Energize Denver: Timeline Adjustment Application

This application is for buildings requesting a timeline adjustment.

Your application will be reviewed by city staff to determine if the building is eligible for additional assistance. You will be notified by email of your application status following its review. If you have questions regarding your application status reach out to the Building Performance Help Desk by phone (844)-536-4528 or by email energizedenver@denvergov.org.

To learn more about Energize Denver benchmarking and Performance Requirements visit: https://www.denver.gov/energizedenver

I. Personal Information

First Name *

Last Name *

Phone Number *

Email Address *

Relationship to Building *

Company Name *

II. Building Information

Denver Building ID * 🛈

Building Address *

Building Address 2

Building City *

Building Zip *

Building State *

- The Denver Building ID is a unique 4-digit number assigned to each individual building required to comply with the Energize Denver Benchmarking requirements. All Denver Building IDs and their corresponding addresses can be found on the Benchmarking Compliance Status Report.

III. Timeline Adjustment Reasoning

Timeline adjustment requested *

Reason(s) for Alternative Timeline (check all that apply) *

If you are planning to apply for a Timeline Adjustment due to delays in obtaining renewable energy, a signed power purchase agreement (PPA) or contract must be provided. Being on a waitlist does not guarantee kWh generation within a specified period of time.

Financial distress is defined as: (1) the building is the subject of a qualified tax lien sale or public auction due to property tax arrearages; (2) the building is controlled by a court appointed receiver; or (3) the building has been acquired by a deed in lieu of foreclosure.

No additional reasons will be considered under this selection.

For each reason checked, please provide additional details on why the adjustment is needed: *

Renewable Credits can be credited to the building’s total energy use before performance targets are evaluated. Please provide a rationale explaining why your building is unable to utilize renewable credit, such as installing on-site solar/wind or purchasing an off-site contract or subscription, to achieve its performance targets. *

IV. Documentation

It is REQUIRED that you submit the following documents with your Timeline Adjustment application. Applications missing any of the required documents will not be approved.

1. Energy Audit *

We use the Audit Template Tool provided by the Department of Energy as a standardized method to collect the audit information from building owners. The PDF generated from the audit tool will need to be uploaded here. The original audit can be uploaded within the “Supporting Documentation” section below.

Energy audits must meet the minimum requirements outlined here. Audits completed after January 1, 2020 will be accepted. Check the technical guidance for more information on accepting older audits.

2. Retrofit Plan *

This retrofit plan is intended to give CASR a summary look into what is going to be retrofitted and the implementation timeline.

The Retrofit Plan (Word or PDF document for submission) must cover four things:
• What improvements and upgrades are you going to perform to achieve the 2030 target?
• When are you going to perform the improvements or upgrades?
• How do those actions enable the building to meet the 2030 target?
• A proposal for performance evaluation timeline targets and reporting progress

The plan should be a maximum of 5 pages. You can create your retrofit plan using this template.

3. Operations and Maintenance Program *

Operations and Maintenance (O&M) Program documentation must follow ASHRAE Standard 100-2018 (ASHRAE 100), Section 6. Standard operating procedures should meet the specifications in Section 6, which addresses every applicable building system and element as outlined in Annex D and follows the implementation requirements laid out in Annex L. Addendum a to ASHRAE 100 updated Annex L, so building owners should refer to and follow this addendum when developing and implementing an O&M program.

The O&M program document submitted should at a minimum include the following information:
• O&M Objectives as described in ASHRAE 100, 6.2
• O&M Implementation in accordance with ASHRAE 100, 6.4 and Addendum a, Annex L
• O&M Tasks as described in ASHRAE 100, 6.4 and Annex D

Electrification Feasibility Report

An electrification feasibility report is only required if your application for a Timeline Adjustment involves the upgrade or replacement of natural gas or fossil-fuel powered space or water heating equipment, or a unitary air conditioner or heat distribution equipment that distributes heat from a boiler, that is near the end of its useful life (10 years or less).

Supporting Documentation

View Table 4 under Section 3.6.2.1 in the technical guidance for supporting documentation suggestions.

IV. Signatures

I, the undersigned authorized representative of the building owner, affirm and attest to the accuracy, truthfulness and completeness of the statements of material fact provided in this form. The information provided will be used to create a timeline adjustment agreement that will contain the new binding performance requirements for the building.

Date * +

Signature *

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