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_ The proposal should provide a description of energy impact measures that will be investigated.Please attach a building description and a proposal to customerthat addressesthe following items: • What are the existing systems included in this study? • What are the customers concerns or issues? • What are the feasible alternatives and/or study tasks? The inforrr►ation in this application is accurate and complete.I have read,understood and agree to the"Terms and Responsibilities"section of this application. I,(Customer name) � �� (�r� V i��V .agree to pay the full cost of the Study,after Xcel Energy has approved the final report,and am fully responsibl�for supervising and directing the Engineering Firm in the performance of the Study.We understand that if Xcel Energy does not approve the final report submitted by the engineering firm,that Xcel Energy will not provide the customer a study rebate. Signature C,�Q ��/�v�ta.�.— Title ��(��N ��*�L�� Date f�'� '�0 �a�r . .._ , .... a,., . . .. . .� , . . . �` Engineering Firm's name) MEP AssoCiates, LLC will produce a study according to the Study Workscope section of the application or as revised according to the attached amendments and has read,understood,and agreed to the"Terms and Responsibilities"section of this application.We also do not expect customer payment until Xcel Energy has approved the final report submitted by us.The cost for performing the Study will not exceed$ 3 , 0 0 0 Signature Title Mechanical Eng. Date Namelpleaseprint) Sean Sonnabend Phone 952-224-4488 Fax 952-224-4488 E-Mail* seansQmepassociates.com 'By providing your e-mail address,you are granting Xcel Energy permission to send further e-mails regarding our programs and services. Estimated study completion date: May 31, 2 O l 0 �_ . ,._ �. _ .< � �� . � � Xcel Energy agrees to fund this project up to$ .The customer is responsible for paying the balance of the Study cost. Authorized by(product portfolio manager) Date Authorized by(technical consultant) Date NTERNAL USE ONLY–DO NOT WRITE IN THIS SECTION Account Managers,please attach 12 months building usage history and complete the following: Xcel Energy Account Manager(printed) Phone Xcel Energy Account Manager(signature) _ Date Peak kW Annual kWh MCF �. 1 .., t . � �.�� . � _., =w,<.� ,. _ . �.. ,z. , . Once the Study is complete,please send the study draft,energy savings,calculation detail and the Energy Conservation Opportunity(EC0)form (template to be supplied by Xcel Energy upon study preapproval)to:Xcel Energy,Energy Efficiency Engineer noted in preapproval letter.Upon Xcel Energy approval of the Study,the engineering firm should send a final copy of the Study to the customer,along with the invoice,and to the Xcel Energy account manager.The Study should not be presented to the customer until Xcel Energy has approved it.To receive the study rebate,the customer should submit the Study rebate form,within 3 months of the report presentation,to Xcel Energy along with a copy of their paid invoice. p.2 of 4 09-06-537 06/2009