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HomeMy WebLinkAboutApplication - City of Sitka AEA GrantRenewable Energy Fund Round VIII � Grant Application — Heat Projects �MEED ENERGY AUTHORITY Application Forms and Instructions This instruction page and the following grant application constitutes the Grant Application Form for Round VIII of the Renewable Energy Fund Heat Projects only. If your application is for energy projects that will not primarily produce heat, please use the standard application form (see RFA section 1.5). An electronic version of the Request for Applications (RFA) and both application forms are available online at: www.akenergyauthority.org/REFund8.htmll • If you need technical assistance filling out this application, please contact Shawn Calfa, the Alaska Energy Authority Grants Administrator at (907) 771-3031 or at scalfa(d,)aidea.org. • If you are applying for grants for more than one project, provide separate application forms for each project. • Multiple phases for the same project may be submitted as one application • If you are applying for grant funding for more than one phase of a project, provide milestones and budget for each phase of the project. • In order to ensure that grants provide sufficient benefit to the public, AEA may limit recommendations for grants to preliminary development phases in accordance with 3 ACC 107.605(1). • If some work has already been completed on your project and you are requesting funding for an advanced phase, submit information sufficient to demonstrate that the preceding phases are completed and funding for an advanced phase is warranted. • If you have additional information or reports you would like the Authority to consider in reviewing your application, either provide an electronic version of the document with your submission or reference a web link where it can be downloaded or reviewed. • In the sections below, please enter responses in the spaces provided, often under the section heading. You may add additional rows or space to the form to provide sufficient space for the information, or attach additional sheets if needed. REMINDER: • Alaska Energy Authority is subject to the Public Records Act AS 40.25, and materials submitted to the Authority may be subject to disclosure requirements under the act if no statutory exemptions apply. • All applications received will be posted on the Authority web site after final recommendations are made to the legislature. • In accordance with 3 AAC 107.630 (b) Applicants may request trade secrets or proprietary company data be kept confidential subject to review and approval by the Authority. If you want information to be kept confidential the applicant must: o Request the information be kept confidential o Clearly identify the information that is the trade secret or proprietary in their application. o Receive concurrence from the Authority that the information will be kept confidential. If the Authority determines it is not confidential it will be treated as a public record in accordance with AS 40.25 or returned to the applicant upon request. AEA 15003 Page 1 of 24 7/2/14 Renewable Energy Fund Round VIII ri=1. Grant Application — Heat Projects =M--:)ENERGY AUTHORrrY Tax ID # 92-0041163 Tax Status: ❑ For-protit [I Noneprofit ® Government (check one) Date of last financial statement audit: (-1 36>1 o2U ! 3 Mailing Address: 100 Lincoln Street Physical Address: Same Sitka AK 99835 Telephone: Fax: Email: 907-747-1883 907-747-3158 davidl@cityofsitka.com 1.1 APPLICANT POINT OF CONTACT/ GRANTS MANAGER Name: David Longtin, P.E. Mailing Address: 100 Lincoln Street Sitka AK 99835 Title: Senior Engineer Telephone: 907-747-1883 Fax: 907-747-3158 Email: davidl@cityofsitka.com 1.1.1 APPLICANT ALTERNATE POINTS OF CONTACT Name Telephone: Fax. Email: Dan Tadic, Municipal Eng. 907-747A807 907-747-3158 dantadic@cityofsitka.com Chaix Johnson, Office M r 907-747-1806 907-747-3158 chaix@cityofsitka.com AEA 15003 Page 2 oY'24 7/2/14 Renewable Energy Fund Round VIII ©4 �, Grant Application — Heat Projects 4EMEENERGY AUTHORITY 1.2 APPLICANT MINIMUM REQUIREMENTS Please check as appropriate. If you do not to meet the minimum applicant requirements, your application will be rejected. 1.2A As an Applicant, we are: (put an X in the appropriate box) ❑ An electric utility holding a certificate of public convenience and necessity under AS 42.05, or ❑ An independent power producer in accordance with 3 AAC 107,695 (a) (1), or ® A local government, or ❑ A governmental entity (which includes tribal councils and housing authorities) 1.2 APPLICANT MINIMUM REQUIREMENT5 (continued) Please check as appropriate. ® 1.2.2 Attached to this application is formal approval and endorsement for the project by the applicant's board of directors, executive management, or other governing authority. If the applicant is a collaborative grouping, a formal approval from each participant's governing authority is necessary. Indicate by checking the box ® 1.2.3 As an applicant, we have administrative and financial management systems and follow procurement standards that comply with the standards set forth in the grant agreement (Section 3 of the RFA). (Indicate by checking the box) ® 1.2.4 If awarded the grant, we can comply with all terms and conditions of the award as identified in the Standard Grant Agreement template at http://www.akenergyauthority.org/vREFund8,htmi. (Any exceptions should be clearly noted and submitted with the application.) (Indicate by checking the box) ® 1.2.5 We intend to own and operate any project that may be constructed with grant funds for the benefit of the general public. If no please describe the nature of the project and who will be the primary beneficiaries. (Indicate yes by checking the box) AEA 15003 Page 3 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects �E ENERGY AUTHORITY SECTION 2 — PROJECT SUMMARY This section is intended to be no more than a 2-3 page overview of your project. 2.1 Project Title — (Provide a 4 to 7 word title for your project). Type in space below. Sitka: Wastewater Treatment Plant Effluent Heat Pump 2.2 Project Location — Include the physical location of your project and name(s) of the community or communities that will benefit from your project in the subsections below. 2.2.1 Location of Project— Latitude and longitude, street address, or community name. Latitude and longitude coordinates may be obtained from Google Maps by finding you project's location on the map and then right clicking with the mouse and selecting "What is here? The coordinates will be displayed in the Google search window above the map in a format as follows: 61.195676.-149.898663. If you would like assistance obtaining this information please contact AEA at 907-771-3031. The project is located in Sitka at 100 Alice Loop. The latitude and longitude are: N57d02m50.62s x W135d21 m18.82s 2.2.2 Community benefiting — Name(s) of the community or communities that will be the beneficiaries of the project. Sitka, AK 2.3 PROJECT TYPE Put X in boxes as appropriate 2.3.1 Renewable Resource Type ❑ Wind to Heat ❑ Biomass or Biofuels ❑ Hydro to Heat ❑ Solar Thermal El Heat Recovery from Existing Sources ® Heat Pumps ❑ Other (Describe) ❑ 2.3.2 Proposed Grant Funded Phase(s) for this Request (Check all that apply) Pre -Construction Construction Flo] Reconnaissance ® Final Design and Permitting ❑ Feasibility and Conceptual Design ® Construction AEA 15003 Page 4 of 24 7/2/f4 Renewable Energy Fund Round VIII Grant Application — Heat Projects 6=1�:)ENERGY AUTHORrrY 2.4 PROJECT DESCRIPTION Provide a brief one paragraph description of the proposed heat project. The proposed project would design and construct a heat pump system to replace the existing fuel - oil boilers at the Sitka Wastewater Treatment Plant. The system would utilize treated effluent as the heat source, and the heat pump would be powered by renewable energy from Sitka's hydroelectric power generation. One fuel -oil boiler would be retained to generate heat on the coldest winter days and to provide redundancy. The system would displace approximately 95 percent of the heating oil usage at the WWTP. This project is described further in Section 4.3.1. 