ENERGY SERVICE PROVIDER (ESP)



[pic] Service and Product Provider (SPP) Company Profile

|Date: | |

|Company Name: | |

| Address: | |

| City: | |

| State: | |

| Zip: | |

| Phone: | |

| Fax: | |

|Web Address: | |

|(or provide copy of alternate public | |

|marketing document): | |

|States in which your organization has| |

|offices: | |

|Contact Name: | |

|Contact Phone: | |

|Contact Fax: | |

|Contact Email: | |

1) An unbiased 3-5 sentence description of your company, its services and products. Your description MUST address what services your company provides that improve the energy efficiency of customer buildings and facilities. (If your company is approved for partnership, this description will appear in the SPP Directory on the ENERGY STAR website, spp, for potential customers to view):

| |

2) In what market(s) are the energy-users that your company serves?:

Please assign the approximate percentage of your revenues by the following categories (e.g. 60% from Existing Commercial Buildings, 20% from Commercial New Construction and 20% from Industrial Manufacturing Facilities / Plants)

| |Existing Commercial Buildings | |Commercial New Construction |

| |Industrial Manufacturing Facilities / Plants |

3) Does your company actively sell or promote products and/or services to customers located in the United States and/or U.S. Territories?

| |YES | |NO |

4) If your company works in the commercial buildings market, please identify the market sector(s) that your company actively serves: Please assign the approximate percentage of your revenues by market sector (e.g. 60% from Commercial Real Estate, 20% from K-12 Education and 20% from Retail)

| |Commercial Real Estate | |K-12 Education |

| |Corporate Real Estate (Banks, Financial, | |Local Government |

| |Transportation, Consulting, Telecommunications, & Other | | |

| |Services) | | |

| |Federal Government | |Retail (Apparel, Big Box, Convenience Stores, |

| | | |Department Stores, Discount Stores-Warehouse Clubs, Drug Stores, |

| | | |Home Centers, Restaurants, and Supermarkets.) |

| |Healthcare (Hospital, Medical Office Building) | |Small Business (clients whose facilities comprise less than |

| | | |100,000 square feet) |

| |Higher Education | |State Government |

| |Hospitality and Entertainment (Hotels, Lodging, Resorts, |

| |Casinos, Stadiums, Theaters, TV Stations, Museums & |

| |Convention Centers) |

5) If your company actively serves customers in the industrial manufacturing market:

a) Please indicate any specific industrial manufacturing sectors your company specializes in serving:

| |

| |Less than 100 employees |

| |100 to 500 employees |

| |Greater than 500 employees |

b) Please provide the average size of the manufacturing facilities/plants served by your company based on their typical number of employees: (Check all that apply)

6) Identify your company type: (Check all that apply)

Please type an ‘X’ where it applies

| |Architecture or A/E Firm | |Equipment Manufacturer |

| |Distributor | |Financial Services |

| |Energy Consultant / Energy Management Services | |On-site Energy Production Services |

| |Energy Improvement Contractor | |Unregulated Energy Retailer and Marketer |

| |Energy Service Company (ESCO) | |Energy Information Services |

| |Engineering | |Other: |

7) Identify the products offered by your company (manufactured, marketed, or installed): (Check all that apply)

Please type an ‘X’ where it applies for either Commercial Buildings or Industrial Manufacturing clients.

| |Industrial | |Commercial |Industrial | |

|Commercial | | | | | |

| | |Boilers / Chillers | | |HVAC (Components, Controls, Automation, |

| | | | | |Distribution, Air Handling, Equipment, |

| | | | | |Maintenance, and other Heating and Cooling |

| | | | | |Equipment) |

| | |Building Envelope | | |Heat Exchangers / Cooling Towers |

| | |Commercial Appliances | | |Indoor Air Quality Technologies |

| | |Compressed Air Systems / Components | | |Lighting |

| | |ENERGY STAR Qualified Products | | |Motors / Drives / VSDs |

| | |Electrical Power / Controls / Distribution | | |Other Industrial Process Equipment |

| | |Energy Management Systems | | |Piping / Duct Insulation |

| | |Energy Simulation, Tracking and Monitoring | | |Pumps |

| | |Software | | | |

| | |Energy Systems (CHP, Fuel Systems, Fuel Cells,| | |Steam Components / Systems |

| | |Wind Power, Solar/Photovoltaics, Geothermal, | | | |

| | |Thermal Storage) | | | |

| | |Furnaces / Dryers / Kilns | | |Other: |

8) List any ENERGY STAR Qualified Products that you offer. Are these products advertised in a special section on your website or in printed materials to customers (specify)?

| |

9) Identify the services offered by your company: (Check all that apply)

Please type an ‘X’ where it applies for either Commercial Buildings or Industrial Manufacturing clients.

| |Industrial | | |Industrial | |

|Commercial | | |Commercial | | |

| | |Architectural Design and Specification | | |Equipment or Product Installation / |

| | | | | |Maintenance |

| | |Bill Payment & Verification | | |Financing for Energy Projects |

| | |Commissioning & Tuning | | |Hazardous Materials Monitoring / |

| | | | | |Handling |

| | |Energy Performance Benchmarking – Manually | | |Indoor Air Quality (IAQ) Analysis |

| | |through ENERGY STAR’s Portfolio Manager online| | | |

| | |tool | | | |

| | |Energy Performance Benchmarking – Automated | | |Industrial Process Consulting |

| | |via XML data transfer to EPA | | | |

| | |Energy Auditing / Assessments | | |LEED Documentation |

| | |Energy Information Management | | |Measurement / Testing / Verification |

| | |Energy Operations & Management | | |Performance Contracting |

| | |Energy Procurement | | |Professional Engineer |

| | | | | |Verifications for ENERGY STAR Labeled |

| | | | | |Building applications |

| | |Energy Simulation | | |Project / Construction Management |

| | |Energy System Design (CHP, Fuel Systems, Fuel | | |Removal / Recycling / Disposal |

| | |Cells, Wind Power, Solar/Photovoltaics, | | | |

| | |Geothermal, Thermal Storage) | | | |

| | |Engineering Design & Specification | | |Training and Seminars |

| | |Environmental Quality | | |Trial / Pilot Installations |

| | |Other: |

10) OPTIONAL: You may separately provide an electronic version of your company’s logo in either GIF (.gif) or JPEG (.jpg) format. Only files in GIF or JPEG format can be accepted.

(If your company is approved for partnership, this logo will appear in the SPP Directory on the ENERGY STAR website, spp)

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