Step one is to fill in this form

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Facility Pre-Qualification Report for Religious Institutions in easy to print format.

 

Step two is to contact us with your results

Contact us with your results or any questions you might have (860) 493-0696 info@irejn.org .

 

The form you will print is:

Request for Energy and Facility Information

 

Date Submitted:
Customer:
Contact Name & Title:
Second Contact Name & Title:
Street Address:
City, State, Zip Code:
Telephone / Facsimile:
Facility Type:	Religious Institution

 

Project Narrative

Please provide the required pre-qualification information in form, to the extent that it is applicable and available. Please fill out a separate sheet for each building/facility.

 

Required Pre-Qualification Information

 

•  General facility data.

• Facility Name
• Facility Location
• Facility Contact
• Additional relevant contact information (management, technical, operation)
• * Size (square feet) and number of buildings
• * Age of facility
• What energy system improvements have been undertaken in the past?

 

•  Customer’s needs.

• Are there systems that do not work as needed?
• What do you perceive is your greatest need?
• Are these needs energy related?
• When do improvements need to be completed?
• Other needs that we should be made aware of?

 

•  Facility operation.

• * What is the main function of this facility/building?
• * Hours of operation (occupancy schedule)
• Means of control (DDC or pneumatic EMS , clocks, manual, etc.)
• Do controls exist / work?

 

•  Utility sources and annual costs.

• * Electric, gas, oil, steam, water, etc. supplier(s)
• * Annual utility costs (including water & sewer)
• Utility rates (e.g. electric rate is “G-3”) [if known]

Project opportunities – types of potential measures. To the best of your ability, briefly describe the existing systems and any upgrades or system needs.

 

Lighting	Y / N / ?
Building Automation System (BAS) / Energy Monitoring & Control System (EMCS)	Y / N / ?
Heating	Y / N / ?
Cooling	Y / N / ?
Air Handling	Y / N / ?
Ventilation	Y / N / ?
Water Conservation	Y / N / ?
Domestic Hot Water (DHW) Heating	Y / N / ?
Building Envelope	Y / N / ?
Other	Y / N / ?
Other	Y / N / ?
Other	Y / N / ?
Other	Y / N / ?
Other	Y / N / ?
Other	Y / N / ?
Cogeneration	Y / N / ?
Asset Monetization	Y / N / ?