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2016
1020-BK-DEP4365 Rev. 7/2016
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TABLE OF CONTENTS
Page
Small Business Advantage Grant Program ............................................................... 1
Eligibility Requirements ......................................................................................... 2
Eligible Projects ............................................................................................... 2 Ineligible Projects/Project Costs ......................................................................... 3
Eligible Applicants ............................................................................................ 4 Ineligible Applicants ......................................................................................... 5
Step-by-Step Guide to Applying ............................................................................. 6
If Your Project is Awarded ..................................................................................... 8
DEP and Other Useful Contacts .............................................................................. 10
Small Business Advantage Grant Application Instructions ......................................... 12
Small Business Advantage Grant Application Checklist ............................................. 18
Small Business Advantage Grant Application Form ................................................... 19
Small Business Grant Program Land Owner Consent Form ....................................... 25
Advantage Grant Program Change of Scope Request Form ....................................... 26
Advantage Grant Program Project Completion Reimbursement Request ...................... 27
Advantage Grant Program One-Year Follow-Up Report ............................................. 29
Appendix 1 – Sample P2/E2 Quantifications ............................................................ 31
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Small Business Advantage Grant Program
The Pennsylvania Small Business Advantage Grant Program (AGP) provides 50 percent
reimbursement matching grants, up to $9,500, to enable Pennsylvania small businesses to adopt or acquire equipment or processes that promote Energy Efficiency (E2) or
Pollution Prevention (P2). Eligible projects must save the small business a minimum of $500.00 and at least 25 percent annually in energy consumption or pollution related expenses. Well-designed energy efficiency or pollution prevention projects can
encourage growth of the energy infrastructure by helping businesses cut operating costs, while simultaneously protecting the environment.
The statutory authority for this grant is Section 204(h) of the Act of Dec. 19, 1996 (P.L. 1478, No. 190), known as the Small Business and Household Pollution Prevention
Program Act (35 P.S. 6029.201 et seq.) Funding is limited and projects are reviewed in the order in which they are received until the appropriated grant monies have been
depleted for the fiscal year.
The Department of Environmental Protection (DEP) will begin accepting new applications for this program on July 25, 2016. A small business may submit more than one
application; however, no business or business with ownership in common can be awarded more than $9,500 from the program during the fiscal year. Business owners or business
representatives with an ownership stake of greater than 20 percent in any one of multiple businesses’ subsidiaries may only receive up to the maximum grant award of $9,500 per
year for those subsidiaries.
Applicants are encouraged to submit completed applications in as timely a fashion as possible.
Only project costs incurred on or after July 25, 2016 will be eligible with the exception of a deposit to hold a project price or contractor’s commitment. However, grants will be
awarded based on the application post marked date, date stamp for hand delivered applications, or date deficiency documents are received, WHICHEVER IS LATER.
Awards will be made until the fiscal year funding is depleted. At that point, applications
will be put on a waitlist in the event that funding becomes available during the fiscal year. Any applications remaining on the waitlist at the end of the fiscal year period will not be
funded. Based on the guidelines for the next round, if the applicant/project is eligible for the next round, the applicant would need to submit a new application.
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ELIGIBILITY REQUIREMENTS
PROJECT ELIGIBILITY
Eligible Projects
Eligible projects must save the small business a minimum of $500 and at least 25 percent annually in energy consumption or pollution related expenses.
DEP requires clear and readily understood calculations that demonstrate the project provides a savings of a minimum of $500 and at least 25 percent annually in energy
consumption and/or pollution output, over the equipment, process, business protocol or system components that are being replaced.
Direct savings must be generated from reduced energy consumption or pollution output. In most cases, projects eligible for a Small Business Advantage Grant will be
upgrades or replacements of existing equipment. Power factor correction penalties are not eligible energy cost savings.
A project that involves a new business or facility with new equipment rather than an upgrade or replacement may be eligible. The applicant in such a case must show that
the project, or project component for which funding is sought, provides a 25 percent savings over the average commercially available product or system of its type on the market today. Calculations of savings must be clear, concise and accompanied by
equipment examples for comparison when proposing new construction.
Eligible projects must install equipment that results in E2 or P2, adopt processes that reduce energy consumption, reduce consumption of raw materials, increase the reuse of raw materials on-site or reduce the production of waste.
Some examples of eligible projects include: energy efficient lighting, high efficiency furnaces, boilers and air conditioners, geothermal heat pumps, energy efficient
refrigeration, process equipment upgrades, waste recycling systems, or solvent recovery systems.
ENERGY STAR rated equipment is required if the type of equipment being installed is covered under the ENERGY STAR program (refer to
www.energystar.gov). (Exceptions to this include DLC Lighting, Commercial Boilers and APUs).
Applicants may receive electric utility incentives and Small Business Advantage Grant funding. Eligibility for the utility rebates or incentives is determined by the utilities
offering the incentives and is separate from this grant program. The rebate or incentive dollar amount must be included in the application where indicated and must be subtracted from the “Total Cost of Project.” Applicants are encouraged to review
E2 incentive offerings from their utility and should choose the incentive which best suits their needs but will not be permitted to make use of the rebate/incentive to
increase the “Total Eligible Cost of Project.” If a rebate not previously available for the project is acquired after the grant award is paid to the Applicant, the Applicant will be
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required to reimburse DEP the appropriate amount as it would have affected the grant award. The partial rebate should be noted on the application if known.
Projects involving the purchase of commercially available Auxiliary Power Units (APUs), bunk heaters, or other anti-idling technologies listed on the EPA Smartway Transport
Partnership website for trucking concerns are eligible and must be in compliance with the Pennsylvania’s Diesel Idling Restrictions (Act 124 of 2008). The purchase and
installation of high purity nitrogen tire inflation systems for use by small business's fleet vehicles are also eligible. All equipment must be installed in Pennsylvania to be eligible for this grant.
Trucking businesses and owner/operators must be domiciled and pay taxes in
Pennsylvania and must be able to prove that they are commercially licensed (CDL) by Pennsylvania. A photocopy of the Pennsylvania-issued CDL must be attached to the application.
No other projects related to mobile sources are eligible for funding under this program.
Please visit the DEP website to learn more about Act 124 of 2008 – www.dep.pa.gov, keyword: idling.
Ineligible Projects/Project Costs
Equipment or processes purchased or installed before July 25, 2016. For purposes of this program, "purchased" means that the project has been at least 50 percent paid for or that the applicant has entered into an agreement legally requiring the project be
installed prior to July 25, 2016.
Technology that is infeasible, unproven, unsound, or unsafe.
All residential rental units and dwellings, including rental housing, apartments, condominiums, student housing, independent living homes, and extended stay hotels with monthly rentals.
Window and through-wall air conditioning units, outdoor wood furnaces or outdoor wood boilers, wood stoves, and pellet stoves.
Vending or coin operated machines, including food and beverage coin operated machines, and washer and dryer coin operated machines, waste or recycling
dumpsters, transportation containers, or composting receptacles.
Coin operated car wash machines.
Thermostat.
Weather envelope related projects including roofing, siding, windows, doors, and insulation/air sealing.
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Equipment and processes focused solely on pollution control or pollution treatment, such as scrubbers, dust collectors, or filters.
Used or refurbished equipment.
Routine maintenance or repair of existing equipment or processes – for example:
Construction related energy efficiencies such as, roofing, siding, wiring or steam trap replacements or equipment that has failed due to improper operation or faulty preventative maintenance.
Research and development projects, demonstration projects or pre-production prototypes.
Fuel switching projects for power generation or heating that install technologies that increase pollution output; and projects that increase net pollution.
Electrical power runs, transformers, breaker panels, or electrical wiring.
Oil/natural gas transmission or distribution system piping.
Thermal or photovoltaic solar power wiring or piping systems or appurtenances.
Labor costs of the applicant’s own employees, even if such costs are incurred in the acquisition and installation of the project.
APPLICANT ELIGIBILITY
Eligible Applicants
Must be a for-profit business and be taxed as a for-profit business in Pennsylvania, and be appropriately registered with the Pennsylvania Department of State, Pennsylvania Bureau of Corporation & Charitable Organizations, 1-888-659-9962 or 717-787-1057.
