Custom Project Completion Report

MM/DD/YYYY

Submitted By

End-User Customer Name

Site Address

City, State ZIP

For

Project Title

(Cowlitz PUD Project #ECA-YY-XXX)

Report Prepared By

Report Author Name

Title

Company

Phone Number

For

Doug Swier, Conservation Engineer

Cowlitz County PUD

961 12th Avenue

PO Box 3007

Longview, WA 98632

(360) 501-9544

Custom Project Project Title

(Cowlitz PUD Project #ECA-XX-XXX)

Actual Project Start Date: MM/DD/YYYY

Date Measure(s) Fully Installed/Commissioned/Operational: MM/DD/YYYY

M&V Completion Date: MM/DD/YYYY

Project Description:

Baseline System:

(Provide description of system used in accepted project proposal.)

Post-Project System:

(Include detailed description of completed project including, equipment installed and modifications to the project from the project description in the accepted proposal.)

Energy Savings Verification:

Baseline Power/Energy:

(State/quantify verified baseline energy or power. Include supporting data/graphs/tables from Measurement & Verification process.)

Post-Project Power/Energy:

(State/quantify verified post-project energy or power. Include supporting data/graphs/tables from Measurement & Verification process.)

Energy Savings Calculation:

(Show final calculations used and state verified annual kWh ‘site’ savings.)

Project Costs Verification:

(Declare total verified [incremental] project costs and provide supporting documentation.)

Finally … Complete Incentive Payment Calculation Table (following page)


EXHIBIT D

INCENTIVE PAYMENT TABLE

The incentive payment for this project is based on actual project costs and annual verified energy savings resulting from the project. Verification is secured through a mutually agreed upon verification scheme submitted as part of the Project Proposal. The amount of the incentive payment shall be taken as the lesser of the two quantities given by the following calculation methods:

(a) Annual verified Busbar energy savings (kWh/yr) multiplied by the acquisition incentive rate/ kWh.

(b)  70% of the actual project cost.

(c)  Estimated incentive amount from original Proposal.

Complete the blanks in the From Proposal column below to show the estimate of the incentive from the project proposal stage. Complete the blanks in the From Completion Report column after energy savings have been verified. The incentive payment is figure at the bottom of the ACTUAL column.

Customer Name – Project Description, PUD #ECA-YY-XXX
Row / From Proposal / From Completion Report
1 / Project Cost / $ ?,??? / $ ?,???
2 / Annual Site Savings / ?,??? kWh/yr / ?,??? kWh/yr
3 / Annual Busbar Savings
(line 2 * 1.09056) / ?,??? kWh/yr / ?,??? kWh/yr
4 / Incentive rate/kWh / $0.??/kWh
5 Incentive Payment Calculation
5a / Savings-based Payment
(line 3 * line 4) / $ ????.?? / $ ????.??
5b / Project Cost Cap
(line 1 *.7) / $ ????.?? / $ ????.??
5c / Final Incentive Cap
(original estimated incentive from proposal) / N/A / $ ?,???.??
6 / Lesser of lines 5a, 5b, or 5c / $ ?,???.?? / $ ?,???.??