2.5 PROJECT BENEFIT Briefly discuss the financial and public benefits that will result from this heat project, (such as reduced fuel costs, lower energy costs, local jobs created, etc.) The proposed heat pump project will displace approximately 95 percent of the annual heating oil usage in the existing building; the remaining 5 percent will be supplied by a recently installed 954 MBH fuel oil boiler. The existing oil boiler heating system is consuming approximately 15,030 gallons per year of heating oil ($64,930 per year at the current price of $4.32/gallon), and 4,000 kWh of electricity. The proposed effluent source heat pump system will consume approximately 133,000 kWh of electricity (costing $15,300 per year), with back up oil boiler consuming 840 gallons of heating oil ($3,630 at current pricing). The anticipated net heating fuel savings is 14,190 gallons. The anticipated net energy cost savings (heating oil savings minus extra electricity required for heat pump system) is estimated at $51,790 for Year 1 of the project. This savings will serve to stabilize cost for approximately 3,500 customers of this public wastewater collection and treatment system. A contract technician will be utilized to monitor and maintain the heat pump system and this will create new employment opportunity in Sitka. The estimated reduction in annual greenhouse gas emissions will be 155 tons COZ. 2.6 PROJECT BUDGET OVERVIEW Briefly discuss the amount of funds needed, the anticipated sources of funds, and the nature and source of other contributions to the project. The project has a total cost of $740,000. A cash match of $113,000 will be provided by CBS. The grant request amount is $627,000. See Attachment 2. 2.7 COST AND BENEFIT SUMARY Summarize the grant request and the project's total costs and benefits below. Costs for the Current Phase Covered by this Grant (Summary of funds requested) 2.7.1 Grant Funds Requested in this application $ 627,000 2.7.2 Cash match to be provided $ 113,000 2.7.3 In -kind match to be provided $ 2.7.4 Other grant funds to be provided $ 2.7.5 Total Costs for Requested Phase of Project (sum of 2.7.1 through 2.7.4) $ 740,000 Other items for consideration 2.7.6 Other grant applications not yet approved $1,984,500* 2.7.7 Biomass or Biofuel Inventory on hand $ AEA 15003 Page 5 of 24 ii2/14 Renewable Energy Fund Round VIII ©4 �2GC�._- Grant Application — Heat Projects 400RD ENERGY AUTHORITY r2,7ico ergy efficiency improvements to buildings be heated (upgraded within the past 5 years or mmittedd prior to proposed project completion) $ 55,278** *Submitted ADEC Municipal Matching Grant questionnaire for this amount for replacement of entire WWTP HVAC system, of which heat pump system is a subset. **We spent $21,438 replacing a boiler in the WWTP in October 2012, $15,450 on a study evaluating the performance of the entire HVAC system in 2014, and are currently evaluating improvements to the building envelope for $18,390 Project Costs & Benefits (Summary of total project costs including work to date and future cost estimates to get to a fully operational project) 2.7.9 Total Project Cost $ 740,000 Summary from Cost Worksheet, Section 4.4.4, including estimates through construction. 2.7.10 Additional Performance Monitoring Equipment not $ 20,000* covered by the project but required for the Grant Only applicable to construction phase projects 2.7.11 Estimated Direct Financial Benefit (Savings) $ 51,790 The economic model used by AEA is available at for Year 1 of the project www.akenergvauthority.org/REFund8.html. This economic model may be used by applicants but is not required. Other economic models developed by the applicant may be used, however the final benefit/cost ratio used will be derived from the AEA model to ensure a level playing field for all applicants. 2.7.12 Other Public Benefit $ 8,000/year If you can calculate the benefit in terms of dollars please provide that number here and explain how you (additional contract work for long-term O&M on the heat calculated that number in Section 5 below pumps) *See Section 9.2. This amount is not included in Section 2.7.9. SECTION 3 —PROJECT MANAGEMENT PLAN Describe who will be responstble for managing the project and provide a plan for successfully completing the protect within the scope, schedule and budget proposed in the application. 3.1 Project Manager Tell us who will be managing the project for the Grantee and include contact information, a resume and references for the manager(s). In the electronic submittal, please submit resumes as separate PDFs if the applicant would like those excluded from the web posting of this application. If the applicant does not have a project manager indicate how you intend to solicit project management support. If the applicant anticipates project management assistance from AEA or another government entity, state that in this section. Project manager —David Longtin, P.E., Senior Engineer for the City and Borough of Sitka 100 Lincoln Street, Sitka AK 99835 (907) 747-1883 (p) (907) 747-3158 (f) davidl@cityofsitka.com See Attachment 3 for resume. AEA 15003 Page 6 of 24 7/2/14 Renewable Energy Fund Round VIII ©©� Grant Application — Heat Projects GENIC) ENERGY AUTHORrrY 3.2 Project Schedule and Milestones Please fill out the schedule below. Be sure to identify key tasks and decision points in in your project along with estimated start and end dates for each of the milestones and tasks. Please clearly identify the beginning and ending of all phases of your proposed project. Please fill out form provided below. You may add additional rows as needed. Milestones Tasks Start Date End Date Project scoping and contractor solicitation 8/15 8/15 Permit applications completed note: building permit only 10/15 4116 Final EA and mitigation plans completed note: work is in existing building NA NA Resolution of land use, right -of --way issues note: work is in existing building NA NA Permitting, rights oof-way, site control completed note: work is in existing building NA NA Final system design completed 9/15 4/16 Final cost estimate completed 4/16 4/16 Updated economic and financial analyses completed 5/16 5/16 Power or heal sale agreements in place note: this is a heating project NA NA Final business and operation plan completed note: this is a heating project NA NA Design and feasibility requirements completed 5/16 5/16 Bid documents completed 5/16 5/16 Vendor selected and award in place 6/16 7/16 Construction 8/16 11/16 Integration and testing 11/16 11/16 Decommissioning of old system complete 11/I6 11/16 Final acceptance, commissioning and start-up complete 12/16 12/16 Required operations reporting 12/16 12/26 3.3 Project Resources Describe the personnel, contractors, personnel or firms, equipment, and services you will use to accomplish the project. Include any partnerships or commitments with other entities