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ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No...

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Calculated Incentives for Energy Efficiency and Automated Demand Response Program Project Application
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Page 1: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

Calculated Incentives for Energy Efficiency and Automated Demand Response Program Project Application

Page 2: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

Contact Pacific Gas and Electric Company (PG&E) before submitting this Program Project ApplicationApplicants must first contact their PG&E representative, if not sure who to contact, call PG&E’s Business Customer Service Center at 1-800-468-4743 or by email at [email protected].

This Application is for Customers eligible to implement energy saving Projects under the Retrocommissioning (RCx), Custom Retrofit (CR), Commercial Whole Building (CWB), and Automated Demand Response (ADR) Programs.

Page 3: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

Project eligibility and qualification highlightsProject incentives are subject to satisfying the Program Project Application Terms and Conditions attached.

Sequence of events Project eligibilityCustomer’s Project must be for a PG&E territory nonresidential site or be a Community Choice Aggregator that pays the public purpose fund surcharge assigned to the Project’s energy saving meter.

Customer’s Project incentives must exceed $5,000.

For Retrocommissioning (RCx) Projects only: Customers with RCx Projects who elect a PG&E RCx Investigative Audit (IA) will be required to implement certain identified IA measures under the RCx Program rules.

For Commercial Whole Building (CWB) Projects only: The CWB Project building has not participated in any energy saving incentive program at least 12 months prior to date of this Project Application.

For Custom Retrofit (CR) Projects only: The CR Project qualifying measures have not been replaced within five years prior to the date of this Project Application.

Project energy saving requirementsCertain Projects will be required to achieve energy savings that exceed the baseline energy performance required by local, state, or federal code or industry standards.

For CWB Projects only: One year of the CWB Project pre-measure installation energy usage data must be available for the meter-based saving calculations.

Project measure qualification Project measure equipment cannot be ordered, purchased or installed prior to PG&E Project approval.

Project measures must be permanently installed and not removed for at least five years after installation.

Measures for RCx and CR Projects must not have been or will not be used to qualify for incentives or rebates in any other energy saving programs or under a PG&E Deemed Rebate Program. (Not applicable to CWB and ADR Projects.)

Project installationContractors performing Project implementation work must have appropriate license(s) and all required permits for the Project must be obtained prior to the work.

Project with HVAC and Lighting Control (LC) measures to be eligible for certain threshold incentives, verification of specific technician workforce standards must be met and provided prior to the HVAC and LC work.

PG&E AND CUSTOMER

Review Measure Offerings1Application Submission2

CUSTOMER

Project Installation5Complete Project Certification6

PG&E

Application Review34 Project Approval

PG&E

7 Installation Review/Inspection

8 Incentive Payment

Page 4: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

Gross floor area Percent occupancy Facility square footage (conditioned)

Hours of operation: weekday weekendTotal annual hours of operation

Tenant Owns facility Leases facility If tenant leases facility, number of years remaining on leaseYear that facility was constructedENERGY STAR® Score (if available)Do you have a primary HVAC O&M service contractor? Yes No

Calculated Incentives for Energy Efficiency and Automated Demand Response Program2020 Program Project Application

For PG&E use only:Project # Application # BES Rep ID Service Code LIA Measure? Yes No If Yes, Auditor’s Name Date Received

Business Name of Project Sponsor

Mailing Address City State Zip Code

Project Sponsor Contact Name Title

Contact Phone # Contact Fax # Email Address

Section 2 Project Sponsor Information (if applicable)

PG&E Customer Name

Name of Third-Party Implementor or PG&E Local/Statewide Government Partnership, if applicable

Customer Contact Name Title

Contact Phone # Alt. Phone # Email Address

Mailing Address City State Zip Code

Project NameDoes project site use non-PG&E supply (e.g. cogeneration, solar PV)? Yes No Unsure

Project Site Address City State Zip CodeProject Description (use lines 2-3 if multiple meters)

1.

Project Site ID# Electric Service Agreement ID# Gas Service ID#

2.

Project Site ID# Electric Service Agreement ID# Gas Service ID#

3.

Project Site ID# Electric Service Agreement ID# Gas Service ID#

Section 1 Customer Contact and Basic Project Information

Years since replacement or major upgradeAre there planned changes to the system within the next three years? Yes No

If yes, please describe

Type: Direct digital (fully) Pneumatic (fully) Hybrid (digital pneumatic)

Control System Information

Check here if you are participating in PG&E’s Government Partnership

Partnership Name

Primary facility use: (check all that apply)Agricultural/IrrigationBiotechFood ProcessingHigh TechHospitalityManufacturingMedical/Health CareMineral/Chemical

OfficePetroleumResidentialRetail SchoolWarehouseOther

Section 4 Program Project Application Agreement (Agreement)

SIGN HERE

Name (print) Customer Signature Date

SIGN HERE

Project Sponsor Name (acting on behalf of Customer). Requires Customer’s signature above to be valid.

