Energy Efficiency Proposal - Santa Cruz County …...7/19/2016 The AMBAG Energy Watch Program is...

7/19/2016 The AMBAG Energy Watch Program is implemented by Ecology Action and funded by Californiaratepayers under the auspices of the California Public Utility Commission.

Santa Cruz County Fairgrounds-Labor |

Energy Efficiency Proposal

Upgrade Recommendations for Santa Cruz County Fairgrounds

Project Name: Santa Cruz County Fairgrounds

Project Location: 2601 E Lake Ave

Watsonville,CA 95076

Presented To: Dave Kegebein

Presented By:

AJ Marquez Phone: (831) 426-5925 Mobile: (831) 227-0792 Fax: (831) 427-1368

Email: [email protected]

For questions during your installation, pleasecontact your Installation Manager:

Lore James Ecology Action

Phone: 831-515-1346 Mobile: +1 8312346906

Email:[email protected]



By implementing the measures outlined in this proposal you will saveenough energy to achieve one of the following:

Removal of 10.38 passenger vehicles from the road.

Addition of 113.05 acres of pine or fir trees (over a 10 year life span).

Estimated Energy Savings 76,904.78 kWh

Estimated Power Savings 151.57 kW

Simple Payback 4.6 Years

Installed Cost Before Rebate $176,245.17

Total Rebate $84,775.44 **

Your Final Cost After Rebate $91,469.72

Rebate % of Total Cost 48%

Estimated Monthly Savings $1,656.66

Estimated 1st Year Savings $19,879.93*

Estimated 5 Year Savings $99,399.65*

Savings Summary

Environmental Benefits

*Note - Savings are estimated using standard engineering calculations and are based on the hours of operation as described to the surveyor. Depending on actual usage as well as changes inyour electric utility rate, your savings may be higher or lower. The savings indicated above are NOT guaranteed. Construction costs may vary slightly depending on fixture quantities andunforeseen conditions. **Note - Based on DEER property type and measure savings values from the CPUC, this project is deemed to deliver 503690.00 kWh and 11.96 kW. The rebate offered for the project iscalculated based on the deemed savings values.



Below is a summary of work to be performed. The first table shows total costs for allwork to be performed in this proposal. The second table shows a list of individualwork orders referenced by this proposal. To authorize the job initial next to eachwork order in the section provided. Not initialing may delay when installation willcommence.

Work Order Cost Breakdown Summary

Disposal $1,021.72

Material $117,829.67

Labor (weekdays Rate) Base Labor Cost $33,400.80

Access Difficulty Cost Adjustment $225.00

Ceiling Height Cost Adjustment $12,953.31

Labor Total $46,579.11

Other Fees (Permits, Inspections, Lifts, etc.) $210.00

Estimated Taxes $10,604.67

Total $176,245.17

Work Order List Summary

Work Order Installation cost Rebate Customer cost Initials

Santa Cruz County Fairgrounds-Labor2016-MLTG $172,883.82 $82,198.44 $90,685.38

x{{Int1_es_:signer1:initials}}

Santa Cruz County Fairgrounds-SLF-DLTG $3,361.35 $2,577.00 $784.35x{{Int1_es_:signer1:initials}}



Santa Cruz County Fairgrounds 2601 E Lake Ave Watsonville,CA 95076

Customer Work Order Agreement

By signing this Customer Work Order Agreement (“Agreement”), Customer (the business entity listed above) agrees to the following:

Measures and Incentives: I have reviewed the Energy Efficiency Upgrade Summary and Report (“Report”) provided by the AMBAG Energy Watch Program(“AMBAG Energy Watch” or “Program”), a copy of which is attached to this Agreement. I agree that to the best of my knowledge theschedule of operations contained in the Report accurately describes the hours of operation at the facility listed above. I understand thatthe energy efficiency measures described in the Report represent an estimate of expected energy savings, and that AMBAG EnergyWatch does not guarantee a specific level of cost savings from the implementation of the proposed energy efficiency measures(collectively, the “ Project”). AMBAG Energy Watch is implementing the Project on the Customer’s behalf. Incentives for energy savings are calculated using theappropriate baseline to exceed California Title 20 and Title 24 standards. New products ordered, purchased or installed prior to 1/1/16or after 12/15/16 do not qualify for an incentive. Resale products, products leased, rebuilt, rented, received from warranty of insuranceclaims, exchanged, won as a prize or new parts installed in existing products do not qualify for Incentives. PG&E is not responsible forthe economic and technical feasibility, operational capability, and reliability of the Project.

