Form for

Submittal of Qualifications

For LEED for Homes Providers

Application Deadline: Friday, November 30th, 2009

Information about You (the Applicant)

1)  What is your name? ______

2)  What is the name of your organization? ______

3)  What is your title / role?

a.  In your organization: ______

b.  Planned role as a member of a Candidate LH Provider

(Check one):

Administrative: ______

Technical: ______

Education: ______

Other: ______

Please specify: ______

4)  Please complete your contact information:

Address: ______

______

City: ______State: ______ZIP: ______

Phone: ______

Fax: ______

Email: ______

Website: ______

5)  How many years have you been working in the green home building industry or an allied field?

______Years

______% Full time equivalent over that time?

You may provide additional info on a separate page (see note 1 below)

6) What are the other green home building rating systems or programs with which you are familiar?

Please characterize your depth of current knowledge of each. A green home building can be defined as one that fully addresses several if not all areas of green building (water efficiency, material efficiency, indoor air quality, energy efficiency, awareness)

(5 = national expert, 3 = reasonably conversant, 1 = basic knowledge)

Name of Program / Depth of Knowledge

7) What is your experience in managing a team of field raters (or equivalent) over the previous year?

Energy Raters

Number of raters: ______

Number of builders served per year: ______

Number of homes inspected per year: ______

Green Raters

Number of raters: ______

Number of builders served per year: ______

Number of homes inspected per year: ______

Information about Your Organization

8)  What is the Core Competency of your Organization?

Please select the core competency of your organization.

Type of Core Competency / Check one box only
Managing a team of Green Raters / □
Managing a team of energy raters / □
Design / □
Construction / □
Land Development / □
Engineering / □
Product Sales / □
Teaching / □
Other:______/ □

9) What is your organization’s direct experience in administering and managing an energy efficient home building program?

i)  How many years have you been involved in this activity? ______

ii)  Estimated hours spent in this activity over the past 2 years? ______

iii)  How many staff do you have to directly support this activity?

_____ (FTEs)

You may provide additional info on a separate page (see note 1 below)

10) What is your organization’s direct experience in administering and managing a green home building program?

i)  How many years have you been involved in this activity? ______

ii)  Estimated hours spent in this activity over the past 2 years? ______

iii)  How many staff do you have to directly support this activity?

_____ (FTEs)

You may provide additional info on a separate page (see note 1 below)

11) What is your organization’s direct experience in a LEED for Homes project?

i)  How many LEED for Homes projects you been involved in? ______

ii)  Estimated hours spent in this activity over the past 2 years? ______

iii)  How many staff do you have to directly support this activity?

_____ (FTEs)

You may provide additional info on a separate page (see note 1 below)

12) What is your organization’s experience in working directly with home builders?

i.  How many years have you been involved in this activity? ______

ii.  Estimated direct builder contact hours over the past 2 years? ______

iii.  List the primary type of builders that you have worked with.(e.g., custom, production, affordable, etc.)? ______

You may provide additional info on a separate page (see note 1 below)

13) What types of home building-related firms has your organization worked with in the past 5 years?

Please indicate the number of years of involvement and contact hours with each:

Yrs: Contact Hrs:

Architects / Designers ______

Green Home Building Consultants ______

Utilities ______

LEED for Homes Providers / Raters ______

USGBC Chapters ______

Energy Raters ______

Home Builder Associations ______

Realtors ______

Trade Contractors ______

Other: ______

You may provide additional info on a separate page (see note 1 below)

14) What are the names of programs (or firms) for which your organization has provided green building-related services?

Please estimate the number of hours worked (or % FTE) for each, in the previous year.

Programs (or Firms) that Your Organization Provides Green Services To: / Estimated Number of Hours (or FTEs)

Information about your proposed Quality Assurance Designee (QAD) [1]

15) Are you the proposed QAD for your organization?

_____ Yes

_____ No

If Yes, skip to Question # 17

16) a) What is the name of the proposed Quality Assurance Designee (QAD) for your organization?

QAD Name:______

b)  What is the employment relationship of your proposed QAD with your organization?

Full-Time Employee _____ (Y/N)

Part Time employee _____ (Y/N)

Subcontractor _____ (Y/N)

17) What education does your proposed Quality Assurance Designee (QAD) have?

Education

Highest Degree: ______

Major: ______

Other:

Specify:______

18) What experience does your proposed Quality Assurance Designee (QAD) have?

Experience with Energy Efficiency Programs

Name of Program Years of Experience?
ENERGY STAR for Homes ______

Environments for Living ______

Building America ______

Other

Specify:______

Experience with Green Home Building Programs

Name of Program Years of Experience?

