HomeMy WebLinkAboutAppendix A1 Aleutians Region 2010a
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14
Alaska Small Cities
Ener Efficiency and Conservation Block Grant (EECBG)
1. Name of City or Borough:
Grant Application, Option 1
(For option 2 applicantsm7ly)
Opt -In Technical Assistance
City of Akutan
Z. To what extent isthe community committed to coordinating, planning and working with the
contractor? Please describe.
The City ofAkutan commits to making staff available to coordinate with the selected service
provider to assist with project planning and allowing access to public buildings and facilities
targeted for this project inatime appropriate manner.
lWill in -kind support beprovided tothe project bythe community? ifso, please describe the types
ofin'Nndsupportthatareavaibb|e(|abor,stom8e'|odging,other)'andtheextenttovvhichit\s
Approximately 300 hours of city staff time and community volunteer time in planning, coordinating,
and helping with transportation to and from site of project.
4. If known, what buildings or facilities would the city like the contractor to focus on during the audit
portion ofthe work? If specific known opportunites exist in any of these buildings, please list them
in"additional comments" section below.
# Name ofBuilding o/Fad|h» � Street Address Sq�Ft. Sector
1. Community Library onfrontage street Public Building
Select from Arrow
—
��m���
_ a
�m����
' s
5. Select from Arrow
Ifadditional' space isneeded, please list other buildings /nthe ^4dditionm/comments" box below.
Page 2rf8
S. Summary ofproject
The City of Akutan has selected Option 1, opt -in technical assistance program. therefore, wawill
await the service provider's technical assistance prior to determining the full scope of work. The
City of Akutan have committed to provide in -kind services with assistance with transportation to
the projects and estimated value of $5,000. The city had specify one public building or facility
receive mnenergy audit orassessment bythe service provider:
1. Public Library
6.Additional Comments
NIA
Page 3of8
4 pa
Alaska Small Cities
Ener Efficiency and Conservation Block Grants
Name of City or Borough:
BudgetForm
City of Akutan
Table fuFull Project Budget
Line Funding Source Budgeted Amount
l� EE[BGfunds requested $42.200
2. City/borough matching orin-kind contributions $5.000
| 3. Funding from other sources* $O
4. Estimated total project cost $47.200 |
~ Identify other sources from line 3, and whether sources are confirmed or pending:
NfA
Table 8: EECBGFunding Breakdown
Please budget how the EECBG funding (Table A, line 1 above) breaks down between the following
categories. Please note that the energy audit cost column may not be more than 50 percent of the total.
EmpenseCategoheu Energy Audit Costs EEVN/ECoNCosts" Total |
Personnel $ $ $U
Travel $ $ $U |
Materials &Supp1ies $ $ $O
Equipment $ $ $O
Contractual $ $ $U |
� Total $0 $0 $O
**EEM: Energy Efficiency Measure, ECM: Energy Conservation Measure; defined in EECBG Funding
Announcement and Instructions document.
Budget Narrative
Please briefly describe the use of EECBG funds and any matching funds, as categorized above:
The City have committed to contributing in -kind contribution in the form ofassistance to transportation and
making available City staff and community volunteer time in planning, coordinating valued at $5,000 for this
project. The EECBG funds will be managed and reported on by the selected service provider.
Page 4of8
Ene
E
k,Filt.,r41K 10-175 (7 pages)
Alaska Small Cities
iciency and Conservation Block Grant (EECBG)
Grant Application, Option 3
(For option 3 applicants only)
Single -Stage Project: Ener Efficiency and Conservation easures
1. Name of City or Borough: City of Chignik
2. Please list the buildings or facilities that will receive energy efficiency and conservation measures.
# Name of Building or Facility Street Address
City Offices 105 Woody Lane
1.
2.
3.
4.
5.
6.
7.
8.
9.
Sa.Ft. Sector
Public Building
Select from Arrow
Select from Arrow
Select from Arrow
Select from Arrow
Select from Arrow
Select from Arrow
Select from Arrow
Select from Arrow
10. Select from Arrow
If additional space is needed, please list other buildings in the "additional comments" box below.
3. Summary of Project
This project is to repair the leaking roof, install a 2x4 pony ceiling and add a layer of insulation to the existing
Page 2 of 10
CH1G 0-175 (7 pages)
4. Description of the work to be conducted: (see instructions and sample application)
Category
a. Building Envelope
(insulation, weather stripping,
crack sealing, windows, doors,
etc.)
b. Building Heating System
(and/or air conditioning and
ventilation)
c. Building Lighting &
Controls (indoor and outdoor)
d. Electrical Equipment
(motors, pumps, refrigerators,
timers, controls, equipment, or
any other allowable electric
load retrofits)
Description of Work
Page 3 of 10
CHIG'IX, 10-175(7 pages)
e.Energy Conservation
Measures (human behavior
f. Other Measures
/ | Adopting workplace energy elffichencypolicies
Installing power strips on phantom electric loads
��
! � Posting signaQereminders about turning off equipment, etc.
