Facility Questionnaire

Confidentiality – The information gathered and provided herein, shall be treated as confidential, sensitive, and proprietary. It shall only be used for purposes defined within the Bridgeway Solutions' EcoBridge conservation program and/or other products and services of Bridgeway. It shall not be provided without any third parties, unless otherwise employed or deployed by Bridgeway and who have executed the proper respective confidentiality agreements.

Proprietary Document – This document, the way it is used, its contents and structure are considered proprietary, sensitive and the exclusive property of Bridgeway Solutions, LLC. It is not to be shared with any third parties without the express written permission from Bridgeway Solutions, LLC.

PLEASE ALSO SUBMIT AGENCY AGREEMENT & BILL COPIES

Facility Questionnaire

Company Name (required)

Amount of Locations (required)

Est. Average Square Footage (required)

Hours of Operation

HVAC Responsibility (required)

Season NOT In Business (required)

Est. Total Amount of Lights (All Facilities) (required)

Est. % of LED Lights (required)

0

Est. Walk-In Refrigerators (required)

Est. Walk-In Freezers (required)

Est. Amount of HVAC Units (required)

Est. Amount of Split Units (If Applicable)

Smart Thermostats? (required)

Smart Irrigation System? (required)

Occupancy Sensors? (required)

Wi-Fi? (required)

Energy Saving Smart Controls? (required)

Type of Windows

Energy Management Systems or AC Control Software Installed? (required)

Average Occupancy % Per Year

Email Address (required)

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