Program Dates: To be eligible for incentives, all projects must be installed and completed before December 14, 2016. Funding of incentives isdistributed on a first-come first-served basis. AMBAG Energy Watch is funded by California ratepayers under the auspices of theCalifornia Public Utilities Commission (“CPUC”). I have received information about other programs offering rebates or services formeasures covered by the AMBAG Energy Watch Program.

Project Commitment and Installation Completion Process: I understand that I must have a signed Site Access Agreement on File to confirm Program Eligibility and a signed Customer Agreementto initiate installation. For each work order, I agree to have AMBAG Energy Watch contact (a) participating contractor(s) (“Contractor”)who will perform a walk-through inspection, review the scope of the Projects outlined in the Report, and schedule the Project installationat a time that is mutually agreeable to all parties. I understand that the total installed costs for the components of the Project aredescribed in the attached listing of individual work orders. Costs for correcting electrical code violations are not included in the costsquoted above and are not covered by the Program. Any electrical code violations found during the Contractors’ inspections or duringinstallation will be cause for the Contractors to stop work on the affected item(s) until such violations are corrected. I understand thatthe contractor walk- through may result in a Change Order due to specification or electrical code violations and that I will be notified andapprove of any cost adjustments before additional work is completed.

I will sign an agreement with each Contractor, which shall be solely between the Contractor and Customer, for the out-of-pocket portionof the Project costs. I understand that AMBAG Energy Watch will provide a rebate, detailed in the work order listing, to offset the cost ofthe Project installations, and the rebate will be paid directly to the Contractors. I understand that I am responsible for paying thebalance of the agreed-to contract price after rebate payment and that payment is due to the Contractor upon completion of theindividual work order. At the completion of the project, I agree to sign the Customer Acceptance/Project Completion Form presented bythe contractor on Ecology Action’s behalf.

The value of Incentives and direct installations is taxable. Implementer will report incentives and direct installations greater than $600 tothe IRS unless you are exempt. Please consult your tax advisor concerning the taxability of incentives. The Customer, not theimplementer, is responsible for any taxes imposed as a result of your receipt of Incentives from this Program. Form 1099 will be issuedfor the Customer, regardless of who the payee is, because the Customer receives the benefits of the Incentives.



General Terms and Conditions

1. Funding: Implementer is receiving funds from Pacific Gas and Electric (PG&E) for this Project, but the Parties agree that PG&E isnot liable to either Party for any losses or damages, including incidental or consequential damages, arising from this Agreement. PG&Emakes no representation or warranty, and assumes no liability with respect to quality, safety, performance, or other aspect of anydesign, system or appliance installed pursuant to this Agreement, and expressly disclaims any such representation, warranty or liability.

2. Incidental and Consequential Damages: BOTH PARTIES AGREE NEITHER PARTY SHALL BE LIABLE TO THE OTHER FORANY INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES.

3. Life of Product: Customer understands Incentive payments are based on related energy benefits over the life of the product.Customer agrees if 1) Customer does not provide PG&E with 100% of the related benefits for the life of the product or a period of 5years, whichever is less, or 2) Customer ceases to be a distribution Customer of PG&E during said time period, Customer shall refunda prorated amount of Incentive payment(s) to PG&E based on the actual period of time for which Customer provided the related energybenefits as an electric Customer of PG&E.

