Better Buildings C Better Buildings Challenge Shawcase Project(s)

Showcase Project(s)

OMB 1910-5141

Expiration Date: 08/31/2015

Background: Showcase Project(s) demonstrate that Better Buildings Challenge Partners are taking immediate, concrete actions resulting in significant and real savings. The information collected in this form will be used to highlight the development, implementation and results of these projects and the resulting energy and cost reductions. Partners are encouraged to have multiple showcase projects; however implementation or construction of at least one project should begin within nine months of joining the program. Please submit individual forms for each showcase project.

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Initial Showcase Project Information

1. Showcase Project Name

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2. Location/Address

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3. Climate

Please provide 1-2 sentences describing notable characteristics of the project location climate and identify the corresponding CBECS climate zone using the following url: www.eia.gov/emeu/cbecs/climate_zones_explanation.html

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4. Building Description

Please identify the type(s) and use(s) of the building(s).

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5. Ownership type(s)

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6. Project square footage

Please provide the total square footage impacted in this project.

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7. Background - Please provide a short paragraph about the project and describe the process for identifying the opportunity, defining the project, and deciding to proceed. Suggested maximum of 300 words.

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8. Expected implementation start date and duration:

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9. Project Cost:

Provide the total cost to complete the project. Costs should include all capital and operational expenses needed to complete the project.

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10. Expected annual energy savings once implementation is complete, in units of energy, EUI, or percent.

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11. Expected annual cost savings once implementation is complete, in dollars or percent.

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12. Expected other results (ENERGY STAR rating, green building certification, etc.) once implementation is complete.

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13. Photo(s)

Provide up to three photos of the project (either completed or in process) as attachments. Please include captions and attributions, if applicable, below. For examples of acceptable photos, please review completed showcase projects here: http://www4.eere.energy.gov/challenge/showcase.

File type options: high resolution .eps, .ai or .jpg

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Quarterly Project Implementation Updates

This section should be completed on a quarterly basis.

• Please provide an updated description of progress and any changes to expected results or implementation schedule.

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Project Completion Information

This section should be completed when the project is finished.

• Please provide a brief description of any barriers addressed, innovations used or lessons learned over the course of the project.

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• What are the types of energy efficiency measures implemented and the corresponding percent savings produced?

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• Actual annual energy savings in units of energy, EUI, or percent (this will be confirmed through data reporting for the Better Building Challenge).

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• Actual annual cost savings, in dollars or percent.

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• Actual other results (ENERGY STAR label, green building certification, etc.).

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In furtherance of the objectives of the Better Buildings Challenge, the Department of Energy (DOE) intends to publicly post information submitted in response to this template on the Better Buildings Challenge website.  Information submitted to DOE will be handled in accordance with all applicable federal laws, rules, or regulations, including but not limited to the Trade Secrets Act, 18 U.S.C. §1905, and the Freedom of Information Act (FOIA), 5 U.S.C. §552, and DOE's implementing regulations at 10 CFR 1004.  Participation in the Better Buildings Challenge is voluntary.  Do not include any personal or confidential commercial and financial information in response to this template. Commercial and financial information is considered to be confidential when its release would be likely either to harm the submitter’s commercial interests or to affect the agency’s ability to obtain information in the future.  This statement serves as your written notice that DOE intends to publicly post this information.  By submitting information in response to this template, you are certifying that this information does not contain confidential commercial or financial information. 

Public reporting burden for this collection of information is estimated to average two hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-5141), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-5141), Washington, DC  20503.