F] Other (describe):
S. Will all fluorescent lamps and lighting ballasts be recycled?
6. Will any refrigerants be generated?
Yes
Yes
� �
No | |N/A
No Ifyes, will they berecycled?
No
7. Waste Disposal: Describe your waste disposal or recycling plan for any wastes that will be generated
by this project.
O.Estimated Metrics for Entire Project
a. Estimated energy saved per
Units Multiplier kBTUs
kWh electricity 10.3 O
Gal. ofdiesel orheating fuel 135�O 0
Gal. ofpropane 81,0 O
[IFufnatural gas 100U O
Other: U
Page 4of10
Describe your calculation
b. Estimated energy costs saved
per year:
Describe your calculation
'^
c.Estimated jobs created o/ FTE(Full Time Equivalents) See instructions
d.Full project simple payback
period calculation:
e.Estimated annual k8TUssaved
per grant dollar:
9.Additional Comments
NaN
O
_
�
kBTU/year/grant dollar savings
Page 5of1O
CHUG ll� 10-175 (7pages)
Alaska Small Cities
Ener Efficiency and Conservation Block Grants
Name of City or Borough:
BudgetForm
City of Chignik
Table A: Full Project Budget
Line Funding Source
I. EE[8Gfunds requested
' I. City/borough matching orin-kind contributions
/ l Funding from other sources*
4. Estimated total project cost
Budgeted Amount
�
�
�
$O
* Identify other sources from line 3, and whether sources are confirmed or pending:
Table8: EECBGFunding Breakdown
Please budget how the EECBG funding (Table A, line 1 above) breaks down between the following
categories. Please note that the energy audit cost column may not be more than 50 percent of the total.
Expense Categories / Energy Audit Costs E2N4/ECIVI Costs** Total
| Personnel onne| � E - $D
Travel ' � $ $O
Materials &Supp|ie� y � $ $O
Equipment � $ $O
Contractual
�
�
$
I
Total $D $O $0 |
**EEM: Energy Efficiency Measure, ECM: Energy Conservation Measure; defined in EECBG Funding
Announcement and Instructions document.
Budget Narrative
Please briefly describe the use of EECBG funds and any matching funds, as categorized above:
Page Oof1O
��U ����"A
u�:ENERGY AUTHORITY
Alaska Small Cities
Energy Efficiency and Conservation Block Grant [EECBG)
1. Name of City or Borough:
Grant Application, Option 1
(For option Iapplicants only)
Opt -In Technical Assistance
City of Cold Bay
2. To what extent is the community committed to coordinating, planning and working with the
contractor? Please describe.
The City of Cold Bay commits to making appropriate staff available to coordinate the projectwith
the selected service provider, toassist with project planning, and provide labor byour city public
«mrxo department. The time contributed by city staff will help stretch the limited project grant
dollars available.
lWill in -kind support beprovided tothe project bythe community? |fso, please describe the types
ufin-kind support that are available (|abor, storage, lodging, othe/)'and the extent towhich itis
The City of Cold Bay will contribute at least 4Ohours of planning and coordination with the
selected service provider. Our Public Works Department will contribute approximately V0hours of
labor by picking up materials from the airport and storing, and performing the energy efficiency
improvements that are to be identified by the City in coordination with the Contractor. The
approximate value of these in -kind donations is specified on the enclosed budget form.
4. if known, what buildings or facilities would the city like the contractor to focus on during the audit
portion of the work? If specific known opportunites exist in any of these buildings, please list them
in"additional comments" section below.
# Name ofBuilding orFad|hv Street Address So. Ft. Sector
City Office Building (City P.0.Box 10.Cold Bay, AK. 99571 5.744 Public Building
City Water Plant P.O, Box 10, Cold Bay, AK. 99571 2.080 Public Buildina
].
_ City Shop P.0.Box 1V.Cold Bay, AK 99571 2,464 Public Building
[�mun��� �V.�10.(��.�S�1 �� Public Building
4�
Select from Arrow
If additional space is needed, please list other buildings in the "Additional comments" box below.
Page 2uf8
S. Summary ofProject
The City of Cold Bay has selected Option 1.Opt-in Technical Assistance Program. Therefore,
we will await the service provider's technical assistance prior to determining the full scope of
The objective of this project iototake advantage ofnew technology inenergy efficiency. mdoing
so, the City of Cold Bay would like to coordinate with the selected service provider in identifying
efficient energy conservation measures to be taken that will reduce both the amount of energy
consumed and the associated high cost.