Must have 100 or fewer employees for the entire company. This includes all employees worldwide for parent companies, subsidiaries, branch offices, and businesses under
management in common.
To count part-time employees, applicant should include its full-time equivalent employees. Small businesses are still eligible if they have 100 or fewer full-time equivalent employees.
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Businesses that are attached to a residence are eligible if the building is equipped with all of the following:
Separate utility meters;
A separate designated customer entrance; and,
The property is zoned for commercial business.
Commercial real estate landlords are eligible if they meet the following two requirements:
The landlord must be a small business located within Pennsylvania.
The building space or facility space being upgraded must be commercial space that is either currently occupied by a small business tenant or the space receiving the grant has a named small business tenant under contract
for planned occupation.
o Authorization from the property owner must be obtained by the tenant if the tenant is the grant applicant.
o A Land Owner Consent Form is required with the application.
Ineligible Applicants
For profit businesses that are not appropriately registered with the Pennsylvania Bureau of Corporation & Charitable Organizations may be deemed ineligible.
Non-profits, tax exempt organizations, local governments or municipal organizations, churches, charities and social clubs.
Applicants with current environmental violations.
Franchises. A franchise is defined as a form of business organization in which a firm which already has a successful product or service (the franchisor) enters into a continuing contractual relationship with other businesses (franchisees) operating under
the franchisor’s trade name and usually with the franchisor’s guidance, in exchange for a fee which often includes the payment of royalties and/or a percentage of profits. Examples of some include Subway, McDonalds, Taco Bell and car dealerships – Ford,
Chevy, Dodge, etc.
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STEP-BY-STEP GUIDE TO APPLYING
Any questions regarding the Small Business Advantage Grant Program should be directed to the Small Business Ombudsman’s Office – refer to the “DEP and other useful contacts
page”. 1. Identify the Project: Identify one or more P2 and/or E2 opportunities that will
enhance the company’s efficiency and productivity. Develop a plan for a project to implement those opportunities. Ascertain the cost of the proposed project and
determine the cost savings and potential environmental benefits that should result from the project’s implementation. A consultant, equipment vendor or small business assistance provider can help determine the cost and savings by determining the
current energy or resource consumption.
2. Application: Complete the Small Business Advantage Grant Application. Only the 2016 Application, 1020-FM-SBOO0140 7/2016 will be accepted for review. Applicants should keep a copy of all documents submitted to the Department. The
completed application must be post marked or hand-delivered on or after July 25, 2016. For a copy of the application package and to review the Program’s
administrative requirements, contact the DEP Grants Center at 717-705-5400 or from DEP’s website at www.dep.pa.gov search “Small Business Advantage Grant” and then click “Small Business Ombudsman’s Office”. To ask a technical question concerning a
project, write to [email protected] before submitting an application.
For an application to be considered complete it must contain the following items or it will be deemed deficient and be routed through the Deficiency Process.
Current 2016 application, publication number 1020-FM-SBOO0140 7/2016.
Small Business Advantage Grant Program Land Owner Consent Form (if applicable to your project).
Additional attachments and all applicable project literature, equipment
specifications, brochures, etc.
3. Application Review Procedures: Applications will be reviewed on a first-come,
first-served basis using the eligibility criteria stated in this document. Applications that do not meet program eligibility requirements will be deemed
ineligible.
Applications that lack required information will be deemed deficient. 4. Deficiency Process: If an application is missing any required information, it will be
deemed deficient and the application will be routed through the deficiency process. The applicant will have a one-time 15 day period in which to submit corrected
documentation.
When an application is deemed deficient, the application is no longer in the sequential
order of the original post marked date or hand delivered date as applicable. If the
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corrected documentation is received by DEP as noted above, the application will be placed in sequential order based on the date the documentation is received.
If an application remains materially deficient, the application will be deemed ineligible.
5. Project Selection: Project selection is made at the discretion of DEP, and is further
subject to the availability of funding.
Applicants selected for funding will receive a formal grant agreement as noted on the
next page.
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IF THE PROJECT IS AWARDED…
Grant Agreement: A formal grant agreement with DEP will be developed that includes a scope of work, budget and terms and conditions. Grantees will be required to sign the grant agreement and return the signature pages within 20 calendar days.
FAILURE TO DO SO MAY RESULT IN THE GRANT AWARD BEING RESCINDED. If all conditions are met, the applicant will receive the fully executed grant agreement via
U.S. mail.
Project Implementation: Only project costs incurred on or after July 25, 2016, will be eligible. Incurring project costs prior to receiving a fully executed grant agreement
is at the grantee’s own risk. No reimbursement will be made if the grant agreement is not approved and executed for any reason.
Project Completion Date: The project must be completed by June 30, 2017. NO TIME EXTENSION REQUESTS WILL BE REVIEWED OR APPROVED.
Project Change Of Scope Requests: If a change in the project is requested, a Change of Scope Request form must be completed and submitted as soon as possible. Each request for project scope change will be reviewed on a case-by-case basis. Please
note that the submission of the Change of Scope Request form does not guarantee approval.
Project Completion Reimbursement Request: Upon completion of the project, the grantee must submit a Project Completion Reimbursement Request (PCRR) form. Grant
disbursement cannot be made without approval of the PCRR form.
Payment: The grantee will be reimbursed for up to 50 percent of its total eligible
project costs. The grantee must prove that they have paid for the project in the PCRR. If the project is financed through a lease arrangement, the grantee will only be reimbursed for 50% of the amounts paid through June 30, 2017 up to $9,500.
Payment will be made to the grantee generally within 45 days of receipt of an approvable PCRR. If the grantee receives a rebate from a utility for any equipment or
component submitted as part of this grant application, eligible project costs will be reduced by the amount of the rebate. Utility rebates may not be used for match.
DEP may decline to pay the final invoice if it is received more than 30 days after project completion date. The grant may be closed and all funds liquidated.
One Year Follow-Up Report: The grantee must submit a One Year Follow-Up Report that includes 12 months of savings data occurring after the project completion date. The completed report must detail the environmental benefits and financial costs and
savings of the project realized over a 12-month period.
The follow-up report is used to enable the department to assess the program’s effectiveness. Note: failure to provide the One Year
Follow-Up Report within 13 months of completion of the project may result in revocation of the grant and may adversely affect applications
for future grant consideration.
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GRANT TERMINATION: DEP may terminate a grant agreement upon the request of the grantee. DEP may terminate a grant agreement and/or require the grantee to repay the grant
if:
The grant is used for any purpose other than the approved project.
The grantee made a material misrepresentation in the project application.
The grantee fails to comply with the follow-up reporting requirement.
The project is not or will not be in compliance with all applicable federal, state,
and local laws.
The grantee sells business to an otherwise ineligible applicant.
This grant may not be transferred or assigned to any other party absent explicit written approval from DEP. Approval of any such transfer or assignment is at the sole
discretion of DEP.