Project Sponsor Signature Date

By signing this Agreement you are agreeing to: 1) be responsible for providing your Project energy use data to your designated Project Sponsor (PS), if any; 2) permit PG&E and PS to discuss the obligations set forth in the attached Agreement Terms and Conditions related to your Project; 3) represent and warrant you have read, understand and agree to be legally bound to the attached Agreement Terms and Conditions; and 4) any information you have or will make available as part of this Application is true and correct.

By signing this Agreement, I as the Project Sponsor represent and warrant, I have read, understand and agree to adhere to and be legally bound to the attached Agreement Terms and Conditions and the information I have and will make available as part of this Application is true and correct.

RCx project Custom project

CWB projectADR project

Section 3 Payee InformationSelect only ONE for each area below Payee: Owner Lessee Project Sponsor

Apply for On-Bill Financing? Yes No

Tax Status: To be completed by the person or entity receiving payment (“Payee”) Corporation Partnership

Individual/Sole Proprietor Tax Exempt: Reason

Tax Identification Type

EIN or Federal Tax ID Social Security Number

Payee Name Contact Phone # Contact Fax #

Mailing Address

City State Zip Code

Contact Name Title Email Address

OR— — —

Page 5: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

PROJECT APPLICATION TERMS AND CONDITIONSCustomer and Project Sponsor (PS), agree to be bound by the following Project Terms and Conditions. 1. PROJECT SPONSOR. Customer is solely responsible to select a PS or act on its own behalf to implement

the Project. If this Agreement’s does not list a PS, the Customer is deemed the PS. PG&E shall not be liable for the PS, Customer or any other actions taken related to the Project or be required to resolve any disputes between Customer, the PS or any other parties involved in the Project.

2. AUTHORITY. Customer and/or PS has the Project Site owner’s permission to implement the Project. 3. ELIGIBILITY AND PROGRAM SPECIFIC REQUIREMENTS. Eligibility requirements for Projects seeking to

participate in Customized Incentives (CI), Retrocommissioning (RCx), Commercial Whole Building (CWB), and Automated Demand Response (ADR) energy saving programs (collectively Programs) must be for a non-residential use and the Project’s meter is charged the public purpose fund surcharge. Project implementation is subject to all California Public Utility Commission (CPUC) regulatory mandates, the Program Project’s rules and policies which may change without notice, the 2019 Statewide Customized Offering Procedures Manual, PG&E’s Manual For Commercial Whole Building Performance Based Retrofit Program Offering at www.pge.com/customized, IOU ADR Control Incentives Guideline and Adopted Policies at: https://www.pge.com/tariffs/assets/pdf/adviceletter/ELEC_5629-E.pdf, and PG&E’s ADR Program Manual at www.pge-adr.com, individually and collectively, the (Program Manual).

4. WORKFORCE STANDARDS AND INCENTIVES FOR HVAC AND LIGHTING CONTROL MEASURES. Projects seeking to receive an incentive for non-residential heating, ventilation, and air conditioning (HVAC) measure exceeding $3,000 and/or for lighting control (LC) measure exceeding $2,000, prior to these measures being installed, modified or maintained, each technician rendering such work is required to provide their applicable qualification documentation and must have for at least one of the following: (a) Completed an accredited HVAC apprenticeship. (b) Is enrolled in an accredited HVAC apprenticeship. (c) Completed at least five years of work experience at the journey level according to the Department of Industrial Relations definition, Title 8, Section 205, of the California Code of Regulations, passed a practical and written HVAC system installation competency test, and received credentialed training specific to the installation of the technology being installed. (d) Has a C-20 HVAC contractor license issued by the California Contractors State Licensing Board; and for LC Measures the person doing the work must produce an installer certification from the California Advanced Lighting Controls Training Program.

5. PROJECT APPROVAL AND PRODUCT QUALIFICATION. Projects must receive PG&E’s written Project Approval, which will also include PG&E receiving CPUC Energy Division (ED) review and approval for the Project. Except for ADR Projects, CI, RCx and CWB Projects must not remove any existing Project equipment/systems, pre-ordering, purchasing, or installing any equipment until the Project receives PG&E approval. Resale products, equipment leased, rebuilt, rented, received from warranty or insurance claims, exchanged, won as a prize, or new parts installed in existing equipment do not qualify.