you have or anticipate will be needed to complete your project. Describe any existing contracts and the selection process you may use for major equipment purchases or contracts. Include brief resumes and references for known, key personnel, contractors, and suppliers as an attachment to your The City and Borough of Sitka (CBS) will utilize the Finance AM ki; c Works Departments to execute this project. The accounting staff of the Finance Department will provide grant accounting services, and the engineering staff of the Public Works Department will provide a project manager. The Public Works engineering staff consists of the municipal engineer, two civil engineers, one architect/project manager, one CAD technician and two clerical staff members. The work will be designed by a consultant selected in a performance -based procurement. When the design is complete, the consultant will prepare bid documents that will result in the selection of the general contractor that satisfies the minimum qualifications and submits the lowest bid. All invoices and pay requests will be reviewed and, when acceptable, approved by the CBS project manager. The project manager will oversee the work, review and approve pay requests and submit them to the accounting staff for payment and recordkeeping. If any owner -furnished materials will be used AEA 15003 Page 7 of24 7/2/14 Renewable Energy Fund Round VIII 0L,; Grant Application — Heat Projects 411111111111-->ENERGY AUTHORITY on the project, they will be procured and tracked according to established CBS procedures. The resume for the CBS project manager is attached. The CBS and maintains the wastewater treatment 3.4 Project Communications Discuss how you plan to monitor the project and keep the Authority informed of the status. Please provide an alternative contact person and their contact information. The CBS project manager will be the sole point of contact for the design consultant, the general contractor and the Authority. In this way, all project communication will be funneled through one individual who will be well-informed of the project status. The project manager will report to AEA on milestones and submissions on a monthly basis. These reports will be augmented by a grant funding expenditures report prepared by the grant accountant. In the absence of the project manager, a temporary project manager will be assigned. The project manager will brief the temporary project manager on the status of the project and upcoming milestones. The project manager will formally notify all interested parties of the change, and will provide contact information for the temporary project manager. The temporary project manager will be a qualified individual from the CBS Public Works Department. 3.5 Project Risk Discuss potential problems and how you would address them. The risk is minimal with this project. The technology is proven, CBS has experienced public works and accounting staff members assigned to the project and good relationships with talented designers and builders. Although using wastewater plant effluent as a building heat source has not been tried in Alaska, the basic design concept is similar to that employed at the Whistler's Athletes Village in British Columbia, Canada, since 2010. This project, now called Cheakamus Crossing, extracts valuable heat from the WWTP effluent and supplies source flow to heat pumps for buildings in a mixed residential/commercial development. A potential risk is that a complication not identified in the feasibility study conceptual design is discovered during the design phase, although this risk has been mitigated by a follow-up WWTP HVAC evaluation (see Attachment 4), A complication of this kind could increase the construction cost estimate and potentially extend the project schedule. Depending on the nature of the problem, we would seek additional CBS funding or value -engineer the scope to within existing budget. Another potential risk is that CBS would prefer to complete design and construction of AEA -eligible improvements along with AEA -ineligible HVAC improvements. Design and installation of the project would be more efficiently performed as a single project as opposed to two separate projects. CBS is pursuing funding for the HVAC improvements. However, CBS commits to meet AEA's schedule reauirements if funding for the AEA -ineligible work is not made available. 3.6 Project Accountant(s) TeII us who will be performing the accounting of this Project for the Grantee and include contact information, a resume and references for the project accountant(s). In the electronic submittal, please submit resumes as separate PDFs if the applicant would like those excluded from the web posting of this application. If the applicant does not have a project accountant indicate how you intend to solicit project accounting support. Brenda Calkins will be responsible for project accounting. Her resume is included in Attachment 3. � AEA 15003 Page 8 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects ®=1111FLD ENERGY AUTHORITY 3.7 Financial Accounting System Discuss the accounting system that will be used to account for project costs and who will be the primary user of the accounting system. The City and Borough of Sitka uses New World Systems Logos software. This is software specifically designed for government entities utilizing Fund accounting and tracking projects funded by grants, loans and other internal funding sources. The software sets a budget control for the project that is set for the life of the project. This can be adjusted with the appropriate level of authority. The Grant Accountant is a dedicated position within the City and Borough tasked with tracking the costs for all projects and ensuring all reporting requirements are met. This position is the primary user of the Projects module within the software system. Additionally, the module is easily accessible for the project managers and others with a need to review project costs and progress. 3.8 Financial Management Controls Discuss the controls that will be utilized to ensure that only costs that are reasonable, ordinary and necessary will be allocated to this project. Also discuss the controls in place that will ensure that no expenses for overhead, or any other unallowable costs will be requested for reimbursement from the Renewable Energy Fund Grant Program. The invoice from a vendor is approved by the project manager and routed through Public Works for the appropriate approvals. This includes routing through Finance with the Grant Accountant and either the Finance Director or Deputy Finance Director. The payment then is approved by the Administrator. After all the approvals have been given, it is sent to Accounts Payable for processing. The purposes of the reviews is to have multiple sets of eyes looking at a transactions from multiple perspectives. At any stage along the line, the process can be stopped and the questions of the individual who stopped it addressed and resolved. Projects are maintained in a separate fund that does not have any overhead charges allocated to it. SECTION 4 —PROJECT DESCRIPTION AND TASKS � The level of information will vary according to phases) of the project you propose to undertake with grant funds. If some work has already been completed on the project and the funding request is for an advanced phase, submit information sufficient to demonstrate that the preceding phases are satisfied and funding for an advanced phase is warranted. 