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DEP AND OTHER USEFUL CONTACTS
DEP SMALL BUSINESS OMBUDSMAN OFFICE 717-772-5160
Department of Environmental Protection Email the Ombudsman's Office – [email protected]
SMALL BUSINESS ADVANTAGE GRANT PROGRAM 717-772-5160
Small Business Ombudsman’s Office Department of Environmental Protection Email – [email protected]
SMALL BUSINESS POLLUTION PREVENTION ASSISTANCE ACCOUNT LOAN
PROGRAM 717-772-5160 Small Business Ombudsman’s Office
Department of Environmental Protection Email the Ombudsman's Office – [email protected]
DEP GRANTS CENTER
15TH Floor, RCSOB 400 Market St. Harrisburg, PA 17101
Phone: 717-705-5400 FAX: 717-705-5401
ENERGY AND POLLUTION PREVENTION RELATED INQUIRIES (REGIONAL OFFICES):
North-central Region: Michelle Ferguson – 570-327-3783
(Counties: Bradford, Cameron, Clearfield, Centre, Clinton, Columbia, Lycoming, Montour, Northumberland, Potter, Snyder, Sullivan, Tioga, and Union)
Northeast Region: Janet Warnick – 570-826-2475 (Counties: Carbon, Lackawanna, Lehigh, Luzerne, Monroe, Northampton, Pike, Schuylkill,
Susquehanna, Wayne, and Wyoming) Northwest Region: Geoff Bristow – 814-332-6681
(Counties: Butler, Clarion, Crawford, Elk, Erie, Forest, Jefferson, Lawrence, McKean, Mercer, Venango, and Warren)
South-central Region: Mark Hand – 717-705-4797 (Counties: Adams, Bedford, Berks, Blair, Cumberland, Dauphin, Franklin, Fulton,
Huntingdon, Juniata, Lancaster, Lebanon, Mifflin, Perry, and York)
Southeast Region: Heather Cowley – 484-250-5816 (Counties: Bucks, Chester, Delaware, Montgomery, and Philadelphia)
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Southwest Region: Sharon Svitek – 412-442-4137 (Counties: Allegheny, Armstrong, Beaver, Cambria, Fayette, Greene, Indiana, Somerset,
Washington, and Westmoreland)
Business Assistance Providers:
Pennsylvania’s Small Business Development Centers – Environmental
Management Assistance Program (SBDC-EMAP) phone: 877-ASK-EMAP or internet: www.askemap.org
Pennsylvania’s Technical Assistance Program (PennTAP) phone: 814-865-0427
www.penntap.psu.edu
Inquiries Regarding the Pennsylvania Uniform Construction Code:
www.dli.state.pa.us
Pennsylvania’s Department of Labor and Industry Phone: 717-787-3806 then select option 1
1020-FM-SBOO0140 Rev. 7/2016 COMMONWEALTH OF PENNSYLVANIA Instructions DEPARTMENT OF ENVIRONMENTAL PROTECTION SMALL BUSINESS OMBUDSMAN OFFICE
SMALL BUSINESS ADVANTAGE GRANT APPLICATION INSTRUCTIONS
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Each application will be reviewed as submitted. If an application is missing any required information it will be deemed deficient and the application will be routed through the Deficiency Process identified in the Step-By-Step Guide to Applying. Prior years’ application forms will be returned without review. All application fields must contain a response. If a portion of the application does not apply to a project, the abbreviation “NA” should be written in the information field. Utilize the fields on the form, if more space is needed attach additional sheets as required. Write the owner’s name and the application section number at the top of all extra pages. Staple all the sheets together. Type or print legibly all items except the owner’s signature in Section 10. Printed applications must be in black or blue ink. SECTION 1 - OWNER INFORMATION
Commonwealth of Pennsylvania Vendor ID#: An accurate Commonwealth of Pennsylvania vendor ID is required. The vendor ID number can be obtained by visiting www.vendorregistration.state.pa.us, click on Non-Procurement Vendor Site then Non-Procurement Registration Form or by calling 1.877.435.7363, Monday through Friday. Please note that the process to obtain a vendor ID number takes several days.
Federal Employee Identification Number (EIN): This information must be identical to that on file with the PA Vendor Data Management Unit.
Owner Name – Name of the owner, president or CEO of the applying business.
Company Legal Name – Must be legal name of the applying business. If operating under a fictitious name, include the legal name and fictitious name. Example: Jane Smith DBA Jane’s Flower Shop. This information must be identical to that on file with the PA Vendor Data Management Unit.
Enter the number of employees for the entire company worldwide. To count part-time employees, applicant should include its full-time equivalent employees. Must have 100 or fewer full-time equivalent employees.
Type of Entity – Check the applicable box.
Address – This information must be identical to that on file with the PA Vendor Data Management Unit.
Type of Business – Dentist, Hair Salon, Restaurant, Dry Cleaner, etc.
Telephone Number – Business telephone number.
Contact Name – Designated contact person for the company. All correspondence will be sent to this person.
Phone Number – Phone number of the designated contact person.
Email Address – Email address of the designated contact person.
1020-FM-SBOO0140 Rev. 7/2016 Instructions
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Permitted Facilities: You must check “Not Applicable” or identify the permitted processes in the spaces provided. Examples include, but are not limited to, the following: wastewater treatment systems, air purification systems or water treatment systems.
DEP permit type
Permit number
Date issued
Compliance status: Check “Yes” or “No” accordingly for any permitted processes or equipment at the company
SECTION 2 - PROJECT INFORMATION
Project Title – Identify the title of the project; for example “Installation of high efficiency boiler.”
Type of Project – Check appropriate box.
Technology Type – Check all boxes that apply to the project.
SECTION 3 - PROJECT COSTS AND TIMEFRAME The grant request may be up to a maximum of $9,500. The Amount of Grant Request cannot be more than 50 percent of the Total Eligible Cost of Project.
Total Project Cost – Total amount of the project.
Amount of Rebate/Incentive – Amount of rebate/incentive received for any equipment submitted as part of this application. Example: Act 129 rebate from utility company
Total Eligible Cost of Project – Total cost of project minus amount of rebate/incentive.
Amount of Grant Request – The amount of funding you are requesting.
Estimated Project Start Date – Estimated date that the project is to start. MUST BE ON OR AFTER July 25, 2016.
Estimated Project Completion Date – Estimated date that the project will be complete. MUST BE ON OR BEFORE JUNE 30, 2017.
SECTION 4 - PROJECT LOCATION Identify location where project investment is to be made. Do not use PO Box numbers. SECTION 5 - PROJECT SUBCONTRACTOR/VENDOR Identify all subcontractors providing equipment and services. Identify contact person’s name, title, phone number, and e-mail. Identify company name, address, and EIN number.
1020-FM-SBOO0140 Rev. 7/2016 Instructions
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SECTION 6 - PROJECT SCOPE/BENEFITS SUMMARY In this section, you will provide a detailed description of the project, including but not limited to the following:
What and how this funding will impact the business.
Describe what the project will accomplish and a timetable for the project tasks.
Explain how this project will reduce pollution or energy consumption and include an explanation of the economic and environmental advantages offered by this project over the current process or technology.
Include any process audit recommendations resulting from a site assessment of the process or service impacted.
Provide a statement quantifying any energy or resource reduction along with any pollution or emission prevention; for example, kWh saved or pounds of waste prevented, etc.
Provide the unit cost for each item, waste/emission or energy/resource in Section 8 ($/gal, $/kWh, $/Mcf, $/ton, $/month, etc.) of the application.
SECTION 7 - EQUIPMENT/CONTRACTED SERVICES Equipment and labor must be identified separately. Please do not indicate “see attached.” Provide an accurate, clear, detailed and itemized list of the following:
Equipment – Attach brochures, equipment specifications, or other information from the manufacturer or vendor which includes the following information:
Type of equipment, manufacturer, and model number
Cost of the equipment
Is the equipment ENERGY STAR rated (see exceptions) – Yes/No
Contracted Service/Labor (Labor costs of the applicant’s own employees, even if such costs are incurred in the acquisition and installation of the project, are not eligible).
Describe contracted service i.e., installation of LED lighting, HVAC, etc.
Cost of service
SECTION 8 - POLLUTION PREVENTION (P2) AND ENERGY EFFICIENCY (E2) QUANTIFICATION This section displays the type(s) of pollution being reduced, resource(s) usage being offset and the energy reduction described in SECTION 6 PROJECT SCOPE/BENEFITS SUMMARY. Total Cost Savings are also identified in this section. Complete Section 8.A. only if the project is pollution prevention. Complete Section 8.B. only if the project is energy consumption. Applicants submitting applications for Anti-Idling technology should complete Section 8.B. only. Note about new construction: For assistance calculating savings for projects not involving the replacement of existing equipment or materials, it may be helpful to refer to the EPA ENERGY STAR, Business Improvements website at www.energystar.gov.
1020-FM-SBOO0140 Rev. 7/2016 Instructions
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A. Pollution Prevention (P2) (Pollution, waste or emissions being reduced) EXISTING EQUIPMENT Use one line for each type of pollution, waste and/or emission.
Identify the type of pollution, waste, or emission.