6.Additional Comments
Page 3nfO
*a ENERGY AUTHORITY
Alaska Small Cities
Energy Efficiency and Conservation Block Grants
Name of City or Borough:
BudgetForm
City of Cold Bay
Table A: Full Project Budget
Line Funding Source Budgeted Amount
| I. EE[BGfunds requested $13.500
� I. City/borough matching o/in-kind contributions $3.600
| 3. Funding from other sources* �
4. Estimated total projectcos� ! 't 17.200
* Identify other sources from line 3, and whether sources are confirmed or pending:
Table 8: EE[8GFunding Breakdown
Please budget how the EECBG funding (Table A, line I above) breaks down between the following
categories. Please note that the energy audit cost column may not be more than 50 percent of the total.
Expense Categories Energy Audit Costs EEK8/ECKACosts" Total
Personnel $O
| Travel $U
|
Materials &Supp|ies $0
Equipment $U
Contractual $0
Total So $U $O
**EEM: Energy Efficiency Measure, ECM: Energy Conservation Measure; defined in EECBG Funding
Announcement and Instructions document.
Budget Narrative
Please briefly describe the use of EECBG funds and any matching funds, as categorized above:
The City has committed to contributing $3.600 of in -kind contributions mextend the energy savings through
this project. The EECBG funds will be managed and reported on by the selected service provider. The
City will provide the service provider timely updates of our in -kind spending for each quarterly report.
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APR-17-2010 10:55 From:907F482214
To : 19077713930 Paae: 3/6
Ene
FALSE PASS 10-137 (4 pages)
Alaska Small Cities
Effldency and Conservation Block Grant (EECBG)
1_ Name of City or Borough:
Grant Application, Option 1
(For option 1 applicants only)
Opt -In Technical Assistance
City of False Pass
2. To what extent is the community committed to coordinating, planning and working with the
contractor? Please describe.
The City of False Pass commits to making appropriate staff available to coordinate the project
with the selected service provider, to assist with project planning, and to provide labor by our city
public works department. The time contributed by city staff will help stretch the limited project
grant dollars available.
3. Will in -kind support be provided to the project by the community? If so, please describe the types
of in -kind support that are available (labor, storage, lodging, other), and the extent to which it is
available.
The City of False Pass will contribute at least 40 hours of planning and coordination with the
selected service provider. Our Public Works Department will contribute approximately 80 hours of
labor by picking up materials from the airport and storing, and performing the energy efficiency
improvements that are to be identified by the City in coordination with the Contractor. The
approximate value of these in -kind donations is specified on the enclosed budget form.
4. If known, what buildings or facilities would the city like the contractor to focus on during the audit
portion of the work? If specific known opportunites exist in any of these buildings, please list them
in "additional comments" section below.
# Name of Building or Facility Street Address Si- Ft,
City Water Plant
1.
City Office Building (City
2. offices Community Centerl
Municipal Dock
3,
City Shop
4.
s.
P.O. Box 50, False Pass, AK. 99583
P.O. BOX 50, False Pass. AK. 99583
P.O. Box 50, False Pass, AK. 99583
P.O. Box 50, False Pass, AK. 99583
Sector
Public Building
Public Building
Other Public Facility
_ .
Public Building
Select from Arrow
If additional space is needed, please list other buildings in the "Additional comments" box below.
Page 2 of 8
APR-17-2010 10:55 From:907S482214
To:19077713930
Pase:4'6
FALSE PASS 1t137 4 pa es)
S. Summary of Project
The City of False Pass has selected Option 1, Opt -in Technical Assistance Program. Therefore,
we will await the service provider's technical assistance prior to determining theftth%cope of
work
The ob of this project is to take advantage of new technology ir energy efficiency, in doing
so. the City of False Pass would like to coordinate with the selected service provider in
identifying efficient energy conservation measures to be taken that will reduce both the amount
of energy uonsurned and the associated high cost.
6. Additional Comments
Page 3 of
APR-17-2010 10:56 From:9075482214 To:19077713930 Page:5'6
FALSE PASS 10-137 (4 pages)
Alaska Small Cities
Ener Efficiency and Conservation Block Grants
Name of City or Borough:
Budget Form
City of False Pass
Table A: Full Project Budget
I Line I Funding Source
I 1. EECBG funds requested
2_ City/borough matching orin-kind contributions
3. Funding from other sources*
4. Estimated total project cost
Budgeted Amount
$ 11,600
$ 3,600
$ 15,200
* Identify other sources from line 3, and whether sources are confirmed or pending:
Table B: EECBG Funding Breakdown
Please budget how the EECBG funding (Table A, line 1 above) breaks down between the following
cattiories. Please note that the energy audit cost column may not be more than 50 percent of the total.
