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Application for Business Customers <br />2013 - 2014 Customized Installation Report <br />DIRECTIONS: After your project is Installed and operational, input the project Installation commencement and completion dates in the fields <br />provided. Review the Information from your Application Approval Letter. If nothing has changed, and the Information in Sections 5 and 6 is <br />correct, complete and sign Section 7 on page 2 of this Installation Report (IR) Form and submit both pages to SCE at one of the addresses <br />Business Incentives For overnight delivery: Fax: 626.633.3243 <br />Southern California Edison 6010 N. Irwindale Ave. E-mail: Businesslncentives@sce.com <br />P.O. Box 800 Irwindale, CA 91702 Questions? Call 800-736-4777 <br />Ii05@meatl, CA 91 77U-U8UU <br />UPN #: '353-16-0500831253 SA #: 005-5214-51 Project Name: Admhn and Maintenance Yard <br />Customer Name: City of Santa Ana, Customer's Authorized Agent: <br />Installation Commencement Date: Installation Completion Date: <br />5 <br />Solution Code <br />Solution Description Description of Existing Equipment J <br />LT -17492 <br />Interior LED fixture replacement (utilizing approved <br />n,m;noaecl <br />LT -85834 <br />Exterior LED fixture replacements (utilizing approved <br />Incentive <br />Rate ($IKwn) <br />1­1­t' <br />LT-78496 <br />LED Integrated Retrofit Kits <br />more <br />page <br />Total Project Cost ($) <br />.$458216.21 <br />Calculated Energy Savings Totals <br />281,618.4 <br />Calculated Savings Incentives <br />-In mswopdcoorpm„mN) <br />66,928.95 <br />On -Peak Demand Reduction (kW) <br />42.54 <br />sA # 005-5214-51 <br />UPN # 353-16-0500831253 <br />NOTE: For projects requiring M&V, attach any required <br />baseline or post -installation measuremenls and analysis, as <br />specified in your approved M&V plan. <br />Line # Solution Code Solution Description Description of Existing Equipment <br />M51 <br />3 <br />4 <br />Note: If submitting more than 5 Soh <br />page <br />2603 <br />Energy Savings <br />Calculated <br />Solution # <br />Baseline <br />usage (Kwn) <br />Installed Energy <br />usage (kwn) Savings (Kvuh) <br />Incentive <br />Rate ($IKwn) <br />Energy <br />Incentive ($) <br />1 <br />357,573.0 <br />938,828.4 218,744.6 <br />$ 0.08 <br />$ 97,499.57 <br />2 <br />73,102.0 <br />53,618.0 19,484.0 <br />$ 0.08 <br />$ 1,558.72 <br />3 <br />91,152.0 <br />47,762.2 43,389.8 <br />$ 0.08 <br />$ 3,471.18 <br />4 <br />10.95 <br />$ 1,642.50 <br />5 <br />Total Project Cost ($) <br />.$458216.21 <br />Calculated Energy Savings Totals <br />281,618.4 <br />Calculated Savings Incentives <br />-In mswopdcoorpm„mN) <br />66,928.95 <br />On -Peak Demand Reduction (kW) <br />42.54 <br />sA # 005-5214-51 <br />UPN # 353-16-0500831253 <br />NOTE: For projects requiring M&V, attach any required <br />baseline or post -installation measuremenls and analysis, as <br />specified in your approved M&V plan. <br />Line # Solution Code Solution Description Description of Existing Equipment <br />M51 <br />3 <br />4 <br />Note: If submitting more than 5 Soh <br />page <br />2603 <br />On -Peak Demand Reduction <br />Calculated <br />Solution <br />III from above <br />Baseline <br />On -Peak <br />Demand (KW) <br />Installed <br />On -Peak <br />Demand(KW) <br />On -Peak <br />Demand <br />Reducton(KW) <br />Peak Demand <br />Reduction <br />Incentive($) <br />1 <br />53.35 <br />21.76 <br />31.59 <br />$ 4,738.50 <br />2 <br />$ - <br />3 <br />23.10 <br />12.15 <br />10.95 <br />$ 1,642.50 <br />Total Project Cost ($) <br />.$458216.21 <br />Calculated Energy Savings Totals <br />281,618.4 <br />Calculated Savings Incentives <br />-In mswopdcoorpm„mN) <br />66,928.95 <br />On -Peak Demand Reduction (kW) <br />42.54 <br />sA # 005-5214-51 <br />UPN # 353-16-0500831253 <br />NOTE: For projects requiring M&V, attach any required <br />baseline or post -installation measuremenls and analysis, as <br />specified in your approved M&V plan. <br />Line # Solution Code Solution Description Description of Existing Equipment <br />M51 <br />3 <br />4 <br />Note: If submitting more than 5 Soh <br />page <br />2603 <br />