6. PROJECT DESIGN, INSTALLATION AND PERMITS. Customer and PS are responsible for, and at their own expense, to obtain necessary permits, materials, labor, costs to develop the Project’s scope, final design, acquire bids, hire appropriate licensed contractor(s), verify applicable workforce standards, technical and operational Project feasibility, and other related cost items and implementation for the Project.

7. PROJECT INSTALLATION DEADLINE. Projects must be completed and fully operational no later than one year from the date of PG&E’s written Project Approval. Extensions for new construction or required long lead time projects may be granted in writing by and at PG&E’s sole discretion.

8. ANCILLARY PROJECT COSTS. Customer agrees to be pay for Project ancillary costs, which may include, copying of plans, specifications, security access fees, permit or filing costs and such related type expenses.

9. ACCESS AND INSPECTIONS OF PROJECT SITE. Project inspections and performance measurements are required to verify the Project and determine the final incentive amount. Customer and PS agree to provide access to PG&E, its agents and the CPUC to perform tasks such as, inspection of pre and post installation equipment to review the existing/baseline energy use measurements.

10. PROJECT MATERIAL CHANGES. If the Project Site conditions materially change or there occurs any non-routine events, (i.e. Project site size change, use of additional heating and cooling loads, longer or shorter operating hours “NRE”), during implementation or after completion impacting the Project energy saving benefit, Customer and PS shall promptly prepare a written detailed narrative about such event(s), date of occurrence, expected length, if equipment requires modification, and any other related information. NRE identification process and appropriate corrections will be assessed on a case by case basis and reviewed by PG&E and the CPUC ED staff.

11. CALCULATION OF THE PROJECT INCENTIVE. Project incentives, energy savings, and installation costs are ESTIMATES only. PG&E in its sole discretion will determine and calculate the Project’s baseline, actual energy savings, and final incentive payment. PG&E will consider any applicable Project NRE’s, the Project’s completed inspection and/or verification, and other related Project information.

12. INCENTIVE PAYMENT. Incentives are paid on a first-come, first-served basis until depleted. PG&E provides incentive funding as directed by the CPUC. Incentives may not exceed Project costs.

13. COMPLETED PROJECT CERTIFICATIONS. Except for ADR Projects, all other Projects require a completed written certification. CA Public Utilities Code Section 399.4 b(1) and (2) states in relevance; “prior to receiving any Project Incentive payment, the recipient of the Incentive must certify the Project is complete and complied with applicable permitting and licensing requirements, any contractor performing the Project’s work was a licensed contractor”. The Code also requires Project implementing HVAC measures submit proof the permit is closure.

14. PROJECT COMPLETION SUBMITTAL DOCUMENTATION. To issue an incentive, all relevant Project paid invoices, supplier name, address, phone, itemized listing of products, quantity, manufacturer and model number, final engineering calculations, audit report demonstrating dispatchable peak demand reduction, an ADR installation form, Project Certifications, Proof of HVAC permit closure, and other documentation required in the Program Manual(s) and requested by PG&E must be submitted.

15. ENERGY BENEFITS AND INCENTIVE DISQUALIFICATION. Project incentives are made in consideration of PG&E receiving 100 percent of the related energy savings benefit over the life of the completed Project: CI and CWB (5) years, RCx (3) years and ADR (7.5) years. Project’s not delivering the 100 percent benefit, not installed after one-year of being approved, not receiving the quarterly monitored-equipment performance data if required, discontinues its retail electric service or time of use rate, or the Customer no longer pays the public purpose fund surcharge, PG&E shall receive from the Customer and PS a prorated amount of the Project Incentive for the time PG&E did not receive the Project’s energy savings. The prorated will be off-set or payable within 30 days of PG&E’s notification.

16. NO TRANSFER BETWEEN PROJECT PROGRAMS. If Customer or PS withdraw the Project from being implemented at any time, the Project may only apply for and be re-submitted under the original Program and requires written approval of PG&E’s Program Manager prior to continuing or being implemented.

17. CONFIDENTIALITY. PS agrees unless otherwise expressly stated in writing, PS will keep Customer’s personal identifiable information and Customer energy usage data Confidential and will use appropriate security measures to prevent the unauthorized disclosure, use, access, sale, or transfer of such information.