4. Customers with self generation capabilities: If Customer has existing onsite cogeneration or self-generation, Implementer shallnot pay Incentives for energy savings that exceed Customer’s annual energy usage from PG&E. KW, kWh and therm savings arelimited to the previous 12 months quantity of kW, kWh, and/or therms purchased from or delivered by the utility on the meter(s), servingthe equipment to be installed, for which the utility collects the Public Purpose Programs (PPP) surcharge. The previous 12 months aredefined as the calendar year prior to the date the Customer submitted and signed this Program Participation Agreement (includingusage from Standby Service and less savings associated with pending energy efficiency applications). This policy is subject to changewith 30 day written notice to Customer.

5. Incentive may not exceed Project cost: Customer must submit Project invoice(s) which include: vendor name/address/phone,itemized listing of product(s) including quantity, product description(s), manufacturer, model #, and other identifying information asappropriate, Project cost, date invoice paid or payment terms, and installation date.

6. If Tenant: If a tenant, Customer is responsible for obtaining the property owner’s permission to install the Measure(s) for whichCustomer is applying for an Incentive payment. Customer’s signature on this Program Participation Agreement indicates Customer hasobtained this permission.

7. Access : Customer will allow, if requested, a representative from PG&E, CPUC, Implementer, or any authorized subcontractorreasonable access to Facility to verify the installed product.

8. Compliance with Laws: Implementer shall comply with all federal, state, and municipal laws, ordinances, rules, orders, andregulations, which apply to its actions at the Facility or to the Project.

9. Advertising: Implementer agrees not to use the names or identifying characteristics of the Customer’s Facility for published Projectreports (except to fulfill reporting requirements to PG&E and/or the CPUC), advertising, sales promotion or other publicity without theCustomer’s written approval. In addition, Customer agrees not to use the names or identifying characteristics of Implementer forpublished Project reports, advertising, sales promotion, or other publicity without Implementer’s written approval.

10. No Double-Dipping: Customer understands that Customer cannot receive Incentives for the same product, equipment or servicefrom more than one California investor-owned utility or third party Energy Efficiency program offering Incentives for the same product,equipment, or service funded with CPUC Public Goods Charge funds. Customer understands this prohibition applies to futureapplications and for three years prior to receiving the Incentives for the same product, equipment or service.

11. No Obligation: California consumers are not obligated to purchase any full fee service or other service not funded by this Program.This Program is funded by California utility ratepayers under the auspices of the CPUC.

Los consumidores en California no están obligados a comprar servicios completos o adicionales que no esten cubiertos bajo esteprograma. Este programa está financiado por los usuarios de servicios públicos en California bajo la jurisdicción de la Comisión deServicios Públicos de California (CPUC).

12. Availability of Funds: This program is available on a first-come, first served basis until allocated funds are depleted. This Programmay be modified or terminated without notice.

13. Project Permits: After energy-saving measures are installed and operable and before incentive or rebates are paid, recipientsmust comply with the following terms, as applicable, and will be required to certify after installation. For HVAC measures, installationcontractors shall certify that appropriate permits have been obtained, if applicable and contactor must document permit number,permitting agency, contractor name, signature and date. For all rebates or incentives offered by PG&E for an energy efficiencyimprovement or installation of energy efficiency components, equipment or appliances, the recipient must certify that appropriatepermits have been obtained and, if a contractor performed the installation or improvement, that the contractor holds the appropriatelicense for the work performed. In the case of Direct Install measures in which the Third Party Implementer or contractor/installer is therecipient of the rebate or incentive, the Implementer shall certify that permitting requirements have been met.



Customer Cost, after rebates, to execute all work orders presented in this proposal: $91469.73

I have read and understood the Terms and Conditions. I certify that the information I have provided is true and correct.

IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be executed by their duly authorized representatives as of the date setforth below

Customer:Santa Cruz County Fairgrounds AMBAG Energy WatchCustomer Representative:Dave Kegebein 2601 E Lake Ave Watsonville,CA 95076 (831) 535-9429 Email: [email protected]

Program Representative:AJ Marquez Ecology Action 877 Cedar Street, Suite 240 Santa Cruz, CA 95060 Phone: (831) 426-5925 Mobile: (831) 227-0792 Fax: (831) 427-1368 Email:[email protected]

Customer Representative's Title

{{Siga1_es_:signer1:fullname}} {{Sig1_es_:sender:fullname}}Customer Representative's Printed Name Program Representative's Printed Name

{{Siga1_es_:signer1:signature}} {{Sig1_es_:sender:signature}}Customer Representative's Signature Program Representative's Signature

Date Date



Santa Cruz CountyFairgrounds 2601 E Lake Ave Watsonville,CA 95076

Appendix A: Recommendations and Savings Checklist

Solution KeyAHO: Annual Avg. Hours of

OperationkWh: Annual kiloWatt Hours

kW: kiloWatt LoadWatts: Watts as published by

the manufacturer

Existing Equipment Recommended Upgrade

Cost w/orebate

Est.SavingsQty Description Watts

kWperQty AHO kWh Qty Description Watts

kWperQty AHO kWh

Area: (1) Admin Office4 T8-4'-32w-1st

Gen-4lamp-El-RS-NLO118.0 0.47 625.68 295.32 4 LED Retrofit Strips 4ft 2pc

26w 5000K 3400L Linmore28.0 0.11 625.68 70.08 $702.54 $57.29

16 T8-4'-32w-1stGen-2lamp-El-RS-NLO

60.0 0.96 2346.0 2252.16 16 LED Retrofit Strips 4ft 2pc26w 5000K 3400L Linmore

28.0 0.45 2346.0 1051.01 $2,787.84 $305.53

$3,490.38 $362.82

Area: (2) Carnivale Parking26 MH 400W 1L 458.0 11.91 625.68 7450.60 26 LED Retrofit 118w (400w

HID) 5000KWallpack/Can/Flood OpticGlobal Tech

118.0 3.07 625.68 1919.59 $12,411.77 $1,429.77

$12,411.77 $1,429.77

Area: (3) Harvest Hall32 MH 400W 1L 458.0 14.66 729.96 10698.29 32 LED High Bay 112w 5000K

80CRI Lithonia108.0 3.46 729.96 2522.74 $12,366.85 $2,073.22

$12,366.85 $2,073.22

Area: (4) Quad26 MH 400W 1L 458.0 11.91 625.68 7450.60 26 LED Retrofit 95w

(250w-400w HID) 5000KWallpack/Can/Flood OpticGlobal Tech

95.0 2.47 625.68 1545.43 $11,842.50 $1,526.49

$11,842.50 $1,526.49

Area: (5) Street Lights20 HPS 250w 1L 295.0 5.90 625.68 3691.51 20 LED Retrofit 60w

(175w-250w HID) 5000KGlobal Tech

60.0 1.20 625.68 750.82 $7,501.91 $760.17

$7,501.91 $760.17

Area: (6) Museum Exterior5 MH 1000w 1L 1080.0 5.40 625.68 3378.67 5 LED Retrofit 309w 5700K

(1000 HID) PacLights309.0 1.54 625.68 966.68 $4,790.29 $623.50

1 MH 400W 1L 458.0 0.46 625.68 286.56 1 LED Retrofit 118w (400wHID) 5000KWallpack/Can/Flood OpticGlobal Tech

118.0 0.12 625.68 73.83 $477.38 $54.99

$5,267.67 $678.49

Area: (7) Speedway Walkway3 MH 1000w 1L 1080.0 3.24 130.35 422.33 3 LED Retrofit 309w 5700K

(1000 HID) PacLights309.0 0.93 130.35 120.83 $2,874.17 $77.94

$2,874.17 $77.94

Area: (8) Grand Stand7 QH 300w 1L 300.0 2.10 130.35 273.74 7 LED Flood 15w 5000K Yoke

