Form 5900-197 ENERGY STAR Application for Certification

EPA's ENERGY STAR Program in the Commercial and Industrial Sectors (Renewal)

5900-197 ENERGY STAR Application for Certification

Public Sector

OMB: 2060-0347

Document [pdf]
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OMB No. 2060-0347

ENERGY STAR® Application for Certification

80
ENERGY STAR ®
1
Score

ICF Office
Registry Name: ICF Office
Property Type: Office
Gross Floor Area (ft²): 245,750
Built: 2010
2

For Year Ending: Jan 31, 2020
Date Application Becomes Ineligible: See this FAQ for details.

1. The ENERGY STAR Score is based on total source energy. A score of 75 is the minimum to be eligible for the ENERGY STAR.
2. The award is not final until approval is received from EPA or NRCan.

Please use the Licensed Professional’s Guide to the ENERGY STAR ® for Commercial
Buildings for reference in completing this checklist
(http://www.energystar.gov/lpguide).

Property & Contact Information
Property Address
ICF Office
9300 Lee Highway
Fairfax, Virginia 22031

Property Owner
ICF International
9300 Lee Highway
Fairfax, VA 22031
2222222222

Property ID: 10875726

Primary Contact
Kate Rubin
9300 Lee Highway
Fairfax, VA 22031
2222222222
[email protected]

1. Review of Whole Property Characteristics
Basic Property Information
1) Property Name for Registry: ICF Office

Yes

No

Yes

No

Yes

No

Is this the official name to be displayed in the Registry of ENERGY STAR Certified
Buildings and Plants?
If “No”, please specify: _____________________________________

2) Property Type: Office
Is this an accurate description of the primary use of this property?

3) Location:

EPA Form 5900-197

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Tracking Number: APP-20200504-0-10875726
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OMB No. 2060-0347

9300 Lee Highway
Fairfax, Virginia 22031
Is this correct and complete?
4) Gross Floor Area: 245,750 ft²

Yes

No

Yes

No

Yes

No

Yes

No

Is value an accurate account of the gross floor area for the property?

5) Average Occupancy (%): 75
Is this occupancy percentage accurate for the entire 12 month period being assessed?

6) Number of Buildings: 1
Does this number accurately represent all structures?

7) Whole Property Verification:
Does this application represent the entire property? If any space or energy use has been
excluded from this property, please describe it in the notes section below.

Notes:

Indoor Environmental Quality
1) Outdoor Air Ventilation

Yes

No

Yes

No

Yes

No

Were measurements and/or calculations taken and recorded under normal building operating
conditions using an allowable method as described in the Licensed Professional’s Guide
which demonstrate this property meets the minimum ventilation rates according to ANSI/
ASHRAE Standard 62?
[NOTE: In the case of an audit of this application, Appendix A: IEQ Measurement Form
from the LP Guide, will be required to be completed and submitted to EPA. Failure to submit
measurements will result in a denial of the application.]

2) Thermal Environmental Conditions
Were measurements taken and recorded per the Licensed Professional’s Guide which
demonstrate this property meets the acceptable thermal environmental conditions according
to ANSI/ASHRAE Standard 55, Thermal Environmental Conditions for Human Occupancy?
[NOTE: In the case of an audit of this application, Appendix A: IEQ Measurement Form
from the LP Guide, will be required to be completed and submitted to EPA. Failure to submit
measurements will result in a denial of the application.]

3) Illumination
Were measurements taken and recorded per the LP Guide which demonstrate this property
meets minimum recommended illumination levels according to the most recent version of the
Illuminating Engineering Society of North America (IESNA) Lighting Handbook?
EPA Form 5900-197

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Tracking Number: APP-20200504-0-10875726
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OMB No. 2060-0347

[NOTE: In the case of an audit of this application, Appendix A: IEQ Measurement Form
from the LP Guide, will be required to be completed and submitted to EPA. Failure to submit
measurements will result in a denial of the application.]

Notes:

2. Review of Property Use Details
Office: Office Space - Occupied
1) Gross Floor Area: 195,750 ft²

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Is this the total size, as measured between the outside surface of the exterior walls
of the building(s)? This includes all areas inside the building(s) such as: occupied
tenant areas, common areas, meeting areas, break rooms, restrooms, elevator shafts,
mechanical equipment areas, and storage rooms. Gross Floor Area should not include
interstitial plenum space between floors, which may house pipes and ventilation. Gross
Floor Area is not the same as rentable, but rather includes all area inside the building(s).
Leasable space would be a sub-set of Gross Floor Area. In the case where there is an
atrium, you should count the Gross Floor Area at the base level only. Do not increase
the size to accommodate open atrium space at higher levels. The Gross Floor Area
should not include any exterior spaces such as balconies or exterior loading docks and
driveways.