Column A - Provide the Waste/Emission unit price and unit of measure.
Column B - Provide the Annual Volume and unit of measure.
Column C - Calculate the Annual Cost by multiplying the Waste/Emission Unit Price by the Annual Volume.
(Column A x Column B = Column C)
If you have multiple items, complete the equation above for each item and then total your Annual Cost (Column C) at the bottom of the EXISTING EQUIPMENT section. REPLACEMENT EQUIPMENT Use one line for each type of pollution, waste and/or emission.
Identify the type of pollution, waste, or emission.
Column A - Provide the Waste/Emission unit price and unit of measure.
Column B - Provide the Annual Volume and unit of measure.
Column C - Calculate the Estimated Annual Cost by multiplying the Waste/Emission Unit Price by the Annual Volume.
(Column A x Column B = Column C)
If you have multiple items, complete the equation above for each item and then total your Estimated Annual Cost (Column C) at the bottom of the REPLACEMENT EQUIPMENT section.
POLLUTION PREVENTION (P2) QUANTIFICATION RESULTS
Total Estimated Cost Savings (P2) – Existing Equipment Total Current Annual Cost minus Replacement Equipment Total Estimated Annual Cost. (Existing Equipment Total in Column – Replacement Equipment Estimated Total in Column C = Total Estimated Cost Savings)
Estimated Savings in Percentage (P2) – Total Estimated Cost Savings divided by Existing Equipment Total Current Annual Cost, multiplied by 100 = Estimated Savings in Percentage.
B. Energy Efficiency (E2) (Water, raw materials, energy being conserved etc.)
EXISTING EQUIPMENT Use one line for each type of energy and/or resource.
Identify the type of energy/resource.
Column A - Provide the Energy/Resource unit price and unit of measure.
Column B - Provide the Annual Volume and unit of measure.
1020-FM-SBOO0140 Rev. 7/2016 Instructions
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Column C - Calculate the Annual Cost by multiplying the Energy/Resource Unit Price by the Annual Volume.
(Column A x Column B = Column C)
If you have multiple items, complete the equation above for each item and then total your Annual Cost (Column C) at the bottom of the EXISTING EQUIPMENT section. REPLACEMENT EQUIPMENT Use one line for each type of energy and/or resource.
Identify the type of energy/resource.
Column A - Provide the Energy/Resource unit price and unit of measure.
Column B - Provide the Annual Volume and unit of measure.
Column C - Calculate the Estimated Annual Cost by multiplying the Energy/Resource Unit Price by the Annual Volume.
(Column A x Column B = Column C)
If you have multiple items, complete the equation above for each item and then total your Annual Cost (Column C) at the bottom of the REPLACEMENT EQUIPMENT section.
ENERGY EFFICIENCY (E2) CONSERVATION QUANTIFICATION RESULTS
Total Estimated Cost Savings (E2) - Existing Equipment Total Current Annual Cost minus Replacement Equipment Total Estimated Annual Cost. (Existing Equipment Total in Column C – Replacement Equipment Estimated Total in Column C = Total Estimated Cost Savings)
Estimated Savings in Percentage (E2) – Total Estimated Cost Savings divided by Existing Equipment Total Annual Cost, multiplied by 100 = Estimated Savings in Percentage.
SECTION 9 - RESULTS – SUMMARY OF SAVINGS In this section you will record your results for Pollution Prevention (P2) and Energy Efficiency (E2) from section 8.A. and/or 8.B.
Provide the Total Eligible Cost of this Project – Total Project Costs minus applicable rebate/incentive. Must match Total Eligible Cost of Project in Section 3.
Provide the Pollution Prevention (P2) Total Estimated Cost Savings from 8.A.
Provide the Pollution Prevention (P2) Estimated Savings in Percentage from 8.A.
Provide the Energy Efficiency (E2) Total Estimated Cost Savings from 8.B.
Provide the Energy Efficiency (E2) Estimated Savings in Percentage from 8.B.
In order to meet eligibility requirements, your equations must show that your project will save a minimum of $500 and at least 25% annually in energy consumption/pollution output.
1020-FM-SBOO0140 Rev. 7/2016 Instructions
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If the project resulted in both pollution and energy savings, the applicant can combine the Pollution Prevention (P2) Total Estimated Cost Savings from 8.A. with the Energy Efficiency (E2) Total Estimated Cost Savings from 8.B. in order to meet the minimum eligibility requirements of $500 and 25%. Complete the tables in Part 2.
Provide the Pollution Prevention (P2) Total Estimated Cost Savings from P2 in Part 1.
Provide the Energy Efficiency (E2) Total Estimated Cost Savings from E2 in Part 1.
Total Estimated Cost Savings: P2 + E2 = Total Estimated Cost Savings.
Provide the Pollution Prevention (P2) Total Annual Cost for EXISTING equipment from 8.A.
Provide the Energy Efficiency Annual Cost for EXISTING equipment from 8.B.
Total Current Annual Cost: P2 + E2 = Total Current Annual Cost.
Total Estimated Cost Savings: Total Estimated Cost Savings from Part 2 divided by Total Current Annual Cost x 100 = %.
SECTION 10 - COMPANY COMMITMENT
Identify Company Name – Must match Company Legal Name identified in Section 1.
Identify Name and Title of the owner, president, or CEO of the applying business.
Signature – Signature of owner, president, or CEO. Original signature is required.
Date – Date signed by owner, president, or CEO.
Email address of owner, president, or CEO.
Phone number of owner, president, or CEO.
1020-FM-SBOO0140 Rev. 7/2016 COMMONWEALTH OF PENNSYLVANIA Instructions DEPARTMENT OF ENVIRONMENTAL PROTECTION SMALL BUSINESS OMBUDSMAN OFFICE
SMALL BUSINESS ADVANTAGE GRANT APPLICATION CHECKLIST
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This checklist is provided as a tool to assist you in completing your application.
The applicant will save a minimum of $500 and 25 percent through the implementation of this grant assisted project.
The application is complete, legible and has an original signature.
Handwritten application is completed in blue or black ink.
All fields in the application have an entry. If a field is not applicable, indicate “N/A” or “None.”
The number of employees reported in Section 1 has been verified to be the total number of employees. Must have 100 or fewer employees for the entire company. This includes all employees worldwide for parent companies, subsidiaries, branch offices and businesses under management in common. Part time employees are added up to full time equivalent.
The Vendor ID Number on the application has been verified to be correct for the applicant.
The company name and address on the application have been verified to be identical to the company name and address registered with the Pennsylvania Vendor Data Management Unit.
Sufficient information has been provided to enable the department to evaluate the proposed project. This includes the manufacturer and model number for any equipment purchases and sufficient information to verify the calculated annual energy savings.
ENERGY STAR rated equipment is being proposed for grant reimbursement when the project equipment is in a category of equipment verified and rated by the ENERGY STAR Program. (See exceptions)
Brochures, equipment specifications or other information from the vendor are included.
The applicant certifies that any rebates or incentives have been subtracted from the “Total eligible cost of project” provided in Section 3.
Truck operators provide a copy of CDL.
The applicant has submitted the required one-year follow-up report for any prior SBA grants.
1020-FM-SBOO0140 Rev. 7/2016 COMMONWEALTH OF PENNSYLVANIA Application DEPARTMENT OF ENVIRONMENTAL PROTECTION SMALL BUSINESS OMBUDSMAN OFFICE
- 19 -
SMALL BUSINESS ADVANTAGE GRANT APPLICATION
Type or Print Legibly
SECTION 1 - OWNER INFORMATION
Commonwealth of Pennsylvania Vendor ID # EIN
Owner Name
Company Legal Name Number of Employees
Type of Entity: Sole Proprietorship Corporation Partnership Other
Address
City State Zip
Type of Business
Company Phone No. ( ) -
Contact Name Phone No. ( ) - Ext.
