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Virtual Treasure Hunt Application Strategic Energy Management

Instructions for completing applications. Please read.

1. Be sure you have all necessary information before beginning the application.
Partially completed applications cannot be saved.

2. Use the Google Chrome browser.
Google offers the best form completion experience.

3. Once you submit a complete application, wait for on-screen confirmation and tracking number.
Keep this tracking number (print or save). Refer to the tracking number to check on the status of your application.

For full program details and eligibility, visit https://www.nyserda.ny.gov/All-Programs/Strategic-Energy-Management.

Questions? Contact Katie Dooley at  Kathleen.dooley@nyserda.ny.gov or call (518) 862-1090, ext. 3475 or Kathleen O'Connor at Kathleen.oconnor@nyserda.ny.gov or call (518) 862-1090, ext. 3422.

* Required field

Participant Information

Facility Address

Participant Contact

Facility Type

Facility Description

Industrial Sector

Utility Information

Electric Cost & Consumption

Natural Gas Cost & Consumption

Other Energy Cost & Consumption (please account for all other fuel types):

Facility Data Information

Have you conducted an Energy Treasure Hunt, or similar activity, at your facility in the past?

Attestation

By signing this Agreement, you agree to work with the New York State Energy Research and Development Authority (NYSERDA) towards continuous improvement of energy management at (facility/participant), located at(address), in accordance with PON 4371 and the criteria listed below. In return, NYSERDA will provide a Virtual Treasure Hunt, at no cost to the Participant.

All terms not defined within this agreement are defined in PON 4371. With the support of NYSERDA and the Energy Coach, the Participant agrees to the conditions outlined below:

  1. The Participant will designate staff to participate in the Virtual Treasure Hunt event including the kick-off meeting, any appropriate planning calls, the Virtual Treasure Hunt event itself, and any appropriate follow-up calls. 
  2. The Participant will provide any necessary information to complete the opportunity register including data to calculate energy savings and any relevant energy, sustainability, or regulatory KPIs for the facility to assist in the prioritization of energy- and GHG-saving opportunities. 
  3. I agree to and authorize the sharing of the participant-customer’s information and/or project-level information with New York State Department of Public Service Staff and appropriate local utility, including its agents or authorized representatives, in carrying out its responsibilities under New York State Public Service Commission orders. (For clarity, the term project level includes the information based on the scope of the project, including, but not limited to, whole building, building or subsets of the project.)
  4. I agree and authorize our utility’s sharing of the participant-customer’s information and/or project-level information with New York State Department of Public Service Staff and NYSERDA, including its agents or authorized representatives, consistent with NYSERDA’s New York State Public Service Commission and statutorily authorized responsibilities, including, but not limited to supporting market development initiatives, and other evaluation and measurement activities. (For clarity, the term project level includes the information based on the scope of the project, including, but not limited to, aggregated and anonymized whole building, building or subsets of the project.)

WE THE UNDERSIGNED AGREE TO THIS AGREEMENT
New York State Energy Research and Development Authority

Authorized Signature

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Tracking Number

You will be provided with a Tracking Number upon submission.