DOE F 540.10 Better Buildings Showcase Project Form

OMB Control No. 1910-5141

Exp. Date 10/31/2022

DOE F 540.10

Background: Showcase Project(s) demonstrate that Better Buildings 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 and implementation of these projects and the resulting reductions in energy usage, water usage, and/or waste. Showcase projects should highlight whole building projects that are innovative and can incorporate multiple reduction measures.

Partners are encouraged to have multiple showcase projects, and each is an opportunity to inform the marketplace and receive recognition for proven success. Please submit individual forms for each showcase project. Text provided by partners may be edited for clarity, as well as to match the third-person perspective of existing solutions on the program’s website. Final versions will be reviewed and approved by the partner before being published.

Savings and Data: Showcase projects are expected to show savings of 20% or more, over either an established baseline period (for retrofits) or code (for new construction). The baseline period is reported as the emissions from the 12 months before the reduction measures began. This baseline should be compared against the emissions from the 12 months after the measures were completed. Showcase projects can be posted with estimated savings figures and should be updated once actual data is available.

Partners are encouraged to review showcase projects that have been posted to the Better Buildings Solution Center for ideas and inspiration.

Organization Name: Click here to enter text.

Version Date: Click here to enter text.

Showcase Project Type :

Showcase Project Information

1. Showcase Project Name (Concise and specific to the project)

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2. Location (City/State and Street Address)

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3. Project Square Footage
   Please provide the total building square footage impacted in this project (will be rounded when posted to the Solution Center).

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4. Expected/actual Implementation Start Date (month/year)

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5. Expected/actual Implementation End Date (month/year)

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6. Financial Overview

This “total costs” figure should include all capital and operational expenses needed to complete the reduction-related aspects of this project only, not the full project cost if non-relevant savings measures were taken. An estimated cost figure can be provided. If preferred, include information on grants/rebates/incentives received.

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7. Expected/actual Annual Savings

Please provide energy/water/waste emissions figures for the year prior to the start of the project, and the year after project implementation is complete if known. If actual figures for the post-completion period are not yet available, include the estimated savings figures and note “(estimated)”. Also provide figures for annual utility costs before and after project implementation in dollars (or percent of costs prior to the start of the project if you cannot share actual cost data). These will be used to create a bar chart.

Period	Period Start (Month/Year)	Period End (Month/Year)	Energy Use	Water Use	Waste Amount	$ Amount
Baseline period
Post implementation

Recommended units: kBtu for energy use; gallons for water use; weight, volume, or diversion rate for waste; and PUE for data centers.

8. Background
   First paragraph (200 words max): Provide high level content about the facility and the energy/water/waste reduction components of the project. Please avoid the use of promotional language.

The following elements should inform your response:

• The type and use of the building (e.g., if the facility is a hotel, how many rooms, if a school, how many other schools are in the district, serving how many kids?) and the building age.

• A brief overview of the technologies and operational improvements used to achieve significant GHG reductions (details will be in the Solutions section).

• How this project fits into the organization’s broader reduction plan/sustainability efforts.

• Other unique and related facts about the building.

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9. Solutions

Provide details on each of the energy efficiency measures taken at this facility. If possible, include the savings (estimated or actual) of each measure, as well as other technical details (such as technologies used, wattage, flow rates, etc.). Links to PDFs or other presentations, or to videos, are welcome.

Savings Measure	Cost of Measure	Notes

10. Other Benefits

First paragraph (200 words max): Provide a brief summary of the other benefits expected from this project (e.g., helping to meet an emissions reduction goal, improved ENERGY STAR^® rating, productivity improvements, maintenance savings, improved safety, etc.) once implementation is complete.

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11. Photo(s)

Provide up to three photos of the project (either completed or in process) as an attachment. Please include short captions below. Additional photos are welcomed and may be used for other promotional purposes

File type options: high resolution PNG, GIF, JPG, and JPEG (11 MB maximum).

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This data is being collected to support the Department of Energy Better Buildings Initiative. The data you supply will be used for developing best practices to facilitate reductions in energy intensity by commercial, manufacturing, and community organizations.

Public reporting burden for this collection of information is estimated to average 2 hours per response, 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, Enterprise Policy Development & Implementation Office, IM-22, 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.

Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.

Submission of this data is voluntary.

This data is being collected to support the Department of Energy Better Buildings Initiative. The data you supply will be used for developing best practices to facilitate reductions in energy intensity by commercial, manufacturing, and community organizations.

Public reporting burden for this collection of information is estimated to average 2 hours per response, 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, Enterprise Policy Development & Implementation Office, IM-22, 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.

Notwithstanding any other provision of the law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number.

Submission of this data is voluntary.

Learn more at betterbuildingssolutioncenter.energy.gov/solutions