Energy Savings Site SurveyPlease complete the information below. From this, we will put together an Energy Savings proposal that significantly reduces usage, sustains your current equipment, and helps reach environmental sustainability goals. *Please Note: we will also need some equipment (HVAC, PTAC, etc...) and equipment spec photos (to calculate savings, confirm compatability, etc...). Typically, we do this for you.Please enable JavaScript in your browser to complete this form.Business Name *Primary Contact *FirstLastTitle *Email *Phone *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIndustry *--- Select Choice ---Select ChoiceHotelRestaurantSchoolNon-ProfitManufacturerConvenience StoreReal Estate: CommercialSports / Sport ComplexOtherNumber of Locations *Approx. Square Footage of Facility *(if multi-site, please let us know the approx. square footage of your other locations)Current Energy UsageWhat Is Your Average Monthly Energy Bill? *What Are Your Peak Operating Hours? (daily/seasonally)Who Is Your Current Utility Provider(s)? *Do You Have Access to Your Last 12 Months of Utility Bills? *YesNoIf No (or yes) (12 Months of Utility Bills), Would You Allow Us to Download Them From the Utility? *YesNoNote: This is extremely easy and saves a lot of hassle. We will need your permission and access to your account online for downloads. To do this, we'll send a request directly to your email that you complete one time. Existing SystemsWhat Type of HVAC / PTAC Systems Are Currently in Use? *if not sure please type n/a .... we can determine your exact model(s) via the photosHow Many HVAC Units Do You Have? *How Many PTAC Units Do You Have? *if not applicable, please type N/AAre You Currently Using Any Energy Management System (EMS/BMS)? *YesNoIf Yes, Who Is Your EMS/BMS?Do You Have Any Walk-In Coolers, Freezers, or Refrigerated Display Cases? *YesNoN/AIf Yes, How Many Units?Do You Currently Have Any Controls or Optimization Devices Installed? *YesNoNot Sureexamples include: fan motors, door sensors, variable speed drivesSustainability & GoalsHave You Completed An Energy Audit In the Last 3 Years? *YesNoAre You Pursuing or Interested In Any Green Certifications (Leed, Energy Star)? *YesNoWhat Are Your Primary Energy-Related Goals In The Next 12-24 Months? *Reduce Operating CostsImprove Equipment LifeAchieve Sustainability TargetsReduce Carbon FootprintOtherselect all that apply (hold ctrl key to select more than one)Budget & Decision-MakingDo You Have a Set Budget Allocated for Energy Efficiency or Facility Upgrades?YesNoIf Yes, What's Your Appox. Budget Amount?Are There Others Involved In Making Decisions Regarding Facility Upgrades or Operational Improvements? *YesNoN/APlease Specify Other Decision-Makers in Facility Upgrades and Operational ImprovementsName(s), Title(s), Department(s)File Upload Drag & Drop Files, Choose Files to Upload You can upload up to 15 files. Upload your Electricity Invoices here. You can also upload equipment / equipment spec photos here as well (if desired). Please Note: There is a maximum upload size of 512MB. Additional CommentsSubmit