4.1 Proposed Energy Resource Describe the potential extent/amount of the energy resource that is available. Discuss the pros and cons of your proposed energy resource vs. other alternatives that may be available, in the market, to be served by your project. For pre -construction applications, describe the resource to the extent known. For design and permitting or construction projects, please provide feasibility documents, design documents, and permitting documents (if applicable) as attachments to this application. The proposed renewable heat resource is the effluent from the wastewater treatment plant. The amount of heat available from the effluent is limited by the flow and temperature of the effluent. To match the design load, 220 gpm of effluent will be required, which can be supplied by the existing effluent pump. As the effluent temperature is between 46 and 53°F, as seen on the figure below for the time period of September 2008-May 2009, the system efficiency will be greater than ground. source or seawater source heat pumps. AEA 15003 Page 9 of 24 7/2/14 Renewable Energy Fund Round VIII A&ZfLA� Grant Application — Heat Projects �6MV)ENERGYAUTHORFY Sitka Seawater and WWTP Average Temperatures over the 2008 - 2009 Heating Season 56 54 52 —W6ste W61e7 i2e~l Vlwit So Elthienl LL �-$elN7tel As — - — "e Cd 6t NOAA NOS Slow 46 AA — I 42 — Fttp&wd Wr Um WIQN. 40 - — - - FVA. iaa,%n4vslr. 38 W. M 1111e601 8/27/2008 10/16/2003 12/5/2008 1/24/2009 1/IS/2009 5/4/2009 WA- ef&t teR As the effluent is a readily available and reliable source of 46F to 53F heat, the heat pump system will be effective in significantly reducing the reliance on heating oil. As the hydronic heat from the heat pump at 115F will be a lower temperature than the HVAC is designed for (180F), upgrades in heating appliances will be required to compensate for the lower temperature of the heat supply. The feasibility of the effluent heat pump was compared to ground source heat pumps and air source heat pumps in a July 2012 report by Alaska Energy Engineering, LLC. This feasibility report is included as Attachment 1, and serves as the technical and financial basis for proceeding with the effluent source heat pumps as a viable alternative to heating oil or electric heat for the facility. The effluent heat pump system had the lowest life cycle cost of the three alternatives studied. The use of WWTP effluent has already proven to be technically and economically feasible since 2010 at the Whistlers Athletes Village (now called Cheakamus Crossing) outside Vancouver, BC. Effluent is used there to successfully heat a ground loop that supplies heat pumps in every residential and community building in this development. 4.1.1 For Biomass Project only Identify any wood inventory questions, such as: • Ownership/Accessibility. Who owns the land and are their limitations and restrictions to accessing the biomass resource? • Inventory data. How much biomass is available on an annual basis and what types (species) are there, if known? Please attach any forest inventory reports N/A 4.2 Existing Energy System 4.2.1 Basic configuration of Existing Heating Energy System Briefly discuss the basic configuration of the existing energy system. Include information about the number, size, age, efficiency, and type of generation. The Wastewater Treatment Plant currently has a mechanical room with two 954 MBH oil boilers. One boiler —with an AFUE rating of 68% — has reached the end of its useful life, but is still in use. The other boiler was replaced in 2012 with a new unit with AFUE rating of 80%. The proposed base case includes replacing the remaining low -efficiency boiler with a new 954 MBH unit. AEA 15003 Page 10 of24 7!2/14 Renewable Energy Fund Round VIII ', Grant Application — Heat Projects ��ENERGYAUTHORITY 4.2.2 Existing Heating Energy Resources Used Briefly discuss your understanding of the existing energy resources. Include a brief discussion of any impact the project may have on existing energy infrastructure and resources. The existing energy resource used is #1 heating oil with a current price of $4.32 per gallon (as presented in the Round 8 AEA Economic Model). The price of heating oil is driven heavily by the global price of oil, which is estimated to escalate at a minimum of 6% per year of the 20 year life of this project. Grid electricity is supplied by the City and Borough of Sitka. The power is nearly 100% hydropower from two sources — Blue Lake and Green Lake — with supplemental diesel being consumed in years with lower rainfall. CBS is in the process of increasing the storage and capacity of Blue Lake Hydro, which will decrease the intermittent diesel generation. The current effective price of grid electricity paid by CBS for the Wastewater Treatment Plant is $0.115/KWH. Electricity is estimated to escalate at a rate of 2% per year over the 20 year life of the project. The 2% per year electricity escalation rate is equivalent to that currently used by CBS electric department for its capital projects (inclusive of Blue Lake Hydro), and reflects the fact that grid power in Sitka is nearly 100% hydro with diesel generation only used for occasional back up supply. r Existing Heating Energy Market ss existing energy use and its market. Discuss impacts your project may have on energy mers. 70% of space heating in Sitka is supplied by heating oil, and 20% is supplied by electric resistance. With the highest proportion in Alaska, 3% of all heating in Sitka is provided by heat pumps. There is no plan to bring natural gas to Sitka, so expensive heating oil makes a logical target for displacement with cost-effective renewable energy heat sources. No effluent heat pump system currently exists in Sitka, and this project would be the first known example in Alaska. The project is not expected to have an impact on the rate of local electricity because the electricity consumption is approximately 0.1% of the local yearly consumption. 4.3 Proposed System Include information necessary to describe the system you are intending to develop and address potential system design, land ownership, permits, and environmental issues. 4.3.1 System Design Provide the following information for the proposed renewable energy system: 6 A description of renewable energy technology specific to project location Optimum installed capacity Anticipated capacity factor Anticipated annual generation 9 Anticipated barriers Basic integration concept • Delivery methods As described in the July 2012 Renewable Energy Feasibility Analysis by Alaska Energy Engineering, LLC, the most cost-effective renewable energy technology specific to the WWTP project location is an effluent heat pump. The effluent, with an average temperature nearing 50°F, passes by the boiler room, easing the integration of the heat source. The effluent from the WWTP would pass through an in -line screen prior to going through a stainless steel plate -and -frame heat exchanger; an antifreeze solution would be heated by the effluent on the other side of the heat exchanger. The refrigerant from the 868 MBH water -to -water heat pump unit would be heated by the antifreeze solution in the avnnnrnfnr i icinn tha vnnnr cmmnression cvcle. the heat Dump would then 'lift" this heat to 1150F AEA 15003 Page I f of 24 7/2/14 Renewable Energy Fund Round VIII �411w' 01-�Cl�f!► ----> Grant Application — HeatProjects MEW-) ENERGY AUTHORITY during the compression cycle, and then transfer the heat to the condenser loop to supply heating appliances. 