18. CPUC RIGHTS. These terms and conditions can be modified anytime by the CPUC. All Projects are reviewed and approved by CPUC ED staff. All Project information, results, reports, energy usage data, or other related documentation shall be made available to the CPUC upon request.

19. TERM AND TERMINATION. These Project Application terms and conditions are effective upon Customer’s signature and terminate when PG&E receives 100 percent of the Project’s energy saving, unless terminated earlier. PG&E may terminate a Project with 10 days written notice and will not be liable if it is due to Customer’s or PS’s breach of these terms and conditions or at CPUC direction.

20. SAFETY AND COMPLIANCE WITH ALL LAWS. All Project equipment installation and work performed must comply with all federal, state laws, safety requirements and applicable manufacturer instructions.

21. OWNERSHIP OF PROJECT DATA, INFORMATION AND REPORTS. Customer agrees to provide Project site information, all meter usage data, reports, research results, photographs, digital, and otherwise produced (collectively Project Data) during the Term. PG&E shall own the Project Data.

22. DISCLAIMER. PG&E MAKES NO REPRESENTATION OR WARRANTY, AND ASSUMES NO LIABILITY WITH RESPECT TO QUALITY, SAFETY PERFORMANCE, OPERATIONAL CAPABILITY, RELIABILITY OR ANY OTHER ASPECT OF ANY DESIGN, SYSTEM, OR EQUIPMENT INSTALLED RELATED TO THE PROJECT AND EXPRESSLY DISCLAIMS ANY SUCH REPRESENTATION WARRANTY OR LIABILITY, INCLUDING THE ANY WARRANTIES OF MERCHANTABILITY AND FITNESS FOR ANY PARTICULAR PURPOSES.

23. INDEMNITY. Customer and PS agree to indemnify and release PG&E, its affiliates, parent company and employees from all claims, losses, damages, costs, and liability arising from or in any way connected with any 1) injury to or death of persons; 2) injury to property; 3) violation of local, regulatory, state, federal any other laws; 4) energy savings shortfall provided, such injury, violation, or claims arises from or related to the implementation and performance of the Project however caused.

Page 6: ADR Program Project Application...Do you have a primary HVAC O&M service contractor? Yes No Calculated Incentives for Energy Efficiency and Automated Demand Response Program. 2020

24. MISREPRESENTATION. All Project information provided must be true and correct. Information determined to by fraudulent or misleading will result in the Project being disqualified and termination.

25. LIMITATION OF LIABILITY. PG&E shall not be liable for any costs incurred by the Customer or PS due to a Project’s estimated versus actual energy savings final Project Incentive payment, Project savings that did not materialize, Project cancellation or implementation cost increase for any reason. In no event shall PG&E be liable for any special, incidental, indirect, lost profits, or consequential damages.

26. ADVERTISING AND USE OF PG&E’S NAME. Customer and/or PS agree not to use PG&E’s name, trademark, logo, or make any representations on PG&E’s behalf absent PG&E’s written consent.

27. ASSIGNMENT. No part of this Agreement may be assigned by PG&E, Customer and/or PS without the other party’s written consent, unless the assignment is for the sale of the Project site.

28. PROJECT SITE SALE. Customer agrees to include this Project Application as part of a sale or rental agreement involving the Project site for purposes of notice of Project compliance requirements.

29. NO DOUBLE DIPPING. Except for Projects involving demand response participation, Customer and PS represent they have not received and will not seek energy efficiency incentives or rebates offered by PG&E, other utilities, state or local agencies for the Project Measures under this Agreement.

30. TAX LIABILITY. PG&E will report incentives greater than $600 as income on the IRS 1099 unless (a) the “Corporation” or “Exempt” tax status box is marked.

ADDITIONAL TERMS FOR CUSTOMIZED INCENTIVES PROJECTS ONLY: 1. ELIGIBILITY. Project Measures have not been replaced in the last five years.

ADDITIONAL TERMS FOR RETROCOMMISSIONING PROJECTS ONLY: 1. ELIGIBILITY. RCx Project Measures have not been replaced in the last three years. 2. RCx PROVIDER AND INVESTIGATIVE AUDIT. PG&E may request and will select a RCx Project

provider to do and Investigative Audit (IA) of the Project site. The IA shall include a Project work scope and Budget Agreement. RCx IA requires monitoring and data logging equipment be installed and removed at the Project site to ascertain functionality and get necessary data prior to the installation of any Project.