2) Weekly Operating Hours: 60
Is this the total number of hours per week that the property is occupied by the majority
of the employees? It does not include hours when the HVAC system is starting up or
shutting down, or when property is occupied only by maintenance, security, cleaning
staff, or other support personnel. For properties with a schedule that varies during the
year, use the schedule most often followed.

3) Number of Workers on Main Shift: 520
Is this the total number of workers present during the primary shift? This is not a total
count of workers, but rather a count of workers who are present at the same time. For
example, if there are two daily eight hour shifts of 100 workers each, the Number of
Workers on Main Shift value is 100. Number of Workers on Main Shift may include
employees of the property, sub-contractors who are onsite regularly, and volunteers
who perform regular onsite tasks. Number of Workers should not include visitors to the
buildings such as clients, customers, or patients.

4) Number of Computers: 740
Is this the total number of computers, laptops, and data servers at the property? This
number should not include tablet computers, such as iPads, or any other types of office
equipment.

5) Percent That Can Be Cooled: 100

EPA Form 5900-197

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OMB No. 2060-0347

Is this the total percentage of the property that can be cooled by mechanical equipment?
This includes all types of cooling from central air to individual window units.

Notes:

Parking: Parking Use
1) Open Parking Lot Size: 10,000 ft²

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Is this the total area that is lit and used for parking vehicles? Open Parking Lot Size
refers specifically to open area, which may include small shading covers but does not
include any full structures with roofs. Parking lot size may include the area of parking
spots, lanes, and driveways.

2) Partially Enclosed Parking Garage Size: 0 ft²
Is this the total area of parking structures that are partially enclosed? This includes
parking garages where each level is covered at the top, but the walls are partially or fully
open.

3) Completely Enclosed Parking Garage: 0 ft²
Is this the total area of parking structures that are completely enclosed on all four sides
and have a roof? This includes underground parking or fully enclosed parking on the first
few stories of a building.

4) Supplemental Heating: No
Is this the correct answer to whether your parking garage has Supplemental Heating,
which is a heating system to pre-heat ventilation air and/or maintain a minimum
temperature during winter months?

Notes:

Office: Office Space - Vacant
1) Gross Floor Area: 50,000 ft²
Is this the total size, as measured between the outside surface of the exterior walls
of the building(s)? This includes all areas inside the building(s) such as: occupied

EPA Form 5900-197

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Tracking Number: APP-20200504-0-10875726
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OMB No. 2060-0347

tenant areas, common areas, meeting areas, break rooms, restrooms, elevator shafts,
mechanical equipment areas, and storage rooms. Gross Floor Area should not include
interstitial plenum space between floors, which may house pipes and ventilation. Gross
Floor Area is not the same as rentable, but rather includes all area inside the building(s).
Leasable space would be a sub-set of Gross Floor Area. In the case where there is an
atrium, you should count the Gross Floor Area at the base level only. Do not increase
the size to accommodate open atrium space at higher levels. The Gross Floor Area
should not include any exterior spaces such as balconies or exterior loading docks and
driveways.

2) Weekly Operating Hours: 40

Yes

No

Yes

No

Yes

No

Yes

No

Is this the total number of hours per week that the property is occupied by the majority
of the employees? It does not include hours when the HVAC system is starting up or
shutting down, or when property is occupied only by maintenance, security, cleaning
staff, or other support personnel. For properties with a schedule that varies during the
year, use the schedule most often followed.

3) Number of Workers on Main Shift: 0
Is this the total number of workers present during the primary shift? This is not a total
count of workers, but rather a count of workers who are present at the same time. For
example, if there are two daily eight hour shifts of 100 workers each, the Number of
Workers on Main Shift value is 100. Number of Workers on Main Shift may include
employees of the property, sub-contractors who are onsite regularly, and volunteers
who perform regular onsite tasks. Number of Workers should not include visitors to the
buildings such as clients, customers, or patients.

4) Number of Computers: 0
Is this the total number of computers, laptops, and data servers at the property? This
number should not include tablet computers, such as iPads, or any other types of office
equipment.

5) Percent That Can Be Cooled: 100
Is this the total percentage of the property that can be cooled by mechanical equipment?
This includes all types of cooling from central air to individual window units.