220 gallons per minute of effluent will be required to provide sufficient heat to the evaporator under design load conditions. A variable frequency drive on the existing recycled effluent pump will provide the correct flow of effluent to the heat exchanger under varied heat load conditions. As the WWTP is currently designed for 180°F in its heating system, the air handlers, unit heaters, cabinet unit heaters and baseboard heaters would need to be replaced to increase the amount of surface area of heating coils to compensate for the 115°F temperature hydronic water supplied by the heat pump system. The optimum installed capacity is one high -efficiency water -to -water heat pump with 72 tons capacity. The total capacity of the proposed heat pump system is 72 tons, or 868,000 BTU/hour (868 MBH). This will provide 70% of the design heating load and 95% of the seasonal heating requirement. Backup heat would be supplied by a new 954 MBH fuel oil boiler in conjunction with a storage tank. The anticipated capacity factor for the heat pump is approximately 20%year round average, with higher use in winter and little or no use in summer, as the fuel oil boilers have been traditionally shut off from April to October. The anticipated annual heat generation is 1,415 MMBtu at an average COP of 4. The remaining 104 MMBtu will be produced by the backup heating oil boiler. There are no anticipated barriers for this technology. The use of effluent source heat pumps is already a proven method of viable heat recovery in the USA, Canada and Europe. Recent advancements in self-cleaning in -line filters upstream of effluent heat exchangers allow valuable heat in effluent to be used with relatively low maintenance requirements. The basic integration concept is to install the new heat pump and associated equipment inclose proximity to the air handler coils, and to an existing effluent recirculation line. The proposed arrangement allows integration into the existing facility with minimal cost and interruption of existing systems, and allows lower temperature heat to replace that provided now by existing boilers. Heat from the heat pumps will ultimately be delivered to new low -temperature heating appliances throughout the building via hydronic loops. The proposal is a direct result of the attached Renewable Energy Feasibility Analysis completed by Alaska Energy Engineering LLC in July 2012 under a Renewable Energy Round III grant. See Attachment 1. CBS also completed a Wastewater Treatment Plant Heating and Ventilation Systems Upgrade evaluation finalized by CH2M Hill on June 19, 2014, and included as Attachment 4. CBS needs to upgrade the HVAC system in the WWTP, which is past is useful life. We see the integration of the heat pump into the system as a subset of a larger project. The 2012 AEE report is the basis of this grant application. Where the two reports differed in their descriptions of the heat pump system, we went with the AEE report (i.e., a 72-ton unit as cited above vs. the 80-ton unit cited in the 2014 report). Our cost estimate, for example, is based on the $810,000 figure provided in the AEE report. We will use the CH2M Hill report to help us look at the HVAC replacement oroiect as a whole. 4.3.2 Land Ownership Identify potential land ownership issues, including whether site owners have agreed to the project or how you intend to approach land ownership and access issues. AEA 15003 Page 12 of 24 7/2/14 Renewable Energy Fund Round VIII �� ��- QJZ"A ww"96 Application — Heat Projects MIC) ENERGY AUTHORITY The entire project will be located on the Wastewater Treatment Plant property currently owned by CBS, so there are no known land ownership issues. 4.3.3 Permits Provide the following information as it may relate to permitting and how you intend to address outstanding permit issues. • List of applicable permits • Anticipated permitting timeline • Identify and discuss potential barriers No specific permitting requirements exist for effluent heat pumps. It is anticipated that a mechanical construction permit will be required from the City and Borough of Sitka for the HVAC upgrade and heat pump installation. It is anticipated that this permit can be obtained in a timely manner prior to construction. No serious challenges to obtaining the required permits are anticipated. 4.3.4 Environmental Address whether the following environmental and land use issues apply, and if so how they will be addressed: Threatened or endangered species • Habitat issues • Wetlands and other protected areas • Archaeological and historical resources • Land development constraints • Telecommunications interference • Aviation considerations • Visual, aesthetics impacts • Identify and discuss other potential barriers There are no environmental or land use issues anticipated in regards to this project, as the entire project will take place inside an existing building. The project will not impact endangered species, affect wetlands or habitat, encroach on archeological or historical buildings. No land development constraints will be encountered. The effluent heat pump will not impact telecommunications, aviation, visual, or aesthetic concerns. 4.4 Proposed New System Costs and Projected Revenues (Total Estimated Costs and Projected Revenues) The level of cost information provided will vary according to the phase of funding requested and any previous work the applicant may have done on the project. Applicants must reference the source of their cost data. For example: Applicant's records or analysis, industry standards, consultant or manufacturer's estimates. 4.4.1 Project Development Cost Provide detailed project cost information based on your current knowledge and understanding of the project. Cost information should include the following: • Total anticipated project cost, and cost for this phase • Requested grant funding • Applicant matching funds — loans, capital contributions, in -kind • Identification of other funding sources • Projected capital cost of proposed renewable energy system • Projected development cost of proposed renewable energy system Total anticipated project cost for design and construction is $740,000. The starting point of the cost aefimnfa uiac tha 9M9 AFF rennrt. Rased on AEA review comments arovided in the Round 7 "AEA AEA 15003 Page 13 of 24 7/2/14 Renewable Energy Fund Round VIII O 1 AQ ?" Grant Application — Heat Projects E)ENERGY AUTHORrrY Evaluations for Heat Applications," CBS felt it needed to take a hard look at this cost estimate to reduce the estimated capital costs if possible. We were able to reduce the project cost to $740,000 in 2016 dollars. The modifications are explained on Attachment 2. CBS will provide a cash match. Our FY2015 budget includes funding for replacement of Supply Fan 4 ($42,000), a retrofit of the WWTP air -handler units ($50,000) and a retrofit of the WWTP air control system ($21,000). These projects need to be completed, but CBS recognizes the money would be better -spent on the upgrade of the HVAC system as a whole. We will delay completing these projects until we determine whether funding is made available for the heat pump (AEA) or overall HVAC replacement (ADEC) projects. If we receive this Round VIII grant from AEA, we commit to contributing the $113,000 assigned to three identified projects on the heat pump project. The attached resolution (Attachment 7) from the CBS Assembly commits to this plan of action. Since we would be contributing $113,000 to the $740,000 project, the amount of grant funding we are requesting is $627,000. The anticipated incremental capital cost and development cost of the proposed effluent source heat pump system relative to the base case is $740,000. 