3. CUSTOMER PAYMENT RESPONSIBILITY FOR THE INVESTIGATIVE AUDIT. Customer agrees if an RCx IA is done, Customer will implement the IA Project Measures that have an energy savings payback of less than one year and their cost of implementation is less than $25,000 (RCx Project’s Required IA Measures). If Customer does not implement the RCx Project’s Required IA Measures, Customer agrees to be responsible for and pay PG&E for the dollar value of such RCx Required IA Measures. The IA may contain additional suggested RCx Project Measures with estimated incentives that can be implemented at the discretion of the Customer.

4. RCx PROJECT DOCUMENTATION SUBMITTAL REQUIREMENTS. Prior to the RCx Incentive payment, the Customer or PS must submit the Project’s: a) final engineering calculations and documentation to demonstrate energy savings (including archival diskette if applicable); b) schematic drawings and/or manufacturer specification sheets, if applicable; c) invoices and/or documentation to support Project cost; d) Project installation report in a format provided by the PG&E and e) any other PG&E requested Project information.

ADDITIONAL TERMS FOR COMMERCIAL WHOLE BUILDING PROJECTS ONLY: 1. INCENTIVE CALCULATIONS AND PAYMENT. CWB Project Incentives are paid in two installments,

40 percent, is eligible after three months provided successful verification of the Project equipment installation and testing of the committed CWB strategies and 60 percent, nine months after the 40 percent incentive payment.

2. COLLECTION OF CWB PROJECT MONITORING DATA. CWB Project energy monitoring data must be collected and available for the 12 months prior to the Project implementation and 36 months after the Project is completed and operational. Weather and other data correlated with energy usage will be collected to normalize the Project energy consumption data. PG&E may request additional energy data at any time. Customers using their own meter for energy baselines and savings estimation must submit the meter manufacturer’s specifications, recommended installation, calibration procedures and meter calibration records to verify the meter is generating measurements within the manufacturer’s specifications and report the meter’s bias and precision error.

3. CWB PROJECT MAINTENANCE PLAN. CWB Projects require a three-year Project maintenance plan (PMP) that: a) describe the primary maintenance activities b) the schedule for completing maintenance tasks, and c) description of the system used to log and track the maintenance. If requested, the designated PMP person or entity responsible will meet and contact PG&E promptly, to discuss any material changes to maintenance activities, building operations, monitored energy, or NRE’s that may require Project adjustments and modifications.

ADDITIONAL TERMS FOR AUTOMATED DEMAND RESPONSE PROJECTS ONLY: 1. ELIGIBILITY. Customer must have: a) an electric meter capable of recording usage in 15 minute intervals

and can be read remotely; b) be enrolled in one of the qualified demand response (DR) programs in the ADR Manuals for at least three years (ADR Projects in DRAM, PG&E must receive the Project performance information from the DR provider, otherwise no Project incentive will be paid) c) the Project must meet all other specific requests made by PG&E; d) the Customer and PS represent the Project’s dispatchable peak reduction components have not and will not receive funds from any other energy conservation program funded by the CEC, the CPUC, or other state or local entity; and e) the Project must be installed and fully operational by October 31, 2022.

2. INCENTIVE CALCULATIONS AND PAYMENT. ADR Project Incentives payments are subject to FastTrack or Non-FastTrack participation. FastTrack Incentives are eligible to cover up to 100 percent of Project costs and fully payable after successful Project installation and verification. Non-FastTrack Incentives are paid in two installments (60/40 split), covering 75 percent of the Project costs. Incentive payments are paid after all ADR requirements are met to the satisfaction of PG&E. PG&E retains sole discretion to determine the appropriate baseline values and dispatchable peak reduction calculations to determine the incentive. PG&E may modify or cancel the incentive amount if the actual system installed differs from the Project installation submitted in this Application. Conditions for ADR Project calculations and incentive payments are stated in the ADR Manuals.

3. PROJECT SPONSOR DISCLOSURE OBLIGATIONS. PS agrees to inform the Customer of the ADR Project three-year DR program enrollment requirement for that begins when PG&E provides its Project Approval and to have Customer acknowledge this DR enrollment requirement in writing to the PS. Absent proof of Customer’s acknowledgement or if Customer de-enrolls from an approved DR program, Customer and PS will return the prorated portion of the Incentive paid based on the actual time the Customer provided the energy benefit by the amount being off-set against payments owed or making a payment to PG&E within 30 days of being notified.

“PG&E” refers to Pacific Gas and Electric Company, a subsidiary of PG&E Corporation. ©2020 Pacific Gas and Electric Company. All rights reserved. These offerings are funded by California utility customers and administered by PG&E under the auspices of the California Public Utilities Commission. January 2020 CSB-0120-1766


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