CUSTOM PROJECT INFORMATION FOR PROJECTS REQUESTING PRE-APPROVAL BY 12/31/2024
section 6 BUSINESS PROPERTY TYPE Select one (1) property type that best describes your business: Multifamily
Other: _____________________________ Visit focusonenergy.com/business/custom- incentives to apply for other business custom project incentives.
section 7 PROJECT BACKGROUND INFORMATION Which statement best describes the status of your project (select one): Considering project Assessing feasibility Getting vendor bids and/or savings estimates Received management approval Purchased equipment Started installation
Tell us how Focus on Energy can help you: Exploring options Assurance of the technical feasibility of the technology Verifying vendor savings estimates Showing the value to management Incentive to help reduce initial cost and/or trim payback Other: _____________________________
Tell us why you are pursuing this project: Enhance owner/tenant comfort Reduce maintenance costs Replace worn out equipment Reduce energy costs Achieve company goal or mandate Other: _____________________________
section 8 PROJECT TIMELINE AND DESCRIPTION
PROJECT START DATE ESTIMATED PROJECT COMPLETION DATE I certify no purchase orders, equipment purchases, or contracted labor have been initiated for this project Yes q Itemized proposal attached Yes q Specification sheet(s) attached Yes q Information on existing equipment (make, model, etc.), system operation, and building operation attached Yes q Brief Project Description
section 9 CUSTOMER SIGNATURE I, the Customer, attest that I am the ratepayer (utility account holder) for the site(s) listed in Section 2. If applicable, I assign the right to participate in and receive incentives from the Focus on Energy Program to the Other Payee identified in Section 5.
SIGN HERE
CUSTOMER SIGNATURE
NAME (PRINT)
DATE Submit applications and supporting documentation to: MAIL: Focus on Energy 3113 West Beltline Highway Suite 201 Madison, WI 53713 EMAIL: multifamily@focusonenergy.com
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