Email Address
Contact Preferences: Email U.S. Mail
Permitted Facilities must provide information on any permitted processes: Water, Wastewater, Waste Handling or Air Emissions. Compliance Status: Check “yes” if in compliance with the permit requirements or “No” if not in compliance with permit requirements. If “No”, please attach additional information explaining compliance status. Businesses not requiring permits please mark: Not Applicable
DEP Permit Type Permit Number Date Issued Compliance Status
1. Yes No
2. Yes No
3. Yes No
SECTION 2 - PROJECT INFORMATION
Project Title
Type of Project (check one) Replacement/Upgrade of Existing Equipment New Construction
Technology Type (check all that apply)
Lighting Industrial Equipment (refrigeration, pumps, compressors, etc.)
HVAC Auxiliary Power Units, Bunk Heaters, or Anti-Idling
Pollution Prevention/Material Recycling Other
SECTION 3 - PROJECT COSTS AND TIMEFRAME (Round down to whole dollar amounts)
Total Cost of Project $ Estimated Project Start Date
Amount of Rebate/Incentive $ Estimated Project Completion Date
Total Eligible Cost of Project $
Amount of Grant Request $
1020-FM-SBOO0140 Rev. 7/2016 Application
- 20 -
SECTION 4 - PROJECT LOCATION
Address (PO Box NOT acceptable)
City State Zip Code
Municipality County
SECTION 5 - PROJECT SUBCONTRACTOR / VENDOR – Note: List multiple contractors/vendors on additional sheets
A. Name Title EIN
Company Name
Address
City State Zip
Phone No. ( ) - Email
B. Name Title EIN
Company Name
Address
City State Zip
Phone No. ( ) - Email
SECTION 6 - PROJECT SCOPE/BENEFITS SUMMARY
SECTION 7 - EQUIPMENT/CONTRACTED SERVICES
EQUIPMENT – Include copy of brochure with application. (Please include costs. Do not indicate “see attached.”)
TYPE, MANUFACTURER & MODEL NUMBER COST
ENERGY STAR RATED YES/NO
$
$
$
LABOR
DESCRIPTION OF CONTRACTED SERVICE COST
$
$
$
1020-FM-SBOO0140 Rev. 7/2016 Application
- 21 -
SECTION 8.A. – POLLUTION PREVENTION (P2) QUANTIFICATIONS
EXISTING EQUIPMENT – Equipment currently being used at your place of business.
A B C
(A x B = C)
IDENTIFY TYPE OF WASTE/EMISSION
WASTE/EMISSION UNIT PRICE
& UNIT OF MEASURE ($/Gal., $/Ton, $/Lbs., etc.)
ANNUAL VOLUME & UNIT OF MEASURE (Gal., Ton, Lbs., etc.) ANNUAL COST ($)
$ $
$ $
$ $
$ $
$ $
TOTAL CURRENT ANNUAL COST: $
REPLACEMENT EQUIPMENT – Equipment being purchased for this project.
A B C
(A x B = C)
IDENTIFY TYPE OF WASTE/EMISSION
WASTE/EMISSION UNIT PRICE
& UNIT OF MEASURE ($/Gal., $/Ton, $/Lbs., etc.)
ANNUAL VOLUME & UNIT OF MEASURE (Gal., Ton, Lbs., etc.) ANNUAL COST ($)
$ $
$ $
$ $
$ $
$ $
TOTAL ESTIMATED ANNUAL COST: $
POLLUTION PREVENTION (P2) QUANTIFICATION RESULTS – SUMMARY OF SAVINGS IN TOTAL DOLLARS AND PERCENTAGE
TOTAL ESTIMATED COST SAVINGS (P2): EXISTING Equipment Total Current Annual Cost – REPLACEMENT Equipment Total Estimated Annual Cost ($ - $ = $)
$
ESTIMATED SAVINGS IN PERCENTAGE (P2): TOTAL ESTIMATED Cost Savings ÷ TOTAL CURRENT Annual Cost x 100 ($ ÷ $= x 100 = %)
%
1020-FM-SBOO0140 Rev. 7/2016 Application
- 22 -
SECTION 8.B. – ENERGY EFFICIENCY (E2) CONSERVATION QUANTIFICATIONS
EXISTING EQUIPMENT – Equipment currently being used at your place of business.
A B C
(A x B = C)
IDENTIFY TYPE OF ENERGY/RESOURCE
ENERGY/RESOURCE UNIT PRICE
& UNIT OF MEASURE ($/Gal., $/kWh, $/Mcf., etc.)
ANNUAL VOLUME & UNIT OF MEASURE (Gal., kWh, Mcf., etc.) ANNUAL COST ($)
$ $
$ $
$ $
$ $
$ $
TOTAL CURRENT ANNUAL COST: $
REPLACEMENT EQUIPMENT – Equipment being purchased for this project.
A B C
(A x B = C)
IDENTIFY TYPE OF ENERGY/RESOURCE
ENERGY/RESOURCE UNIT PRICE
& UNIT OF MEASURE ($/Gal., $/kWh, $/Mcf., etc.)
ANNUAL VOLUME & UNIT OF MEASURE (Gal., kWh, Mcf., etc.) ANNUAL COST ($)
$ $
$ $
$ $
$ $
$ $
TOTAL ESTIMATED ANNUAL COST: $
ENERGY EFFICIENCY (E2) CONSERVATION QUANTIFICATION RESULTS – SUMMARY OF SAVINGS IN TOTAL DOLLARS AND PERCENTAGE
TOTAL ESTIMATED COST SAVINGS (E2): EXISTING Equipment Total Current Annual Cost – REPLACEMENT Equipment Total Estimated Annual Cost ($ - $ = $)
$
ESTIMATED SAVINGS IN PERCENTAGE (E2): TOTAL ESTIMATED Cost Savings ÷ TOTAL CURRENT Annual Cost x 100 ($ ÷ $ = x 100 = %)
%
1020-FM-SBOO0140 Rev. 7/2016 Application
- 23 -
SECTION 9 - RESULTS – SUMMARY OF SAVINGS
TOTAL ELIGIBLE COST OF PROJECT: Must match Total Eligible Cost of Project in Section 3 Total Project Cost – Rebate/Incentive = TOTAL ELIGIBLE COST OF PROJECT ($ - $ = $)
$
PART 1
POLLUTION PREVENTION (P2) TOTAL ESTIMATED COST SAVINGS FROM 8.A. $
POLLUTION PREVENTION (P2) ESTIMATED SAVINGS IN PERCENTAGE FROM 8.A. %
ENERGY EFFICIENCY (E2) TOTAL ESTIMATED COST SAVINGS FROM 8.B. $
ENERGY EFFICIENCY (E2) ESTIMATED SAVINGS IN PERCENTAGE FROM 8.B. %
PART 2
***COMBINED POLLUTION PREVENTION (P2) AND ENERGY EFFICIENCY (E2) COSTS AND PERCENTAGE SAVINGS*** Complete below tables only if project resulted in both Pollution Prevention (P2) and Energy Efficiency (E2) savings and must be combined to meet minimum eligibility requirements of $500 and 25%.
Cost Savings
POLLUTION PREVENTION (P2) TOTAL ESTIMATED COST SAVING FROM ABOVE $
ENERGY EFFICIENCY (E2) TOTAL ESTIMATED COST SAVINGS FROM ABOVE $
TOTAL ESTIMATED COST SAVINGS (P2 + E2 = $) $
Percentage Savings
POLLUTION PREVENTION (P2) TOTAL CURRENT ANNUAL COST FOR EXISTING EQUIPMENT FROM 8.A. $
ENERGY EFFICIENCY (E2) TOTAL CURRENT ANNUAL COST FOR EXISTING EQUIPMENT FROM 8.B. $
TOTAL CURRENT ANNUAL COST (P2 + E2 = $) $
TOTAL ESTIMATED COST SAVINGS ÷ TOTAL CURRENT ANNUAL COST X 100 = % %
1020-FM-SBOO0140 Rev. 7/2016 Application
- 24 -
SECTION 10 - COMPANY COMMITMENT
The Owner, President or CEO of the applying business must sign this document. I certify that the information provided herein is true, accurate and complete to the best of my knowledge and belief. I have reviewed the grant application guidelines and understand the requirements of this grant program. Company Name: Name and Title: Email address: Phone Number: ( ) - Signature: (Original signature required)
Date:
Please submit one complete set of the application and any attachments, brochures, etc. to:
Mail:
Department of Environmental Protection Grants Center P.O. Box 8776 Harrisburg, PA 17105-8776
Applications must be postmarked or hand delivered on or after July 25, 2016.