ATG16.0 0.11 130.35 14.60 $1,316.92 $66.99

3 MH 1000w 1L 1080.0 3.24 130.35 422.33 3 LED Retrofit 309w 5700K(1000 HID) PacLights

309.0 0.93 130.35 120.83 $3,076.85 $77.94

$4,393.77 $144.93

Area: (10) Pit13 MH 400W 1L 458.0 5.95 625.68 3725.30 13 LED Retrofit 118w (400w


118.0 1.53 625.68 959.79 $6,205.88 $714.88

$6,205.88 $714.88

Area: (12) Grand Stand Side Flood1 HPS 250w 1L 295.0 0.30 625.68 184.58 1 LED Retrofit 60w


60.0 0.06 625.68 37.54 $360.69 $38.01

$360.69 $38.01

Area: (13) Red Barn Lawn2 QH 500w 1L 500.0 1.00 130.35 130.35 2 LED Flood 50w 5000K Yoke

ATG51.0 0.10 130.35 13.30 $532.13 $30.26

7 MH 400W 1L 458.0 3.21 260.7 835.80 7 LED Retrofit 95w(250w-400w HID) 5000KWallpack/Can/Flood OpticGlobal Tech

95.0 0.66 260.7 173.37 $3,106.40 $171.24

$3,638.53 $201.50

Area: (14) Livestock15 MH 400W 1L 458.0 6.87 260.7 1791.01 15 LED Retrofit 95w

(250w-400w HID) 5000KWallpack/Can/Flood OpticGlobal Tech

95.0 1.42 260.7 371.50 $6,832.20 $366.94



$6,832.20 $366.94

Area: (15) Horse Arena24 MH 1500w 1L 1610.0 38.64 260.7 10073.45 24 LED Retrofit 309w 5700K

(1000 HID) PacLights309.0 7.42 260.7 1933.35 $22,993.39 $2,104.22

12 MH 400W 1L 458.0 5.50 130.35 716.40 12 LED Retrofit 95w(250w-400w HID) 5000KWallpack/Can/Flood OpticGlobal Tech

95.0 1.14 130.35 148.60 $5,465.77 $146.78

$28,459.16 $2,251.00

Area: (16) Barns12 MH 175w 1L 215.0 2.58 625.68 1614.25 12 LED Retrofit 60w


60.0 0.72 625.68 450.49 $4,501.14 $300.83

$4,501.14 $300.83

Area: (17) Trash Compactor Floods2 HPS 250w 1L 295.0 0.59 625.68 369.15 2 LED Retrofit 60w


60.0 0.12 625.68 75.08 $773.62 $76.02

$773.62 $76.02

Area: (18) Shop3 MH 400W 1L 458.0 1.37 4368.0 6001.63 3 LED Retrofit 118w (400w


118.0 0.35 4368.0 1546.27 $1,397.01 $1,151.71

$1,397.01 $1,151.71

Area: (19) Fair Time Entrance16 MH 400W 1L 458.0 7.33 260.7 1910.41 16 LED Retrofit 118w (400w


118.0 1.89 260.7 492.20 $7,638.02 $366.61

$7,638.02 $366.61

Area: (20) Carnivale Lot Gate8 MH 400W 1L 458.0 3.66 625.68 2292.49 8 LED Retrofit 118w (400w


118.0 0.94 625.68 590.64 $3,819.01 $439.93

$3,819.01 $439.93

Area: (21) Front Office Parking44 MH 400W 1L 458.0 20.15 625.68 12608.70 44 LED Retrofit 118w (400w


118.0 5.19 625.68 3248.53 $20,568.57 $2,419.60

$20,568.57 $2,419.60

Area: (22) Heritage Hall Ent4 HPS 250w 1L 295.0 1.18 521.4 615.25 4 LED Retrofit 60w


60.0 0.24 521.4 125.14 $1,500.38 $126.70

$1,500.38 $126.70

Area: (23) Herritage Courtyard14 T12-8'-60w-2L-MagStd-RS-NLO 123.0 1.72 364.98 628.50 14 LED Vapor Tight 4ft 33w

5000K Precision Paragon33.0 0.46 364.98 168.62 $4,578.17 $118.88

$4,578.17 $118.88

Area: (24) Flower Barn12 T8-4'-32w-1st


36w 5000K 4500L Linmore36.0 0.43 260.7 112.62 $2,221.86 $65.25

$2,221.86 $65.25

Area: (25) Heritage Hall35 INC 65R 65.0 2.28 625.68 1423.42 35 LED Screw-in BR30 8w

