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220L9 <br />Energy Management Solutions Incentives <br />Application for Business Customers <br />2013 - 2014 Customized Installation Report <br />DIRECTIONS: After your project is Installed and operational, Input the project installation commencement and completion dates in the Fields provided. <br />Review the information from your Application Approval Letter. If nothing has changed, and the Information in Sections 5 and 6 is correct, complete and <br />sign Section 7 on page 2 of this Installation Report (IR) Form and submit both pages to SCE at one of the addresses below. If any information In Section <br />Business Incentives <br />For overnight delivery: Fax: 626- 633 -3243 <br />Southern California Edison <br />6010 N. Irwindale Ave. E -mail: Businesslncentives @sce.com <br />P.O. Box 800 <br />Irwindale, CA 91702 Questions? Call 800 - 736 -4777 <br />Hosemead, CA 91 /fU -060U <br />UPN #: 353 -16- 0500834360 <br />SAM 001- 3275 -20 Project Name: New Hope Library <br />Customer Name: City of Santa Ana (John Aguilar) Customers Authorized Agent: The Energy Coalition <br />Installation Commencement Date: <br />Installation Completion Date: <br />Section <br />Original Application) <br />Line # Solution Code <br />Solution Description Description of Existing Equipment <br />1 LT -78496 <br />LED Retrofit Kit for Lay -in Troffer Luminaire <br />2 LT -17492 <br />Interior LED fixture replacement (utilizing approved <br />u. Z <br />3 LT -85834 <br />Exterior LED fixture replacements (utilizing approved <br />m =m <br />4 AC -29952 <br />HVAC Occupancy Sensor <br />5 <br />Note: If submitting more than 5 Solutions complete and attach the Customized Solution page from the Multiple SitelSoludon Worksheet at vrvw.sce.cumiselufons. <br />Section • • s <br />(From Original <br />Energy Savings Total Project Cost <br />Calculated Baseline Baseline <br />Installed Energy Incentive Energy $93,548.97 <br />Solution # Usage (kWh) <br />Usage (kWh) Savings (kWh) Rate ($IkWh) Incentive ($) <br />1 25,695.0 <br />12,282.0 13,413.0 $ 0.08 $ 1,073.04 Calculated Energy Savings Totals <br />2 9,708.0 <br />5,368.0 4,340.0 $ 0.08 $ 347.20 28,423.1 <br />3 12,144.0 <br />3,526.0 8,618.0 $ 0.08 $ 689.44 <br />Calculated Savings Incentives <br />4 91,816.2 <br />89,764.1 2,052.1 $ 0.08 $ 164.17 -mom Pv icanoe•een trrr r w <br />5 <br />1 6,389.97 <br />Section 6) On-Peak Demand <br />Reduction (From Original Application) <br />On -Peak Demand Reduction On -Peak Demand Reduction (kW) <br />Calculated I Baseline <br />Installed On -Peak Peak Demand 1.86 <br />Solution On -Peak <br />On -Peak Demand Reduction <br />It from above Demand (KW) <br />Demand (KW) Reduction (KW) Incentive ($) <br />1 2.69 <br />1.28 1.41 $ 211.50 sA# 001 - 3275 -20 <br />2 1.01 <br />0.56 0,45 $ 67.50 UPN # 353 -16 -0500834360 <br />3 <br />$ <br />4 <br />$ NOTE: For projects requiring M &V, attach any required baseline <br />or post - installation measurements and analysis, as specifed in <br />5 <br />$ - your approved M &V plan. <br />Section • -• Solutions <br />(if Different from Original Application) <br />Line # Solution Code <br />Solution Description Description of Existing Equipment <br />1 <br />2 <br />3 <br />4 <br />5 <br />Note: If submitting more than 5 Solutions complete and attach the Customized Solution page of the Multiple SitelSolution Worksheet at vivrw.sce.com/solutions. <br />220L9 <br />