Notes:

3. Review of Energy Consumption
Data Overview
Site Energy Use Summary
Electric - Grid (kBtu)
Total Energy (kBtu)
Energy Intensity
Site (kBtu/ft²)
Source (kBtu/ft²)
EPA Form 5900-197

10,692,118 (100%)
10,692,118

43.5
121.8

National Median Comparison
National Median Site EUI (kBtu/ft²)
National Median Source EUI (kBtu/ft²)
% Diff from National Median Source
EUI

69.1
193.4
-37%

Emissions (based on site energy use)
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Tracking Number: APP-20200504-0-10875726
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OMB No. 2060-0347

Greenhouse Gas Emissions (Metric
Tons CO2e)

1,151.5

Power Generation Plant or Distribution Utility:
Virginia Electric & Power Co
Note: All values are annualized to a 12-month period. Source Energy includes energy used in generation and transmission to enable an equitable assessment.

Summary of All Associated Energy Meters
The following meters are associated with the property, meaning that they are added together to get the total energy use for the
property. Please see additional tables in this checklist for the exact meter consumption values. Note: please review all meter
entries, making note of any unusual entries, and, if they are correct, provide a manual note to explain.

Meter Name

Fuel Type

Start Date

End Date

Associated With:

Electric Grid Meter

Electric - Grid

01/01/2010

In Use

ICF Office

Total Energy Use

Yes

No

Yes

No

Yes

No

Do the meters shown above account for the total energy use of this property during the
reporting period of this application?

Additional Fuels
Do the meters above include all fuel types at the property? That is, no additional fuels such as
district steam, generator fuel oil have been excluded.

On-Site Solar and Wind Energy
Are all on-site solar and wind installations reported in this list (if present)? All on-site systems
must be reported.

Notes:

Electric - Grid Meter: Electric Grid Meter (kWh (thousand Watt-hours))
Associated With: ICF Office
Start Date

End Date

Usage

Green Power?

01/05/2019

02/05/2019

300,200

No

02/05/2019

03/05/2019

30,500

No

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Start Date

End Date

Usage

Green Power?

03/05/2019

04/05/2019

257,420

No

04/05/2019

05/05/2019

250,950

No

05/05/2019

06/05/2019

258,450

No

06/05/2019

07/05/2019

310,000

No

07/05/2019

08/05/2019

310,200

No

08/05/2019

09/05/2019

305,360

No

09/05/2019

10/05/2019

294,500

No

10/05/2019

11/05/2019

263,200

No

11/05/2019

12/05/2019

260,840

No

12/05/2019

01/05/2020

282,480

No

01/05/2020

02/05/2020

311,200

No

Total Consumption (kWh (thousand
Watt-hours)):

3,435,300

Total Consumption (kBtu (thousand
Btu)):

11,721,243.6

Total Energy Consumption for this Meter

Yes

No

Do the fuel consumption totals shown above include consumption of all energy tracked
through this meter that affect energy calculations for the reporting period of this application
(i.e., do the entries match the utility bills received by the property)?

Notes:

4. Signature & Stamp of Verifying Licensed Professional
12/04/2019 (Date). Based on the conditions observed at the time
Kate Rubin
___________________
(Name) visited this site on ___________
of the visit to this property, I verify that the information contained within this application is accurate and in accordance
with the Licensed Professional Guide.

Signature _______________________

05/07/2020
Date _________

EPA Form 5900-197

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Tracking Number: APP-20200504-0-10875726
Generated On: May 4, 2020

OMB No. 2060-0347

Licensed Professional
License: U.S. License 050517 in VA
Kate Rubin
9300 Lee Highway
Fairfax, VA 22031
2222222222
[email protected]

NOTE: When applying for the ENERGY STAR, the signature of the
Verifying Professional must match the stamp.

Professional Engineering Stamp

5. Signatory Agreement
I hereby nominate the above described property for award of the ENERGY STAR. I have provided a copy of the
Licensed Professionals Guide to the ENERGY STAR for Commercial Buildings to our Licensed Professional (LP) for
reference. As documented by the above checklist, this property meets the conditions necessary to qualify as ENERGY
STAR. I will assist EPA/NRCan, if requested, in verifying any data included in this application. Furthermore, I agree to
associate the ENERGY STAR logo only with this property and to adhere to the ENERGY STAR Identity Guidelines.
Signature (must be a direct employee of the building owner/manager): _______________________

05/07/2020
Date: _________
Signatory Name: Kate Rubin
Property Owner: ICF International
The government estimates the average time needed to fill out this form is 6 hours (includes the time for entering energy data, Licensed Professional
facility inspection, and notarizing the SEP) and welcomes suggestions for reducing this level of effort. Send comments (referencing OMB control
number) to the Director, Collection Strategies Division, U.S., EPA (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460

EPA Form 5900-197

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Tracking Number: APP-20200504-0-10875726
Generated On: May 4, 2020


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