Hand Delivered or Special Carrier:
Department of Environmental Protection Grants Center 15th Floor, RCSOB 400 Market St. Harrisburg, PA 17101-2301
Faxed or emailed applications will not be accepted. Do not include applications for more than one project in one envelope.
1020-FM-SBOO0215 9/2014 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION SMALL BUSINESS OMBUDSMAN OFFICE
- 25 -
SMALL BUSINESS ADVANTAGE GRANT PROGRAM LAND OWNER CONSENT FORM
This form should be completed only if both of the following are true:
(1) The proposed project would be a permanent improvement to a structure or building, such as a lighting system upgrade, HVAC system or system component, air curtain, insulation or other equipment that the Project Applicant will not remove even if it moves to another location; and
(2) The Project Applicant leases rather than owns the structure or building to which this grant would apply.
Project Applicant:
Project Address:
Building Owner:
Building Owner Contact Information:
Name of Parties to the Lease:
Term of Lease:
I hereby certify that I am legal owner of the property at the Project Address listed above. I further certify that I have reviewed the Small Business Advantage Grant application for the proposed project, that I agree to the installation/performance of the proposed project, that the proposed project does not violate the terms of my lease or other agreement with the Project Applicant and that I have no plans to remove or dismantle the proposed project in the foreseeable future.
By (Signature):
Print Name: Date:
This form must be completed and submitted with the original application. Signatures must be by land owner of property where project is to be implemented.
1020-FM-SBOO0140b 9/2014
- 26 -
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION
SMALL BUSINESS OMBUDSMAN OFFICE
ADVANTAGE GRANT PROGRAM CHANGE OF SCOPE REQUEST
Grant Document Number:
Grantee:
Project Title:
Project Change Requested:
Describe Reasons For This Change Request and Proposed Solution:
Describe Impact on Project (Time and Project Value (Cost?)):
Preparer of This Change Request/Title/Date:
Grantee Signature: Date:
For Further Information Regarding Changes to Commonwealth Agreements, Please See the Following Attachment to Your Agreement:
ATTACHMENT C – GENERAL CONDITIONS – PART 3. CHANGES
FOR DEPARTMENT USE ONLY
Change Request: Approved Denied
Reason:
Reviewer's Signature: Date:
1020-FM-SBOO0141 Rev. 7/2016 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION SMALL BUSINESS OMBUDSMAN OFFICE
- 27 -
ADVANTAGE GRANT PROGRAM PROJECT COMPLETION REIMBURSEMENT REQUEST
Section 1 - OWNER INFORMATION (Type or Print Legibly)
Owner's Name
Company Legal Name
Address
City State Zip
Contact Name
Phone No. ( ) -
Email Address
Owner Signature: Date:
Section 2 - PROJECT INFORMATION
Project Title
Total Cost of Project: $
Amount of Rebate/Incentive: $
Total Eligible Cost of Project (Actual total less rebate/incentive): $
Amount of Grant Request (50% of Total Costs of Project up to a maximum of $9,500): $
Project Start Date Project Completion Date
Grant Document Number (41 # from Page 3 of grant agreement)
Section 3 - SUMMARY OF THE WORK COMPLETED
Section 4 - ITEMIZATION OF EXPENSES
TYPE OF EQUIPMENT, MANUFACTURER & MODEL NUMBER
(Please include costs. Do not indicate “see attached”.) COST $
$
$
$
$
$
1020-FM-SBOO0141 Rev. 7/2016
- 28 -
CONTRACTED SERVICES (LABOR) COST $
$
$
$
$
Section 5 - PROOF OF PAYMENT
Please attach copies of the original invoices or receipts indicating the actual cost for equipment or contracted services to implement the project. Proof of payment must be provided, which can be the vendor’s invoice indicating a zero balance or marked “paid” by the vendor, the front and back of a canceled check, a credit card receipt, or any other documentation which shows proof that the equipment and contracted services for the project were paid. Please be aware that any purchases or payments made before July 25, 2016 will be considered ineligible as stated in the guidelines and will not be reimbursed (deposits to hold a project price or a contractor’s commitment are excluded).
Please return the completed report and back-up to the:
Pennsylvania Department of Environmental Protection Small Business Ombudsman
Advantage Grant Program 15th Floor, RCSOB
P.O. Box 8772 Harrisburg, PA 17105-8772
NOTE: ATTACHMENT "G" OF THE GRANT AGREEMENT EXECUTED WITH THE COMMONWEALTH OF PENNSYLVANIA IS THE "ONE-YEAR FOLLOW-UP REPORT". PLEASE PROVIDE A COMPLETED ONE YEAR FOLLOW-UP REPORT TO THE ABOVE ADDRESS WITHIN 13 MONTHS OF PROJECT COMPLETION. THE REPORT MUST BE PROVIDED OR THE GRANTEE MAY BE REQUIRED TO RETURN THE GRANT FUNDS TO THE COMMONWEALTH OF PENNSYLVANIA AND MAY ADVERSELY AFFECT APPLICATIONS FOR FUTURE GRANT CONSIDERATION.
Section 6 - FOR DEPARTMENT USE ONLY - APPROVED FOR PAYMENT
Small Business Ombudsman’s Office
SIGNATURE PAYMENT AMOUNT DATE
DEP Grants Center Approval
Grants Center Management Technician
Grants Center Administrative Officer
Date Submitted
Invoice Document #
Vendor Number:
Bank Routing Number:
Bank Account Number:
Funding Codes:
1020-FM-SBOO0140a Rev. 4/2016
- 29 -
COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF ENVIRONMENTAL PROTECTION
SMALL BUSINESS OMBUDSMAN OFFICE
ADVANTAGE GRANT PROGRAM ONE-YEAR FOLLOW-UP REPORT
Approximately one year ago your company was awarded grant funding from the DEP Advantage Grant Program to implement pollution prevention (P2) or energy efficiency (E2) improvements at your small business. The Small Business Advantage Grant Program is established to help small businesses refine their operations through the implementation of P2/E2 improvements. A condition of accepting the grant funds is the submission of a follow-up report quantifying the benefits realized since the P2/E2 improvements were implemented at your company. Please provide this report to our office within 30 days of the anniversary date of project completion. Note: Failure to provide the One-Year Follow-Up Report within 13 months of completion of the project may result in the grantee being required to return the grant funds and may adversely affect applications for future grant consideration.
(Type or print legibly.)
Grant Agreement #: 41 I. Owner Information
Owner Name
Company Name
Address
City State Zip
Company Phone No. ( ) -
Email Address
Contact Name Contact Phone Number ( ) - II. Project Location – No P.O. Box Site Name
Address
City State Zip
Municipality
County
Describe the impact this project has had on your business.
1020-FM-SBOO0140a Rev. 4/2016
- 30 -
III. P2/E2 Improvements Implemented
Attach additional sheets of paper if necessary.
1. Pollution Prevention or Energy Efficiency Equipment you agreed to install.
2. Describe any problems experienced during project implementation.
3. Provide before/after Pollution Prevention (P2) and Energy Efficiency (E2) results
A. Type of Pollution, Waste, or Emissions
Waste/Emission - Type, Unit Price, & Unit of Measure - $/Gal., $/Ton, $/Lbs., etc.
Pre-Grant Annual Volume and Cost
Current Annual Volume and Cost
Volume and Cost Annual
Savings
P2 TOTAL (A)
B. Annual Energy Usage/Resource Reduction and Costs
Energy/Resource – Type, Unit Price, & Unit of Measure - $/Gal., $/kwh., $/Mcf., etc.
Pre-Grant Annual Volume and Cost
Current Annual Volume and Cost
Volume and Cost Annual
Savings
E2 TOTAL (B)
4. Please note if your small business has added equipment, increased output or added hours of operation since the completion of the energy efficiency project for which you received this grant.