4.4.2 Project Operating and Maintenance Costs Include anticipated O&M costs for any new facilities constructed and how these would be funded by the applicant. (Note: Operational costs are not eligible for grant funds however grantees are required to meet ongoing reporting requirements for the purpose of recording the impacts of AEA projects on the communities they serve.) Anticipated O&M costs for the proposed effluent heat pump system are as follows: Parts & maintenance (including labor) _ $10,650/year Fuel oil for 954 MBH boiler = $ 3,630/year Electricity for 868 MBH heat pump taa) 19% capacity factor = $ 15 300/year Total anticipated O&M costs = $29,580/year O&M costs will be funded by CBS from fees collected by its enterprise Wastewater Fund. 4.4.3 Heating Purchase/Sale The heat purchase/sale information should include the following: Identification of potential energy buyer(s)/customer(s) • Potential heat purchase/sales price - at a minimum indicate a price range • Proposed rate of return from grant -funded project All heat will be used on site by the Wastewater Treatment Plant. No heat will be sold to others. 4.4.4 Project Cost Worksheet Complete the cost worksheet form which provides summary information that will be considered in evaluating the project. Please fill out the form provided below and provide most recent healing fuel invoice that supports the amount identified in "Project Bene/us" subpart b below. Renewable Energy Source The Applicant should demonstrate that the renewable energy resource is available on a sustainable basis. Annual average resource availability. AEA 15003 Page 14 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects 4009D ENERGY AUTHOR" Unit depends on project type (e.g. windspeed, hydropower output, biomass fuel) One effluent heat pump will ensure a heat pump output capacity of up to 868,000 BTU/hour thru the entire heating season. The total annual output for the effluent heat pump system will be 1,344 MMBtu of heat. The energy sources will be available year-round. Treated wastewater effluent is generated on a year-round basis at temperatures consistently in excess of 46 degrees, and hydropower to power the pumps is available as described in Section 4.2.2. Existing Energy Generation and Usage a) Basic configuration (if system is part of the Railbelt' grid, leave this section blank) i. Number of generatorslboilerslother ii. Rated capacity of generatorslboilers/other iii. Generator/boilers/other type iv. Age of generators/boilers/other v. Efficiency of generators/boilers/other Two oil boilers 954000 BTU/h , our (total capacity of 1,908MBH) One unit at end of usable life; the other new in 2012 Estimated AFUE = 68% (old boiler), 80% (2012 boiler) b) Annual O&M cost (if system is part of the Railbelt grid, leave this section blank) i. Annual O&M cost for labor $6,828 ii. Annual O&M cost for non -labor $1,228 c) Annual electricity production and fuel usage (fill in as applicable) (if system is part of the Railbelt grid, leave this section blank) i. Electricity [kWh] ii. Fuel usage Diesel [gal] Other iii. Peak Load Average Load v. Minimum Load vi. Efficiency vii. Future trends d) Annual heating fuel usage (fill in as applicable) i. Diesel [gal or MMBtu] ii. Electricity [kWh) iii. Propane [gal or MMBtu] 15,030 gallons of #1 heating oil per year 1 The Railbelt grid connects all customers of Chugach Electric Association, Homer Electric Association, Golden Valley Electric Association, the City of Seward Electric Department, Matanuska Electric Association and Anchorage Municipal Light and Power. AEA 15003 Page 15 of 24 7/2/14 c) Annual electricity production and fuel usage (fill in as applicable) (if system is part of the Railbelt grid, leave this section blank) i. Electricity [kWh] ii. Fuel usage Diesel [gal] Other iii. Peak Load Average Load v. Minimum Load vi. Efficiency vii. Future trends d) Annual heating fuel usage (fill in as applicable) i. Diesel [gal or MMBtu] ii. Electricity [kWh) iii. Propane [gal or MMBtu] 15,030 gallons of #1 heating oil per year 1 The Railbelt grid connects all customers of Chugach Electric Association, Homer Electric Association, Golden Valley Electric Association, the City of Seward Electric Department, Matanuska Electric Association and Anchorage Municipal Light and Power. AEA 15003 Page 15 of 24 7/2/14 Renewable Energy Fund Round VIII �� Ai u Grant Application — Heat Projects �ENERGY AUTHORITY iv. Coal [tons or MMBtu] v. Wood [cords, green tons, dry tons] vi. Other a) Proposed renewable capacity Capacity of effluent heat pump = 868,000 BTU/hour (Wind, Hydro, Biomass, other) [kW or MMBtu/hr] b) Proposed annual electricity or heat production (fill in as applicable) i. Electricity [kWh] ii. Heat [MMBtu] 498 MMBtu/year = 474 MMBtu/year from effluent source heat pump, and 24 MMBtu/year from heating oil boiler back up c) Proposed annual fuel usage (fill in as applicable) i. Propane [gal or MMBtu] ii. Coal [tons or MMBtu] iii. Wood or pellets [cords, green tons, dry tons] iv. Other Electricity: 133,000 kwh/year Fuel oil: 840 gallons/year for backup heat a) Total capital cost of new system $740,000 b) Development cost $15,421 for feasibility study completed July 2012 under RE Fund Round 3 c) Annual O&M cost of new system $10,650 per year (parts, maintenance and labor) d) Annual fuel cost $15,300 per year for electricity for heat pumps $3,630 per year for heating oil Project Benefits a) Amount of fuel displaced for i. Electricity Heat iii. Transportation 14190 , gallons #1 heating oil will be displaced per year b) Current price of displaced fuel c) Other economic benefits 155 tons of CO2 emissions avoided per year AEA 15003 Page 16 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects ©® ENERGY AUTHORrY d) Alaska public benefits Effluent source heat pump system demonstrated and data collected from a public wastewater treatment facility throughout the Alaska winter. Heat Purchase/Sales Price a) Price for heat purchase/sale N/A Project Analysis a) Basic Economic Analysis Project benefit/cost ratio Payback (years) 16.9 years 4.4.5 Impact on Rates Please address the following items related to the proposed location of the heating project. If more than one building will be impacted, please address this information for each building. • �suuamg name Wastewater Treatment Plant • Type or primary usage of the Wastewater Treatment Plant • Location Sitka • Hours of operation • Single structure or multiple units two structures connected by a heated, walk-through utilidor • Total sauare footage • Electrical of 460,000 • Heating oil/fuel • Average number of occupants 6 employees, M-F from 7 a.m. to 4 p.m. • Has an energy audit been performed? When? Please provide a copy of the energy audit, if Yes. See 2009 energy audit at Attachment 6 (only relevant pages included). • Have building thermal energy efficiency upgrades been completed? o If applicable, please provide evidence of efficiency improvements including cost and anticipated savings associated with upgrades. AEA 15003 Page 17 of 24 7/2/14 Renewable Energy Fund Round VIII ©" Grant Application — Heat Projects t ENERGY AUTHOR -Y 2012 boiler replacement - $21,438 o Estimated annual heating fuel savings 12% more efficient heatina for 50 o of the heat • If the building is not yet constructed please provide evidence of the value of planned building envelope efficiency investments beyond typical construction practices. Include anticipated savings associated