STEP 2

GENERAL INFORMATION

Date *

Company/Entity Name *

Contact Person Name *

First

Last

Phone # *

Email Address *

BUILDING INFORMATION

Building Address *

Phone # *

Fax # *

Type of Building *

Low/Rise
Mid/Rise
High/Rise

Type of Construction *

Concrete
Steel

How Many Floors? *

Additions/Remodels?

Please answer in Yes or No

If so When?

Brief Description

FACILITY INFORMATION

Type of Facility *

Office
Factory
Data Center
Manufacturing
Hospital
Nursing Home
Assisted Living
Hotel
Resort
Spa
Convention Center

How Many? (if Applicable)

Health Care Beds *

Hospitality Rooms *

Multi Family Units *

Occupancy % *

Restaurant *

Yes
No

Pool *

Yes
No

Spa *

Yes
No

On Premise Laundry *

Yes
No

ENERGY USE INFORMATION

Type of Heating

Boilers (type) *

How Many *

Rooftop Units *

Type of Air Conditioning *

Chillers
Air Handling Units
Pumps
Cooling Tower

Does the building have any VFD's *

Yes
No

Have you done a lighting upgrade? *

Yes
No

If so how long ago?

Comments

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