Boulder Building Performance Ordinance Retrocommissioning (RCx) Submission Form

Please complete the following form and attach the Retro-commissioning Report. If you participated in the Xcel Energy Recommissioning or Building Tune-Up Program, please ALSO SUBMIT your completed Rebate Application. Submissions will be reviewed by city staff and confirmation of compliance with the RCx requirement will be sent following review.

For more information visit www.BoulderBuildingPerformance.com

Questions can be submitted to the Help Desk at (844) 811-8785 or BPOHelpdesk@bouldercolorado.gov

Contact Information

Please provide the contact information for the person submitting this form.

First Name *

Last Name *

Phone Number *

Email Address *

Company *

Contact Role *

Building Owner

Property Manager

Service Provider

Other: Other:

Building Information

Covered Building Address *

City *

State *

Zip/Postal Code *

Boulder Energy Reporting ID * 🛈

Building Square Footage *

Retrocommissioning (RCx) Information

Did you complete the RCx requirement through an Xcel Energy Program? *

Yes

No

Xcel Energy Program Completed *

Does the RCx report recommend measures with a 2 year payback period or less? * 🛈

Yes

No

Attach Report * 🛈

Attach Xcel Energy Rebate Application * 🛈

Do you have anything to add about the RCx study?

Service Provider Information

Please identify the service provider who completed the RCx study.

Service Provider First Name *

Service Provider Last Name *

Phone Number *

Email Address *

Company *

The service provider is listed on the city's Qualified Service Provider List * 🛈

Submission

I understand if the retrocommissioing report does not meet the requirements as prescribed in the ordinance, this building may not be in compliance. *

Yes

I understand if the service provider that completed the retrocommisioning study is not listed on the city's qualified service provider list, this building may not be in compliance. *

Yes

I understand the ordinance requires all recommended retrocommissioning measures with a payback of 2 years or less to be implemented within 2 years of the report deadline. *

Yes

Signature * 🛈

clear

Date/Time * +