"#%

P:SVa"7/D"L.D"

?'+M6+&!'$",
E!''7%A7"#%N2O7''5P%

]"7/D"L.D"

>)"+%E!''7%A7"#
N2O'%7''5P%

PV:QPU"7/D"L.D"

J""0!8%L'17$%'5
A&&"$$%

PaU"[#*$<"

@6;?%HC64=<>?4

?>=64

<".1+<".1&".#.(,"O" ""
<".1+<".1&".#.(,"D"
<".1+<".1&".#.(,"+=/%A%65%@

)

! "#$%&'(" %*+,+%-./01234,
567%-688/703+2%9:32;3<=4

!"#$%&'(!)*+,-.(!
/(0"#&1"!"#2-.(!&/32!-&(#&4.)-#.5*-.(!&6-.3.-%7&&"\*E&"2!&$-0"T($#,+!(<:"MMT"

%%
E1"!%=8)"Q%6!"&*7-&-*8

F"*"7Q%6!"&*7-&%F"*"7%N0J/%N*/'1$#+,%J#**M/'17$PP
4)#&"N$PQ"""2!.+$&"L(A+,+.0
G"+"7#*-'+%F"*/',Q"5$+%";*$A1(<&"
4*#7*%D#*"

6+,%D#*"

6+"7.8%C$"%N0J/%N*/'1$#+,%J#**M/'17$PP

]Y_]P_Q]]X

]Y_RP_Q]]X

SY:a]]D]]

]S_]P_Q]]X

]S_R]_Q]]X

YS:U]]D]]

]R_]P_Q]]X

]R_RP_Q]]X

YQ:a]]D]]

]Q_]P_Q]]X

]Q_QU_Q]]X

aV:Q]]D]]

]P_]P_Q]]X

]P_RP_Q]]X

VV:Q]]D]]

PQ_]P_Q]]U

PQ_RP_Q]]U

YX:U]]D]]

PP_]P_Q]]U

PP_R]_Q]]U

YV:a]]D]]

P]_]P_Q]]U

P]_RP_Q]]U

aV:U]]D]]

]X_]P_Q]]U

]X_R]_Q]]U

YS:Q]]D]]

]U_]P_Q]]U

]U_RP_Q]]U

SQ:]]]D]]

]V_]P_Q]]U

]V_RP_Q]]U

SV:]]]D]]

]a_]P_Q]]U

]a_R]_Q]]U

SY:]]]D]]

6!"&*7-&%F"*"7%:'+$1()*-'+%N0J/%N*/'1$#+,%J#**M/'17$PP

RST3UTT9TT

6!"&*7-&%F"*"7%:'+$1()*-'+%N0I*1%N*/'1$#+,%I*1PP

V3VUU3SRW9RT

='*#!%6!"&*7-&-*8%NG7-,% 17&/#$"P%:'+$1()*-'+%N0I*1%N*/'1$#+,%I*1PP

V3VUU3SRW9RT

<$%*/-$%*/"%*'*#!%6!"&*7-&-*8%NG7-,% 17&/#$"P%&'+$1()*-'+%#*%*/-$%K1-!,-+.%-+&!1,-+.%#!!
6!"&*7-&-*8%("*"7$X%
E1"!%=8)"Q%?#*17#!%G#$

F"*"7Q%?#*17#!%G#$%F"*"7%N&&5%N/1+,7",%&1K-&%5""*PP
4)#&"N$PQ"""2!.+$&"L(A+,+.0
4*#7*%D#*"

6+,%D#*"

6+"7.8%C$"%N&&5%N/1+,7",%&1K-&%5""*PP

]Y_]P_Q]]X

]Y_RP_Q]]X

P:SRaD]]

]S_]P_Q]]X

]S_R]_Q]]X

P:aYUD]]

]R_]P_Q]]X

]R_RP_Q]]X

QUVD]]

]Q_]P_Q]]X

]Q_QU_Q]]X

RP]D]]

]P_]P_Q]]X

]P_RP_Q]]X

PaaD]]

PQ_]P_Q]]U

PQ_RP_Q]]U

XPD]]

PP_]P_Q]]U

PP_R]_Q]]U

PSPD]]

P]_]P_Q]]U

P]_RP_Q]]U

QU]D]]

]X_]P_Q]]U

]X_R]_Q]]U

P:VQXD]]

]U_]P_Q]]U

]U_RP_Q]]U

P:QVaD]]

>+=/%B%65%@

]V_]P_Q]]U

]V_RP_Q]]U

Q:P]XD]]

]a_]P_Q]]U

]a_R]_Q]]U

Q:P]XD]]

?#*17#!%G#$%F"*"7%:'+$1()*-'+%N&&5%N/1+,7",%&1K-&%5""*PP

YY3ZWV9TT

?#*17#!%G#$%F"*"7%:'+$1()*-'+%N0I*1%N*/'1$#+,%I*1PP

Y3YWV3UYR9UT

='*#!%?#*17#!%G#$%:'+$1()*-'+%N0I*1%N*/'1$#+,%I*1PP

Y3YWV3UYR9UT

<$%*/-$%*/"%*'*#!%?#*17#!%G#$%&'+$1()*-'+%#*%*/-$%K1-!,-+.%-+&!1,-+.%#!!%?#*17#!%G#$%("*"7$X

A,,-*-'+#!%E1"!$
\#".1&"'*&,"A#!<*?C.+#!".#.(,<"<1#G!"()#@&"$&C$&<&!.".1&".#.(,"&!&$-0"*<&"#'".1+<")*+,%+!-O
;,&(<&"A#!'+$?".1&$&"($&"!#"(%%+.+#!(,"'*&,<"=%+<.$+A."&!&$-0:"-&!&$(.#$"'*&,"#+,>"*<&%"+!".1+<"'(A+,+.0D

>+M4-*"%4'!#7%#+,%J-+,%6+"7.8
\#".1&"'*&,"A#!<*?C.+#!".#.(,<"<1#G!"()#@&"+!A,*%&"(,,"#!F<+.&"<#,($"(!%_#$"G+!%"C#G&$",#A(.&%"(.
0#*$"'(A+,+.0O";,&(<&"A#!'+$?".1(."!#"#!F<+.&"<#,($"#$"G+!%"+!<.(,,(.+#!<"1(@&")&&!"#?+..&%"'$#?".1+<
,+<.D"9,,"#!F<+.&"<0<.&?<"?*<.")&"$&C#$.&%D

!"#$%&$'()*"+%!,,$+'-.%
=`1&!"(CC,0+!-"'#$".1&"232456"7894:".1&"T&$.+'0+!-";$#'&<<+#!(,"?*<.")&".1&"<(?&"(<".1&";2".1(."<+-!&%"(!%"<.(?C&%".1&"72;D>
3(?&J"ccccccccccccccccccccccccccccccccccccccccccccc"\(.&J"ccccccccccccc"
7+-!(.*$&J"cccccccccccccccccccccccccccccccccccccc"
7+-!(.*$&"+<"$&/*+$&%"G1&!"(CC,0+!-"'#$".1&"232456"7894D

The public reporting burden for this collection of information is estimated to average 4 hours per response. Send comments on the Agency's need for this information, the accuracy
of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director,
Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed form to this address.

EPA Form 5900-197

>+=/%@%65%@