2700K Green Creative8.0 0.28 625.68 175.19 $386.10 $322.67

$386.10 $322.67

Area: (26) Livestock Barns11 MH 400W 1L 458.0 5.04 625.68 3152.18 11 LED High Bay 79w 5000K

80CRI Lithonia77.0 0.85 625.68 529.95 $3,585.82 $677.85

66 INC 200A 200.0 13.20 260.7 3441.24 66 LED Screw-in A21 17w4000K Green Creative

17.0 1.12 260.7 292.51 $1,451.03 $813.95

$5,036.85 $1,491.80

Area: (27) Auction Arena14 T8-4'-32w-1st


36w 5000K 4500L Linmore36.0 0.50 625.68 315.34 $2,592.15 $185.68

$2,592.15 $185.68

Area: (28) Orange Barn19 T12-8'-60w-2L-MagStd-RS-NLO 123.0 2.34 130.35 304.63 19 LED Retrofit Strips 4ft 2pc

36w 5000K 4500L Linmore36.0 0.68 130.35 89.16 $3,326.53 $54.81

$3,326.53 $54.81

Area: (29) Poultry Barn30 T12-8'-60w-2L-MagStd-RS-NLO 123.0 3.69 364.98 1346.78 30 LED Retrofit Strips 4ft 2pc

36w 5000K 4500L Linmore36.0 1.08 364.98 394.18 $5,252.43 $242.31

$5,252.43 $242.31

Area: (30) Heritage Hall Ext28 T8-4'-32w-1st


26w 5000K 3400L Linmore24.0 0.67 625.68 420.46 $3,454.65 $163.03



$3,454.65 $163.03

Area: (31) Signage6 HPS 250w 1L 295.0 1.77 4368.0 7731.36 6 LED Retrofit 60w


60.0 0.36 4368.0 1572.48 $2,028.98 $1,592.07

$2,028.98 $1,592.07

Area: (256600) Horse Barns140 CFL 16W Lamp Existing 16.0 2.24 625.68 1401.52 140 LED Screw-in A19 10w

3000K TCP10.0 1.40 625.68 875.95 $1,524.22 $135.86

$1,524.22 $135.86



Santa Cruz CountyFairgrounds 2601 E Lake Ave Watsonville,CA 95076

Appendix B: Material List Summary

* Per Item Cost

Equipment Quantity Equipment Cost * Labor Hrs / Cost *

LED Retrofit Strips 4ft 2pc 26w 5000K 3400L Linmore- Linmore - LL-URS-4NA-2-50K-26W 20.0 $122.10 0.33 /$39.60Recycle: Fluorescent Lamps 4' or Shorter 208.0 $0.70 0 /$0.00Recycle: Non-PCB Ballast from 4' or Shorter 104.0 $0.00 0 /$0.00LED Retrofit 118w (400w HID) 5000K Wallpack/Can/Flood Optic Global Tech- Global Tech -GTR-AR-5498-HO-SV-BR-NL UVBR

111.0 $308.13 0.75 /$90.00

Recycle: HID Lamps 294.0 $2.50 0 /$0.00Recycle: Ballast from HID 294.0 $0.00 0 /$0.00LED High Bay 112w 5000K 80CRI Lithonia- Lithonia -IBH-12000LM-SD080-MD-MVOLT-OZ10-50K-80CR

32.0 $233.88 0.75 /$90.00

LED Retrofit 95w (250w-400w HID) 5000K Wallpack/Can/Flood Optic Global Tech- GlobalTech - GTR-AR-5498-HI-SV-BR-NL UVBR

60.0 $288.06 0.75 /$90.00

LED Retrofit 60w (175w-250w HID) 5000K Global Tech- Global Tech -GTR-AR-M21-HI-SV-BR-NLUVBR