with efficiency investments if available. SECTION 5— PROJECT BENEFIT Explain the economic and public benefits of your project. Include direct cost savings, and how the people of Alaska will benefit from the project. The benefits information should include the following: • Potential annual fuel displacement (gallons and dollars) over the lifetime of the evaluated renewable energy project. In order for the applicant to receive credit for heating fuel displaced the applicant must provide the most recent invoice for heating fuel purchased. • Anticipated annual revenue (based on i.e. a Proposed Heat Purchase Agreement price, RCA tariff, or cost based rate) • Potential additional annual incentives (i.e, tax credits) • Potential additional annual revenue streams (i.e. green tag sales or other renewable energy subsidies or programs that might be available) • Discuss the non -economic public benefits to Alaskans over the lifetime of the project Potential Annual Fuel Displacement: 14,190 gallons of #1 heating oil/year usage will be displaced over the lifetime of the project. There are no anticipated revenue/incentives since the heat is not sold to others. Non -economic benefits to Alaskans: Estimated CO2 reduction in Sitka area of 155 tons/year from the proposed project. Additional benefit is that this effluent heat pump project will demonstrate, in a community WWTP facility, how effluent source heat pumps can carry building heat loads through the Alaska winter, and what overall savings are possible from using them. The demonstration of this facility could provide valuable information for similar facilities throughout the state. Another additional benefit is that less fuel oil will be shipped to Sitka, reducing the likelihood of an oil spill into Sitka Sound. Subsistence and commercial fishing are a crucial element in the local economy. SECTION 6— SUSTAINABILITY Discuss the operation of the completed project so that it will be sustainable. Include at a minimum: • Proposed business structure(s) and concepts that may be considered. • How the maintenance and operations of the completed project will be financed for the life of the project • Identification of operational issues that could arise. • A description of operational costs including on -going support for any back-up or existing systems that may be require to continue operation • Commitment to reporting the savings and benefits AEA 15003 Page 18 of 24 7/2/14 Renewable Energy Fund Round VIII ©GC©-�,__ Grant Application — Heat Projects dIIIIIIIIIIND ENERGY AUTHORITY The City and Borough of Sitka owns and operates multiple buildings and utilities in Sitka. The project budget allocates daily, quarterly, and annual service on the heat pumps, cleaning the heat exchanger cleaning the recycled effluent line and pump, as well as replacement of the heat pump after eighteen years. Operation and maintenance costs will be funded by the Wastewater Fund, which is funded by user fees. Due to the corrosive air in the wastewater treatment plant, corrosion would be expected to be greater than normal for the heat pump system equipment. To compensate for this, the heat pump equipment would be physically separated from the rest of the plant in a room that maintains a positive ventilation pressure to limit infiltration. Daily, monthly, and yearly maintenance are included in the economic analysis and will be included within the project requirements. This will help extend the unit life and ensure top performance. The City and Borough of Sitka is committed to reporting ongoing performance and savings not only for the purposes of this grant, but for application on other buildings that they own and operate. Temperatures, loop flow rates, electrical energy usage, heat production (MBH, MMBTU), and COP will be monitored for the new heat pump system. SECTION 7 — READINESS & COMPLIANCE WITH OTHER GRANTS Discuss what you have done to prepare for this award and how quickly you intend to proceed with work once your grant is approved. Tell us what you may have already accomplished on the project to date and identify other grants that may have been previously awarded for this project and the degree you have been able to meet the requirements of previous grants. To prepare for this award, CBS worked with Alaska Energy Engineering LLC to complete a Renewable Energy Feasibility Analysis for Harrigan Centennial Hall in July 2012. The study developed and compared alternatives to provide heat using renewable energy, provided a conceptual -level design and recommended a project. CBS then conducted a WWTP HVAC evaluation in 2013-2014, That study validated the conclusions of the feasibility report and investigated other improvements that should be made along with the replacement of the boilers with heat pumps. CBS has met the requirements of two previous AEA Renewable Energy Fund grants — one for the feasibility study mentioned above and one for a similar feasibility study at Harrigan Centennial Hall and the Kettleson Library. CBS certified that the AEA funds were spent in accordance with the grant terms and conditions on July 6, 2012, for the Centennial Hall and Kettleson Library study and on July 23, 2013, for the wastewater treatment plant study. CBS was awarded a Round VII grant for the installation of heat pumps at Centennial Hall. We are working with AEA to execute the grant agreement. SECTION 8 —LOCAL SUPPORT AND OPPOSITION Discuss local support and opposition, known or anticipated, for the project. Include letters of support or other documentation of local support from the community that would benefit from this project. The Documentation of support must be dated within one year of the RFA date of July 2, 2014. AEA 15003 Page 19 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects © ENERGY AUTHORTY See attached resolution from the Sitka Assembly (Attachment 7). Also attached are letters of support from the Sitka Conservation Society, the Sitka Economic Development Association and the Sitka Tribe of Alaska. Support letters can be found at Attachment 5. Overall, the concept of using heat pumps has been embraced by the community. Many individuals have realized cost savings at their own homes after installing heat pumps. There is no known opposition to this project. SECTION 9 — GRANT BUDGET Tell us how much you are seeking in grant funds. Include any investments to date and funding sources, how much is being requested in grant funds, and additional investments you will make as an applicant. 9.1 Funding sources and Financial Commitment Provide a narrative summary regarding funding source and your financial commitment to the project We are seeking $627,000 in grant funding. As stated in Section 4.4.1, the cost to design and construct this project is $740,000. The City and Borough of Sitka will be contributing $113,000 with a cash match. The source of the match is funding provided by our Assembly for three projects that we will not need to complete if the heat pump system is installed. The Assembly has agreed to this with the attached resolution. To date, CBS has spent $15,421 plus owner costs on a 2012 Feasibility Study to develop this concept (AEA funded) and $15,450 plus owner costs on a 2014 evaluation of the WWTP HVAC system. CBS has awarded notice to proceed on an $18,390 project to evaluate the "building envelope" at the WWTP to improve — among other things — insulation characteristics. AEA funding would help our chances of receiving ADEC grants and/or loans to complete the larger WWTP HVAC and building envelope projects. Without grant funding, we could rely on user fees to pay for the heating improvements. 