• ._
Expense Categories Energy Audit Costs EEM/ECM Costs * * Total _
Personnel $ $0 I
Travel S $ 5 0
Materials & Supplies$ $ 0
Equipment $ $ 0
Contractual
$ 0
Total 1-$0 $ 0 A.
0 I
**EEM: Energy Efficiency Measure, ECM: Energy Conservation Measure; defined in EECBG Funding
Announcement and Instructions document.
Budget Narrative
Please briefly describe the use of EECBG funds and any matching funds, as categorized above:
The City has commi to contnbuting $3,600 of in -kind contributions to extend the energy savings through
this project. The EECBG funds will be managed and reported on by the selected service provider. The
City will provide the service provider timely updates of our in -kind spending for each quarterly report.
Page 4 of 8
I
- ENERGYAUThOR
Ener
1. Name of City or Borough:
PORT HEIDEN 10-163 (5 pages)
Alaska Small Cities
iciency and Conservation Block Grant (EECBG)
Grant Application, Option 1
(For option 1 applicants only)
Opt -In Technical Assistance
Port Heiden
2. To what extent is the community committed to coordinating, planning and working with the
contractor? Please describe.
Port Heiden is committed to improving energy efficiency in their city. Port Heiden Native Council
received an EECBG grant for on demand water heaters last year. They are compliant with
reporting tasks and accountability. The same commitment holds true for the City.
3. Will in -kind support be provided to the project by the community? If so, please describe the types
of in -kind support that are available (labor, storage, lodging, other), and the extent to which it is
available.
Lodging for an auditor can be provided by the City of Port Heiden. Mr. Carlson will provide historic
bench mark data. The City of Port Heiden will provide storage space for any equipment and
supplies needed for the duration of this project.
4. if known, what buildings or facilities would the city like the contractor to focus on during the audit
portion of the work? If specific known opportunites exist in any of these buildings, please list them
in "additional comments" section below.
# Name of Building or Facility Street Address So. Ft. Sector
Power Plant Public Building
1.
Select from Arrow
2.
Select from Arrow
Select from Arrow
4.
Select from Arrow
5.
If additional space is needed, please list other buildings in the "Additional comments" box below.
Page 2 of 8
5. Summary of Project PORT HEIDEN 10-163 (5 pages)
The City ofport Heiden has selected Option 1.opt-in technical assistance program, -1 hmrefore,
we will await the service provider's technical assistance prior mdetermining the full scope of
work and complete budget break down.
The designated service provider will assess the energy efficiency and conservation in one of our
public facilities and define improvements we can make to reduce energy costs.
Utility Manager Kristian Carlson has identified the power plant as in need of improved efficiency.
He has been discussing the technical issues already with Precision Power. He has been advised
that an audit is necessary before purchasing a new tier compliant generator, He is open to any
assistance and advice Port Heiden will receive.
6.Additional Comments
The City ioopen many suggestions from the Service provider.
Page 3of8
�,ENERGY AUTHORITY
PORT HE]DEN 10-163 (5 pages)
Alaska Small Cities
Ener Efficiency and Conservation Block Grants
Name of City or Borough.
Port Heiden
BudgetForm
Table A: Full Project Budget
Una Funding Source Budgeted Amount
1. EE[BG funds requested $13.000
l City/borough matching urin-kind contributions $
/
| l Funding from other sources* $
4� Estimated total project cost 1 $18,600
* Identify other sources from line 3, and whether sources are confirmed or pending:
TableQ: EECBGFunding Breakdown
Please budget how the EE[8Gfunding (Table 4,line labove) breaks down between the following
categories. Please note that the energy audit cost column may not be more than 50 percent of the total.
Expense Categories Energy Audit Costs EEIVI/EC&ACosto** Total
Personnel $ $ $Q �
Travel $ $ $O /
/ Materials &Supplies $ $ $O
Equipment $ $ $U
| contractual $ $ $O
Total $Q $O $O
**EEM: Energy Efficiency Measure, ECM: Energy Conservation Measure; defined in EECBG Funding
Announcement and Instructions document.
Budget Narrative
Please briefly describe the use of EECBG funds and any matching funds, as categorized above:
The City of Port Heiden has selected Option 1, opt -in technical assistance program. Therefore, we will
await the service provider's technical assistance prior to determining the EECBG Funding Breakdown. The
EECBGfunds will bomanaged and reported vnbythe selected service provider. The City will provide the
service provider timely updates of our cash and in -kind spending for each quarterly report.
Page 4of8