Energy Service Provider (Esp)

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 company does business: 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, www.energystar.gov/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

of 5 Form Version: 09/15/08 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 c ommercial 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, Transportation, Consulting, Local Government Telecommunications, & Other Services) Retail (Apparel, Big Box, Convenience Stores, Department Stores, Discount Stores- Federal Government Warehouse Clubs, Drug Stores, Home Centers, Restaurants, and Supermarkets.) Healthcare (Hospital, Medical Office Small Business (clients whose facilities Building) 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) Provide the average size of the manufacturing facilities/plants served by your company based on their typical number of employees: (Check all that apply)

Less than 100 employees 100 to 500 employees Greater than 500 employees

b) Indicate any specific industrial manufacturing sectors your company specializes in serving:

6) Identify your company type: (Check all that apply) Please type an ‘X’ where it applies

of 5 Form Version: 09/15/08 Architecture or A/E Firm Engineering Distributor Equipment Manufacturer Energy Consultant / Energy Management Services Financial Services Energy Improvement Contractor On-site Energy Production Services Energy Information Services Unregulated Energy Retailer and Marketer Energy Service Company (ESCO) Other:

7) a) 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.

Commercial Industrial Commercial Industrial

HVAC (Components, Controls, Automation, Distribution, Air Boilers / Chillers Handling, Equipment, Maintenance, and other Heating and Cooling Equipment) Heat Exchangers / Cooling Building Envelope Towers

Commercial Appliances Indoor Air Quality Technologies

Compressed Air Systems / Lighting Components ENERGY STAR Qualified Motors / Drives / VSDs Products Electrical Power / Controls / Other Industrial Process Distribution Equipment

Energy Management Systems Piping / Duct Insulation Energy Simulation, Tracking and Pumps Monitoring Software Energy Systems (CHP, Fuel Systems, Fuel Cells, Wind Steam Components / Systems Power, Solar/Photovoltaics, Geothermal, Thermal Storage)

Furnaces / Dryers / Kilns Other:

b) 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)?

of 5 Form Version: 09/15/08 9) a) 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.

Commercial Industrial Commercial Industrial

Architectural Design and Equipment or Product Specification Installation / Maintenance Financing for Energy Bill Payment & Verification Projects Hazardous Materials Commissioning & Tuning Monitoring / Handling Energy Performance Benchmarking – Manually Indoor Air Quality (IAQ) through ENERGY STAR’s Analysis Portfolio Manager online tool

Energy Performance Industrial Process Benchmarking – Automated via Consulting XML data transfer to EPA

Energy Auditing / Assessments LEED Documentation

Measurement / Testing / Energy Information Management Verification Energy Operations & Performance Contracting Management Professional Engineer Verifications for ENERGY Energy Procurement STAR Labeled Building applications Project / Construction Energy Simulation Management Energy System Design (CHP, Fuel Systems, Fuel Cells, Wind Removal / Recycling / Power, Solar/Photovoltaics, Disposal Geothermal, Thermal Storage) Engineering Design & Training and Seminars Specification

Environmental Quality Trial / Pilot Installations

Other:

b) Please provide brief descriptions for a minimum of two energy efficiency projects completed for your clients.

Date(s) of project Project Scope and/or Energy Efficiency Name of Project/Client completion Measures Implemented/Recommended

of 5 Form Version: 09/15/08 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, www.energystar.gov/spp)

of 5 Form Version: 09/15/08