Clean Buildings Accelerator Enrollment Form

Clean Buildings Accelerator

Enrollment Form

Thank you for your interest in the Puget Sound Energy (PSE) Clean Buildings Accelerator (CBA) program, a no-cost offering that will help your organization manage energy more effectively, achieve cost savings, and start on the path to compliance for the Clean Buildings Law.

We've partnered with Seattle City Light and Snohomish PUD to assist our mutual gas and electric customers on their compliance with the Clean Buildings Law. Completing this form will help us confirm your intent to participate in the program and gauge your interest in specific program features.

Organization Name*

Preferred Kick-Off Date*

We have cohorts starting up at various points throughout the year.

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Address*

This does NOT need to match a building that you wish to register for the program.

City*

State*

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Zip*

Contact Name*

Who can we contact with questions about this form?

Contact Title*

Contact Phone*

Phone

Contact Email*

How did you hear about the Clean Buildings Accelerator?*

There is still a lack of awareness about the Clean Buildings Law and our Accelerator program. Telling us how you heard about our program will help us use effective marketing methods to reach out to all customers that need help on compliance.

Select from the dropdown or write in your own response.

Select or enter value

Building Information

Please list up to 3 buildings you’d like to work on as part of your participation in the CBA. (You may revise this later, if needed.)

How many buildings do you wish to enroll?*

You must enroll at least 1 building on this form. You can enroll up to 3.

Building 1 Name*

Building 1 Address*

Building 1 City*

Building 1 State*

Select

Building 1 Zip*

Building 1 Size*

Enter numbers only (Sq. Ft.)

Building 1 Type*

Select

Building 1 Gas Utility*

Select

Building 1 Electricity Utility*

Select

Building 2 Name

Building 2 Address

Building 2 City

Building 2 State

Select

Building 2 Zip

Building 2 Size

Enter numbers only (Sq. Ft.)

Building 2 Type

Select

Building 2 Gas Utility

Select

Building 2 Electricity Utility

Select

Building 3 Name

Building 3 Address

Building 3 City

Building 3 State

Select

Building 3 Zip

Building 3 Size

Enter numbers only (Sq. Ft.)

Building 3 Type

Select

Building 3 Gas Utility

Select

Building 3 Electricity Utility

Select

Program Questions

ENERGY STAR® Portfolio Manager® (ESPM) is the required energy accounting and reporting platform for the Clean Buildings Law. ESPM will also serve as the data source for the PSE regression models used to track savings associated with this program. Participants are expected to complete ESPM setup, including populating all energy data during the Sprint period of the Accelerator. Access to technical services, such as energy scans and building models, are contingent upon completion of ESPM setup.

Do you already have your properties in ENERGY STAR® Portfolio Manager® (ESPM)?*

Yes

Will you connect with Stillwater Energy through ENERGY STAR® Portfolio Manager® (ESPM) to provide visibility into your energy usage so that we can help determine your Energy Use Intensity Target (EUIt) and provide energy performance feedback to your organization?*

Yes

Will you commit to participate for 15 months in the cohort, including attending virtual workshops, coaching calls, and energy scans?*

Yes

Is the building operator or facilities manager supportive of the site participating in the CBA program?*

Yes

Has the organization participated in other energy programs (e.g. utility programs, DOE, etc.)?*

Yes

Does the organization have centralized building/production systems (e.g. SCADA, BMS) and staff with access to this data?*

Yes

Does the organization have personnel that clearly understands how to access energy data?*

Yes

Data Sharing

Puget Sound Energy (PSE) is partnering with other utilities in our shared territory to provide no cost technical services for dual fuel customers through the Clean Buildings Accelerator (CBA) program. To get engineering support for both gas and electric and best help you as our shared customer we ask your permission to share your name and building information with your other utility. Answering yes to the questions in the table below provides approval to share the information necessary to provide shared technical services. This data will be used to help participants identify the account information associated with buildings subject to the Clean Buildings Law. Please label any confidential information as such.

I authorize PSE and partner utility to release my name, account numbers, meter numbers, their associated service address, my historic and future energy use and billing history to Stillwater Energy, LLC. This information may only be used for the purpose of participating in the Clean Buildings Accelerator program. This data will be used to help participants identify the PSE account information associated with buildings subject to the Clean Buildings Law.

Can contact information of site personnel be shared with your other utility?*

Yes

Do you consent to the invitation of staff from your other utility for targeted engagements including energy scans and ad hoc coaching calls?*

Yes

Can the building information listed in ENERGY STAR Portfolio Manager be shared with the staff from your other utility including physical information and EUI?*

Yes

Do you agree to provide access to a shared opportunity register that includes both electric and natural gas measures?*

Yes

Does your organization give permission to your other utility to share data with Stillwater Energy?*

Yes

Roles and Responsibilities

Please designate a Clean Buildings Champion (ideally the Clean Buildings Energy Manager) and Executive Sponsor. These persons agree to assume the roles and responsibilities below.

Clean Buildings Champion

Work with the program to take action toward compliance with Clean Buildings Law and actively reduce energy
Prepare for and participate in CBA workshops, coaching calls, and virtual energy scans
Engage facility staff as needed to attend virtual workshops and energy scans
Provide supporting information to the program including energy data, energy audits, and other information

Executive Sponsor

Provide management level support of the Clean Buildings Champion, including supporting their time and communicating Clean Buildings Law efforts, needs, and requirements across organization
Hold the Clean Buildings Champion accountable for action based on energy priorities

Clean Buildings Champion Name*

Clean Buildings Champion Title*

Clean Buildings Champion Email*

Executive Sponsor Name*

Executive Sponsor Title*

Executive Sponsor Email*

Cohort

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