45.0 $225.11 0.75 /$90.00

LED Retrofit 309w 5700K (1000 HID) PacLights- PACLights - RK320LVD 35.0 $748.74 0.75 /$90.00LED Flood 15w 5000K Yoke ATG- ATG - LF01HU50100000 7.0 $89.88 0.75 /$90.00LED Flood 50w 5000K Yoke ATG- ATG - LF05HU50100000 2.0 $141.50 0.75 /$90.00Recycle: Fluorescent Lamps 5' or Longer 126.0 $1.12 0 /$0.00LED Vapor Tight 4ft 33w 5000K Precision Paragon- Precision Paragon -VTL-1X4-XL-F-UL-50K-JP

14.0 $195.31 0.75 /$90.00

Recycle: Non-PCB Ballast from 8' Slimline 63.0 $0.00 0 /$0.00LED Retrofit Strips 4ft 2pc 36w 5000K 4500L Linmore- Linmore - LL-URS-4NA-2-50K-36W 75.0 $122.10 0.33 /$39.60LED Screw-in BR30 8w 2700K Green Creative- Green Creative - 40771 35.0 $9.94 0 /$0.00LED High Bay 79w 5000K 80CRI Lithonia- Lithonia -IBH-9000LM-SD080-MD-MVOLT-OZ10-50K-80CRI

11.0 $194.13 0.75 /$90.00

LED Screw-in A21 17w 4000K Green Creative- Green Creative - 16181 66.0 $19.81 0 /$0.00LED Retrofit Strips 4ft 1pc 26w 5000K 3400L Linmore- Linmore - LL-URS-4NA-1-50K-26W 28.0 $75.48 0.33 /$39.60LED Screw-in A19 10w 3000K TCP- TCP - LED10A19DOD30K 140.0 $9.81 0 /$0.00CFL 16W Lamp Existing 140.0 $0.00 0 /$0.00Recycle: CFL Screw-in 140.0 $0.00 0 /$0.00



Background In accordance with policies set forth by the California Public Utilities Commission, the followingquestionnaire is used to 1) assess the condition of the Customer's existing lighting system, and 2) betterunderstand the actions the Customer would have taken in the absence of this energy efficiency program.

Instructions The Customer shall fill out the below questionnaire to the best of his/her knowledge.These questions specifically pertain to the lighting equipment that will be part of the potential project.Neither contractors nor implementers shall fill out this questionnaire for the Customer.

Question Option 1 Option 2 Option 3 Option 4 Option 5

1 Are your existing lights currently operational? Yes No

2 How old are your existing light fixtures? 0-5 years old 5-10 yearsold

10-15 yearsold

>15 years old I don'tknow

3 How would you describe the condition of your existinglighting system? Choose one answer

GoodCondition

FairCondition

Poor Condition

4 Without this program, when would you likely upgradeyour lighting equipment?

< 1 year 1-3 years 3-5 years 5+ years

5 What is your primary reason for considering thislighting upgrade project? Choose one answer

Remodeling ProgramIncentives

CompanySustainabilityRequirements

Save Energy ReplaceFaulty

Equipment6 Can the lamps and ballasts currently installed in your

facility be purchased in the market place today?Yes No I don't know

7 If you answered "no" to the above question, do youhave replacement equipment of the same type inyour own stock/inventory?

Yes No

8 What is your normal practice when it comes toreplacing your lighting equipment? Choose oneanswer

Replace onlywhen

equipmentfails

Replaceonly whenremodeling

"GroupRe-lamping/

Re-ballasting"

I RarelyUpgrade myEquipment

9 How long would it normally take you to undertake aproject of this kind on your own (including planning,management approval, equipment ordering, andscheduling)? Choose one answer

0-6 months 7-12months

More than 1year

I wouldn't dothis withoutthis program

I, the undersigned customer, hereby confirm that I have completed this questionnaire honestly and to the best of myknowledge.

Business Name

Customer Name

Customer Signature

Date

Energy Efficiency Proposal - Santa Cruz County …...7/19/2016 The AMBAG Energy Watch Program is...

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