Assessment application form - Efficiency Works

Assessment Scope*

Areas of Concern (optional)

Property Address*

Street Address Address Line 2 City State ZIP Code

Primary Contact (Utility Customer)

Name*

First Last

Phone*

Email*

Relation to Property*

Business Name*

Property Details

Primary Space Type*

Weekly Operating Hours*

Workers on Main Shift*

Number of Computers*

Year Built*

Building Area - ft²*

Irrigated Area - ft²*

Occupancy - %*

Property Details

Cooling System(s)*

% that can be Cooled*

Heating System(s)*

% that can be Heated*

Primary Controls*

Major Equipment*

Sustainability and ClimateWise efforts

Waste Diversion*

Alternative Transportation*

Service Providers

Electric Utility*

Water*

Natural Gas*

Recycling*

Solid Waste*

EPA Portfolio Manager and ENERGY STAR Score

(Fort Collins Utilities Customers Only)

City of Fort Collins business customers are now able to receive an EPA ENERGY STAR score through Efficiency Works participation. EPA's ENERGY STAR Portfolio Manager is an online tool organizations can use to measure and track energy and water consumption, as well as GHG emissions. It can be used to benchmark the performance of one building or a whole portfolio of buildings, all in a secure online environment. Forty percent of commercial building space in the U.S., including 35% of the Fortune 500® are already benchmarking in Portfolio Manager.

I have an EPA Portfolio Manager account
I want an ENERGY STAR Score but do not want an Efficiency Works Business Assessment
I want my building to receive a n ENERGY STAR score and an Efficiency Works Business Assessment

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