5. Is your company interested in sharing its pollution prevention and energy efficiency successes with others by acting as a mentor to other companies or serving as a success story?
Please return the completed report to the:
Pennsylvania Department of Environmental Protection Small Business Ombudsman’s Office Attn: Small Business Advantage Grant
P.O. Box 8772 Harrisburg, PA 17105-8772
- 31 -
APPENDIX 1
Example P2/E2 Quantifications
Example 1 – Replace Perc Dry Cleaning Equipment (includes both P2 and E2 quantifications)
Example 2 – Replace Incandescent Bulbs
with LED Bulbs
- 32 -
SEC
TIO
N 8
.A. –
PO
LLU
TIO
N P
REV
ENTI
ON
(P
2)
QU
AN
TIFI
CA
TIO
NS
EXIS
TIN
G E
QU
IPM
ENT –
Equ
ipm
en
t cu
rren
tly
bei
ng
use
d a
t yo
ur
pla
ce o
f b
usi
ne
ss.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
W
AST
E/EM
ISSI
ON
WA
STE/
EMIS
SIO
N U
NIT
PR
ICE
& U
NIT
OF
MEA
SUR
E ($
/Gal
., $
/To
n, $
/Lb
s., e
tc.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
To
n, L
bs.
, etc
.)
AN
NU
AL
CO
ST (
$)
Per
c W
ast
e $
8
Ga
l 4
5
Ga
l $
36
0.0
0
Per
c W
ast
e Fi
lter
s $
40
Fi
lter
2
Fi
lter
$
80
.00
$
$
$
$
$
$
TOTA
L C
UR
REN
T A
NN
UA
L C
OST
: $
44
0.0
0
REP
LAC
EMEN
T EQ
UIP
MEN
T –
Equ
ipm
en
t b
ein
g p
urc
has
ed
fo
r th
is p
roje
ct.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
W
AST
E/EM
ISSI
ON
WA
STE/
EMIS
SIO
N U
NIT
PR
ICE
& U
NIT
OF
MEA
SUR
E ($
/Gal
., $
/To
n, $
/Lb
s., e
tc.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
To
n, L
bs.
, etc
.)
AN
NU
AL
CO
ST (
$)
Hyd
roca
rbo
n W
ast
e $
7
Ga
l 2
0
Ga
l $
14
0.0
0
$
$
$
$
$
$
$
$
TOTA
L ES
TIM
ATE
D A
NN
UA
L C
OST
: $
14
0.0
0
PO
LLU
TIO
N P
REV
ENTI
ON
(P
2)
QU
AN
TIFI
CA
TIO
N R
ESU
LTS –
SUM
MA
RY
OF
SAV
ING
S IN
TO
TAL
DO
LLA
RS
AN
D P
ERC
ENTA
GE
TOTA
L ES
TIM
ATE
D C
OST
SA
VIN
GS
(P2
):
EXIS
TIN
G E
qu
ipm
ent
Tota
l Cu
rren
t A
nn
ua
l Co
st m
inu
s R
EPLA
CEM
ENT
Eq
uip
men
t To
tal E
stim
ate
d A
nn
ua
l Co
st (
$4
40
-
$14
0 =
$30
0)
$3
00
.00
ESTI
MA
TED
SA
VIN
GS
IN P
ERC
ENTA
GE
(P2
):
TOTA
L ES
TIM
ATE
D C
ost
Sav
ing
s ÷
TOTA
L C
UR
REN
T A
nn
ua
l Co
st x
10
0 (
$3
00
÷ $
44
0 =
0.6
8 x
10
0 =
68
%)
68
%
Ex
am
ple
1 –
Re
pla
ce
Perc
Dry
Cle
an
ing
Eq
uip
me
nt
– P
2
- 33 -
SEC
TIO
N 8
.B. –
EN
ERG
Y E
FFIC
IEN
CY
(E2
) C
ON
SER
VA
TIO
N Q
UA
NTI
FIC
ATI
ON
S N
ote
: S
ince there
is o
nly
energ
y e
ffic
iency s
avin
gs w
ith t
his
pro
ject, o
nly
sectio
n 8
.B n
eeds c
om
ple
ted.
EXIS
TIN
G E
QU
IPM
ENT –
Equ
ipm
en
t cu
rren
tly
bei
ng
use
d a
t yo
ur
pla
ce o
f b
usi
ne
ss.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
ENER
GY
/RES
OU
RC
E
ENER
GY
/RES
OU
RC
E U
NIT
P
RIC
E &
UN
IT O
F M
EASU
RE
($/G
al.,
$/k
Wh
., $
/Mcf
., e
tc.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
kW
h.,
Mcf
., e
tc.)
A
NN
UA
L C
OST
($
)
Per
c $
25
G
al
40
G
al
$1
,00
0.0
0
Filt
ers
$2
8
Filt
er
2 Fi
lter
$
56
.00
$
$
$
$
$
$
TOTA
L C
UR
REN
T A
NN
UA
L C
OST
: $
10
56
.00
REP
LAC
EMEN
T EQ
UIP
MEN
T –
Equ
ipm
en
t b
ein
g p
urc
has
ed
fo
r th
is p
roje
ct.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
ENER
GY
/RES
OU
RC
E
ENER
GY
/RES
OU
RC
E U
NIT
P
RIC
E &
UN
IT O
F M
EASU
RE
($/G
al.,
$/k
Wh
., $
/Mcf
., e
tc.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
kW
h.,
Mcf
., e
tc.)
A
NN
UA
L C
OST
($
)
Hyd
roca
rbo
n
$2
5
Ga
l 1
5
Ga
l $
37
5.0
0
$
$
$
$
$
$
$
$
TOTA
L ES
TIM
ATE
D A
NN
UA
L C
OST
: $
37
5.0
0
ENER
GY
EFF
ICIE
NC
Y (
E2)
CO
NSE
RV
ATI
ON
QU
AN
TIFI
CA
TIO
N R
ESU
LTS –
SUM
MA
RY
OF
SAV
ING
S IN
TO
TAL
DO
LLA
RS
AN
D P
ERC
ENTA
GE
TO
TAL
ESTI
MA
TED
CO
ST S
AV
ING
S (E
2):
EX
ISTI
NG
Eq
uip
men
t To
tal C
urr
ent
An
nu
al C
ost
min
us
REP
LAC
EMEN
T E
qu
ipm
ent
Tota
l Est
ima
ted
An
nu
al C
ost
($
105
6 -
$3
75 =
$6
81)
$6
81
.00
ESTI
MA
TED
SA
VIN
GS
IN P
ERC
ENTA
GE
(E2
): T
OTA
L ES
TIM
ATE
D C
ost
Sa
vin
gs
÷ T
OTA
L C
UR
REN
T A
nn
ua
l Co
st x
10
0
($6
81 ÷
$1
056
= 0
.64
x 1
00
= 6
4%
) 6
4%
Ex
am
ple
1 –
Re
pla
ce
Perc
Dry
Cle
an
ing
Eq
uip
me
nt
– E
2
- 34 -
SE
CT
ION
9 -
RE
SU
LT
S –
SU
MM
AR
Y O
F S
AV
ING
S
TO
TA
L E
LIG
IBL
E C
OS
T O
F P
RO
JE
CT
: M
ust
matc
h T
ota
l E
lig
ible
Co
st
of
Pro
ject
in S
ecti
on
3
Tota
l P
roje
ct C
ost – R
ebate
/Incen
tive =
TO
TA
L E
LIG
IBL
E C
OS
T O
F P
RO
JE
CT
($
- $
= $
) $
34
,00
0.0
0
PA
RT
1
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M 8
.A.
$3
00
.00
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
ES
TIM
AT
ED
SA
VIN
GS
IN
PE
RC
EN
TA
GE
FR
OM
8.A
. 6
8%
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M 8
.B.