9.2 Cost Estimate for Metering Equipment Please provide a short narrative, and cost estimate, identifying the metering equipment, and its related use to comply with the operations reporting requirement identified in Section 3.15 of the Request for Applications. Johnathan Heller, P.E., of Ecotope Inc described a monitoring system that would allow CBS to more easily complete the reporting required by the grant. The system would consist of a datalogger, current transducers, temperature sensors and onsite data collection. He estimated the cost for design and construction at $20,000. This cost is not included in the grant request. Applications MUST include a separate worksheet for each project phase that was identified in section 2.3.2 of this application, (I. Reconnaissance, II. Feasibility and Conceptual Design, III. Final Design and Permitting, and IV. Construction and Commissioning). Please use the tables provided below to detail your proposed project's budget. Be sure to use one table for each phase of your project. If you have any question regarding how to prepare these tables or if you need assistance preparing the application please feel free to contact AEA at 907-771-3031 or by emailing the Grants Administrator, Shawn Calla, at scaifa aRaidea.oro. AEA 15003 Page 20 of 24 7/2/14 Renewable Energy Fund Round VIII -_ Grant Application — Heat Projects A E� ENERGY AUTHORITY Phase 111: Final Design and Permilling Source of Matching Anticipated Grantee Funds: Milestone or Task Completion RE- Fund Matching Cash/ln- TOTALS Date Grant Funds Funds ki rS Grants/OtheslOthState Grants/Other Project scoping and contractor solicitation for planning and 8/2016 $ 4,514.40 $ 813.60 cash $ 61328,00 design Permit applications (as 412016 $ 1,128.60 $ 203.40 cash $ 1,332.00 needed Final EA and mitigation plans NA $ - $ - cash $ - as needed Resolution of land use, right- NA $ $ cash $ of -way issues Permit approvals 4/2016 $ $ cash $ Finals stem design 4/2016 $ 73,359.00 $ 13,221.00 cash $ 86,580.00 Engineers cost estimate 4/2016 $ 163929.00 $ 31051,00 cash $ 19,980.00 Updated economic and 5/2016 $ 53643,00 $ 1,017.00 cash $ 6,660.00 financial analysis Negotiated power sales agreements with approval NA $ - $ - cash $ - rates Final business and operational NA $ 115286.00 $ 2,034.00 cash $ 13,320.00 tan TOTALS $ 112,860.00 $ 20,340.00 $133,200.00 Bud et Categories: Direct Labor & Benefits $ 203314.80 $ 3,661.20 cash $ 23,976.00 Travel& Per Diem $ 1,128.60 $ 203.40 cash $ 1,332.00 Equipment $ 790,02 $ 142,38 cash $ 932.40 Materials & Supplies $ 338.58 $ 61.02 cash $ 399.60 Contractual Services $ 79,002.00 $ 14,238,00 cash $ 33,240.00 Construction Services $ $ cash $ Other $ 11,286.00 $ 21034,00 cash $ 13,320.00 TOTALS $ 112,860.00 $ 20,340,00 $ 133,200.00 AEA 15003 Page 21 of 24 7/2/14 Renewable Energy Fund Round VIII Grant Application — Heat Projects ®ENERGYAUTHORITY Phase N: Construction and Commissioning Milestone or Task Anticipated Completion Date RE- Fund Grant Funds Grantee Matching Funds Source of Matching Funds: Cashlln- kind/Federal Grants/Other State Grants/Other TOTALS Confirmation that all design and feasibility requirements are complete 5/20% $ $ - cash $ Completion of bid documents 512016 $ 253707,00 $ 43633,00 cash $ 306340.00 Contractorlvendor selection and award 7/2016 $ 25,707,00 $ 4,633.00 cash $ 30v340,00 Material procurement 8/2016 $ 1385817,80 $ 25,018.20 cash $ 163,836.00 Rough -in construction 912016 $ 107,969.40 $ 192458,60 cash $ 127,428.00 Finish construction 10/2016 $ 1285535.00 $ 23,165.00 cash $ 151,700.00 Integration and testing 11/2016 $ 419131,20 $ 7,412.80 cash $ 48,544.00 Decommissioning olds stems 11/2016 $ 259707.00 $ 4,633.00 cash $ 301340,00 Final acceptance, commissioning and start-up 12/2016 $ 17,994.90 $ 31243,10 cash $ 21,238.00 Operations Reporting 12/2026 $ 2,570.70 $ 463.30 cash $ 3,034.00 TOTALS $ 514,140.00 $ 92,660.00 $ 6063800.00 Budget Categories: Direct Labor & Benefits $ 923545.20 $ 16,678.80 cash $ 109,224,00 Travel & Per Diem $ 5,141.40 $ 926.60 cash $ 6,068.00 Equipment $ 3,598.98 $ 648.62 cash $ 4,247.60 Materials & Supplies $ 1,542.42 $ 277.98 cash $ 1,820.40 Contractual Services $ 359,898.00 $ 64,862.00 cash $ 424,760.00 Construction Services $ $ cash $ - Other $ 51,414.00 $ 9,266.00 cash $ 6056 00,00 TOTALS. $ 514,140.00 $ 92,660.00 $ 6063800,00 AEA 15003 Page 22 of 24 7/2/14 Renewable Energy Fund Round VIII ©© 01 n12Rn Grant Application — Heat Projects GEND ENERGYAUTHOPoTY SECTION 10 — AUTHORIZED SIGNERS FORM — CBS Community/Grantee Name: City and Borough of Sitka Regular Election is held: first Tuesday in October (two Date: October 7, 2014 of seven Assembly members up for re-election) Authorized Grant Signer(s): Printed Name Title Term Signature Mark Gorman Municipal Administrator NA I authorize the above persons) to sign Grant Documents: (Highest ranking or anization/communit /municipal official Printed Name Title Term Signature Mim McConnell I Mayor 10/2014 1 See Attachment 7 Grantee Contact Information: Mailing Address: City and Borough of Sitka 100 Lincoln Street Sitka, AK 99835 Phone Number: 907 747-1883 Fax Number: 907 747-3158 E-mail Address: davidl cCWtyofsitka,com Federal Tax ID #: 92-0041163 Please submit an updated form whenever there is a change to the above information. AEA 15003 Page 23 of 24 7/2/14 Renewable Energy Fund Round VHI �401F) Ol_A Grant Application — Heat Projects C)ENERGY AUTHORrY SECTION 11 - ADDITIONAL DOCUMENTATION AND CERTIFICATION SUBMIT THE FOLLOWING DOCUMENTS WITH YOUR APPLICATION: A. Contact information and resumes of Applicant's Project Manager, Project Accountant(s), key staff, partners, consultants, and suppliers per application form Section 3A, 3.4 and 3.6. Applicants are asked to provide resumes submitted with applications in separate electronic documents if the individuals do not want their resumes posted to the project web site. B. Letters or resolutions demonstrating local support per application form Section 8. C. For heat projects only: Most recent invoice demonstrating the cost of heating fuel for the building(s) impacted by the project. See Attachment 8 for spreadsheet from a staff accountant. Although the prices shown are less than the $4.32 shown in the ISER model, we defaulted to the $4.32. D. Governing Body Resolution or other formal action taken by the applicant's governing body or management per RFA Section 1.4 that: Commits the organization to provide the matching resources for project at the match amounts indicated in the application. - Authorizes the individual who signs the application has the authority to commit the organization to the obligations under the grant. Provides as point of contact to represent the applicant for purposes of this application. Certifies the applicant is in compliance with applicable federal, state, and local, laws including existing credit and federal tax obligations. E. An electronic version of the entire application on CD or other electronic media, per RFA Section 1.7. F. CERTIFICATION The undersigned certifies that this application for a renewable energy grant is truthful and correct, and that the applicant is in compliance with, and will continue to comply with, all federal and state laws including existing credit and federal tax obligations and that they can indeed commit the entity to these obligations. Print Name ffl a r /L bjU/��-" �'l Signature Title /V�UW((Po l�dVr�(����Q�✓ Dater"mil/ AEA 15003 Page 24 of 24 7/2/14