LEED for Homes ______

NAHB Guideline ______

Green Communities ______

Other Local Programs

Specify:______

Specify:______

Specify:______

19) What is your proposed QAD’s depth of knowledge of the ENERGY STAR for Homes program?
(5 = national expert, 3 = reasonably conversant, 1 = basic knowledge): _____

Please describe your proposed QAD’s current role related to ENERGY STAR for Homes: ______

20) What is your proposed QADs depth of technical knowledge in each of the five green credit categories in the LEED for Homes program?

(5 = national expert, 3 = reasonably conversant, 1 = basic knowledge)

Credit Category Depth of Knowledge

i.  Location and Linkages _____

ii. Sustainable Sites _____

iii.  Water Efficiency _____

iv.  Energy and Atmosphere _____

v. Materials and Resources _____

vi.  Indoor Environmental Quality _____

Please describe your proposed QAD’s current role related to LEED for Homes: ______

21) What other green home building rating systems or programs are your proposed QADs familiar with?

Characterize your QAD’s depth of current knowledge of each. A green home building can be defined as one that fully addresses several if not all areas of green building (water efficiency, material efficiency, indoor air quality, energy efficiency, awareness)

(5 = national expert, 3 = reasonably conversant, 1 = basic knowledge)

Name of Program / Depth of Knowledge

22) What workshops has your proposed QAD attended on LEED rating systems or other green home building programs?

Name of Training / Date


23) What is your proposed QAD’s supervisory experience (serving as a knowledge resource to other professionals), focusing on green building-related experience?

i.  How many years have you been involved in this activity? ______

ii.  Estimated direct contact hours over the past 2 years? ______

iii.  Estimated number of individuals supervised / mentored? ______

You may provide additional info on a separate page (see note 1 below)

Additional Information about your Proposed Team

24) Who are the Green Raters that you propose to include on your team?

Please indicate their employee relationship, training and experience

Name of Rater / Employee or Sub-Contractor? / Energy or Green Rater? / Name of Rater Training Completed or Certification

25) Describe any opportunities that your role as a Provider would offer for promoting or showcasing LEED for Homes (e.g., any noteworthy organizations with which you have relationships).

26) Please list any potential conflicts of interests, e.g., relationships with competing green home building programs. (Note: potential conflicts of interests will not disqualify you as a candidate Provider.)

27) What market areas (i.e., cities) does your organization plan to serve?

Name of
City or
Major
Metropolitan
Area / Estimated Number of Annual Starts for CY 2010 / To Be Delivered by Your Organization
in CY 2010
New Home
Starts / ENERGY STAR for Homes / Other
Green Home
Programs / LEED
for Homes
(,000’s of Uniits) / (% of Starts) / (% of Starts) / (% of Starts)
Single Family Homes
Multifamily Homes (Or Units)

28) Please provide a 1-2 page Management Plan (attached to this submittal) that describes the following aspects of your organization, including:

a.  Training plan for your team of green home raters, and budget for 2010

b.  Quality assurance plan for your team of green home raters, and budget for 2010

c.  Market plans for LEED Homes, and budget for 2010.

d.  Your firm’s relationships with local builders and developers and how you plan to utilize these relationships to promote the LEED for Homes program.

29) References. Please provide names and contact info for three references. Preferably, these should be builder clients that you have provided support services to.

Name: ______

Organization: ______

Phone: ______

Name: ______

Organization: ______

Phone: ______

Name: ______

Organization: ______

Phone: ______

Note 1. Please feel free to provide up to 5 additional pages of info, including:

ÿ  Resumes for key members of your team,

ÿ  Continuing education plans,

ÿ  Descriptions of related experience, and

ÿ  Additional reasons why USGBC may wish to select your organization as a Provider.

I hereby affirm and acknowledge that the information provided above is accurate.

Name: ______

Title: ______

Organization: ______

Phone: ______

Email: ______

Date: ______

Signature: ______

Please e-mail (preferred) or fax your completed application along with resumes for team members and two references no later than Monday, November 30th, 2009 to:

LEED for Homes Provider RFQ

U.S. Green Building Council

Fax: 202-828-5110

Email:

USGBC will confirm receipt of your application, if you do not receive confirmation please contact us at the information above.

For further information about the LEED for Homes program, visit the USGBC website:

www.usgbc.org/Homes

LEED for Homes Page 7 October 19, 2009

RFQ for Providers

[1] Each LEED for Homes Provider must have one employee that is their designated Quality Assurance Designee (or QAD). The QAD is the person primarily responsible for the technical oversight of the work of each of the green raters working for that Provider. USGBC will meet with the QAD (via teleconference) to review each completed / verified LEED Home by that Provider organization.