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22CA 0 Total Project Cost ($) Enel§ Calculated baseline Installed nergy ncenhve Energy Solution # Usage (kWh) Usage (kWh) Savings (kWh) Rate ($/kWh) Incentive ($) 1 Calculated Energy Savings Totals y - 3 4 Calculated Savings Incentives 5 On -Peak Demand Reduction - On -Peak Demand Reduction (kW) Calculated Baseline Installed On -Peak Peak Demand Solution On -Peak On -Peak Demand Reduction # from above Demand (KW) Demand (KW) Reduction (KW) Incentive ($) 1 SA# 001-3275-20 p UPN # 353-16-0500834360 3 4 NOTE: For projects requiring M&V, attach any required baseline 5 or post -installation measurements and analysis, as specified in your approved M&V plan. Section• / Operation Statement appropriate boxes: No changes to the proposed solutions have been made since the Project Application Review and Approval and the Authorized agent verifies that the Application approved savings calculations are correct. O Due to changes to the proposed measures, appropriate adjustments in the savings calculations have been made. For measures with changes made during installation, use this section, and Sections 5 & 6 on page 2, to calculate the revised installed energy usage, O energy savings, peak demand reduction, and incentives. Attach the appropriate calculation backup: the output from the Estimation Software, Calculate Energy Savings Total or the calculation sheets that document the engineering calculations. Attach the following supporting documentation with this Installation Report, or email it to the SCE RCx program manager: Verification data as evidence of implementation. Updated savings calculations, where applicable. Copies of invoices for implementation, as proof of the Customers implementation costs. RCx Training Completion Form, including the trainingagenda, training materials, list of attendees, and measure persistence strategies. See the RCx Program Guidelines for more information on these items. . be completed only •u are requesting an HVAC Rebate: 1. HVAC Permit (if required). If a permit is required for any HVAC installation/replacement, 1 have provided the permit number below. (If no permit is required, leave this section blank.) Permit # Agency 2. Contractor Certification. If a contractor was used for any HVAC installation/replacement, this section must be completed by the contractor. By checking this box, I certify I am a licensed contractor and have followed applicable permitting requirements and, if required, that the HVAC permit information above is correct. ❑ Signature ot Contractor Name pease pnn a e Signature1, the Customer or Authorized Agent below, cerlily that (i) the Energy Efficiency Solutions have been completely installed, functionally tested and proven capable of operating and being maintained to perform in conformity with their design intent, and (ii) that a licensed contractor was used, where applicable, and all applicable permitting requirements for this installation were followed. The installation date of operation of the Energy Efficiency Solutions and any required monitoring data collection per approved M&V plan, are also certified. Signature Naine (please print) Title Date 22CA 0