$6
81
.00
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
ES
TIM
AT
ED
SA
VIN
GS
IN
PE
RC
EN
TA
GE
FR
OM
8.B
. 6
4%
PA
RT
2
**
*CO
MB
INE
D P
OL
LU
TIO
N P
RE
VE
NT
ION
(P
2)
AN
D E
NE
RG
Y E
FF
ICIE
NC
Y (
E2)
CO
ST
S A
ND
PE
RC
EN
TA
GE
SA
VIN
GS
***
Com
ple
te b
elo
w t
able
s o
nly
if
pro
ject
resulted in b
oth
Pollu
tio
n P
reven
tio
n (
P2)
and E
nerg
y E
ffic
iency (
E2)
savin
gs a
nd m
ust
be c
om
bin
ed t
o m
eet
min
imu
m
elig
ibili
ty r
equir
em
ents
of
$500 a
nd 2
5%
.
Cost S
avin
gs
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
FR
OM
AB
OV
E
$3
00
.00
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M A
BO
VE
$
68
1.0
0
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S (
P2 +
E2 =
$)
$9
81
.00
Perc
enta
ge S
avin
gs
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
FO
R E
XIS
TIN
G E
QU
IPM
EN
T F
RO
M 8
.A.
$4
40
.00
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
FO
R E
XIS
TIN
G E
QU
IPM
EN
T F
RO
M 8
.B.
$1
,05
6.0
0
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
(P
2 +
E2 =
$)
$1
,49
6.0
0
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S ÷
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
X 1
00 =
%
66
%
Ex
am
ple
1 –
Re
pla
ce
Perc
Dry
Cle
an
ing
Eq
uip
me
nt
– C
om
bin
ed
P2
an
d E
2
- 35 -
REP
LAC
EMEN
T EQ
UIP
MEN
T –
Equ
ipm
en
t b
ein
g p
urc
has
ed
fo
r th
is p
roje
ct.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
ENER
GY
/RES
OU
RC
E
ENER
GY
/RES
OU
RC
E U
NIT
PR
ICE
& U
NIT
OF
MEA
SUR
E ($
/Gal
., $
/kW
h.,
$/M
cf.,
etc
.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
kW
h.,
Mcf
., e
tc.)
A
NN
UA
L C
OST
($
)
80
LED
Bu
lbs –
9.5
wa
tt
$0.
11
kWh
4
,71
5.8
0
kWh
$
51
8.7
4
$
$
$
$
$
$
$
$
TOTA
L ES
TIM
ATE
D A
NN
UA
L C
OST
: $
51
8.7
4
ENER
GY
EFF
ICIE
NC
Y (
E2)
CO
NSE
RV
ATI
ON
QU
AN
TIFI
CA
TIO
N R
ESU
LTS –
SUM
MA
RY
OF
SAV
ING
S IN
TO
TAL
DO
LLA
RS
AN
D P
ERC
ENTA
GE
TO
TAL
ESTI
MA
TED
CO
ST S
AV
ING
S (E
2):
EX
ISTI
NG
Eq
uip
men
t To
tal C
urr
ent
An
nu
al C
ost
min
us
REP
LAC
EMEN
T E
qu
ipm
ent
Tota
l Est
ima
ted
An
nu
al
Co
st (
$3,5
49.2
6 -
$518
.74
= $
3,0
30.5
2)
$3
,03
0.5
2
ESTI
MA
TED
SA
VIN
GS
IN P
ERC
ENTA
GE
(E2
): T
OTA
L ES
TIM
ATE
D C
ost
Sa
vin
gs
÷ T
OTA
L C
UR
REN
T A
nn
ua
l C
ost
x 1
00
($
3,0
30.5
2 ÷
$3,
549
.26
= 0
.85
x 1
00
= 8
5%
) 8
5%
SEC
TIO
N 8
.B. –
EN
ERG
Y E
FFIC
IEN
CY
(E2
) C
ON
SER
VA
TIO
N Q
UA
NTI
FIC
ATI
ON
S
EXIS
TIN
G E
QU
IPM
ENT –
Equ
ipm
en
t cu
rren
tly
bei
ng
use
d a
t yo
ur
pla
ce o
f b
usi
ne
ss.
A
B
C
(A
x B
= C
)
IDEN
TIFY
TY
PE
OF
ENER
GY
/RES
OU
RC
E
ENER
GY
/RES
OU
RC
E U
NIT
P
RIC
E &
UN
IT O
F M
EASU
RE
($/G
al.,
$/k
Wh
., $
/Mcf
., e
tc.)
AN
NU
AL
VO
LUM
E
& U
NIT
OF
MEA
SUR
E (G
al.,
kW
h.,
Mcf
., e
tc.)
A
NN
UA
L C
OST
($
)
80
Inca
nd
esce
nt
Lig
ht
Bu
lbs –
65 w
att
$
0.1
1
kWh
3
2,2
66
kW
h
$3
,54
9.2
6
$
$
$
$
$
$
$
$
TOTA
L C
UR
REN
T A
NN
UA
L C
OST
: $
3,5
49
.26
Ex
am
ple
2 –
Re
pla
ce
In
ca
nd
es
ce
nt
Bu
lbs
wit
h L
ED
Bu
lbs
– E
2
Note
: S
ince t
here
is
only
energ
y e
ffic
iency
savin
gs in E
xam
ple
2,
only
Section 8
B.
nee
ds
com
ple
ted.
- 36 -
SE
CT
ION
9 -
RE
SU
LT
S –
SU
MM
AR
Y O
F S
AV
ING
S
TO
TA
L E
LIG
IBL
E C
OS
T O
F P
RO
JE
CT
: M
ust
matc
h T
ota
l E
lig
ible
Co
st
of
Pro
ject
in S
ecti
on
3
Tota
l P
roje
ct C
ost – R
ebate
/Incen
tive =
TO
TA
L E
LIG
IBL
E C
OS
T O
F P
RO
JE
CT
($
- $
= $
) $
9,2
40
.00
PA
RT
1
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M 8
.A.
$N
A
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
ES
TIM
AT
ED
SA
VIN
GS
IN
PE
RC
EN
TA
GE
FR
OM
8.A
. N
A%
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M 8
.B.
$3
,03
0.5
2
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
ES
TIM
AT
ED
SA
VIN
GS
IN
PE
RC
EN
TA
GE
FR
OM
8.B
. 8
5%
PA
RT
2
**
*CO
MB
INE
D P
OL
LU
TIO
N P
RE
VE
NT
ION
(P
2)
AN
D E
NE
RG
Y E
FF
ICIE
NC
Y (
E2)
CO
ST
S A
ND
PE
RC
EN
TA
GE
SA
VIN
GS
***
Com
ple
te b
elo
w t
able
s o
nly
if
pro
ject
resulted in b
oth
Pollu
tio
n P
reven
tio
n (
P2)
and E
nerg
y E
ffic
iency (
E2)
savin
gs a
nd m
ust
be c
om
bin
ed t
o m
eet
min
imu
m
elig
ibili
ty r
equir
em
ents
of
$500 a
nd 2
5%
.
Cost S
avin
gs
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
FR
OM
AB
OV
E
$N
A
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S F
RO
M A
BO
VE
$
NA
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S (
P2 +
E2 =
$)
$N
A
Perc
enta
ge S
avin
gs
PO
LL
UT
ION
PR
EV
EN
TIO
N (
P2)
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
FO
R E
XIS
TIN
G E
QU
IPM
EN
T F
RO
M 8
.A.
$N
A
EN
ER
GY
EF
FIC
IEN
CY
(E
2)
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
FO
R E
XIS
TIN
G E
QU
IPM
EN
T F
RO
M 8
.B.
$N
A
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
(P
2 +
E2 =
$)
$N
A
TO
TA
L E
ST
IMA
TE
D C
OS
T S
AV
ING
S ÷
TO
TA
L C
UR
RE
NT
AN
NU
AL
CO
ST
X 1
00 =
%
NA
%
Ex
am
ple
2 –
Rep
lac
e I
nc
an
de
sc
en
t B
ulb
s w
ith
LE
D B
ulb
s –
E2
Commonwealth of Pennsylvania Small Business Ombudsman Department of Environmental Protection P.O. Box 8772 Harrisburg, PA 17105-8772
