2. Project Form

Instructions In an effort to streamline the submission process and reduce paper use, the submission process will be entirely electronic. 1.Complete this form and the Entry Form. 2.Do not include any firm-identifying information in this form. 3.Nomenclature for submission: Project Name-Project Form.ppt 4.Create a zip file that includes the two completed forms and the project’s final GBCI scorecard. 5. the zip file to Project Form

Submission Category – check all that apply to this project by copying and pasting the red check marks above into the appropriate box. Please complete forms F-J for each category checked below:  Sustainable Sites  Water Efficiency  Energy & Atmosphere  Materials & Resources  Indoor Environmental Quality  Innovation in Design Optional Categories – check all that apply to this project:  Excellence in Water Conservation (Optional)  Project of the Year (Optional) Project Form √√

1.Project name: 2.Project address: 3.Primary building use: 4.Total site area: 5.Total building square footage: 6.Construction cost: 7.Percentage of open space verses site area: 8.Total number of building users (FTE): 9.Projected base building water use (gallons): 10.Does the project use recycled water (Yes/No): 11.If yes, what is the % of total water use (base building or irrigation as applicable): 12.Projected building energy use (kBTu/Yr): 13.Projected building energy use (KBTu/sf/yr): 14.Does the project use renewable energy (Yes/No): 15.If yes, what % of total energy use: Project Form

Please describe the project’s innovation in this category (max.100 words): Project Form Check one category this form pertains to:  Sustainable Sites  Water Efficiency  Energy & Atmosphere  Materials & Resources  Indoor Environmental Quality  Innovation in Design

Please describe unique steps taken to achieve this innovation and any project drivers that assisted in achieving it (max.100 words): Project Form Check one category this form pertains to:  Sustainable Sites  Water Efficiency  Energy & Atmosphere  Materials & Resources  Indoor Environmental Quality  Innovation in Design

Please describe team collaboration to implement strategies related to this innovation (max.100 words): Project Form Check one category this form pertains to:  Sustainable Sites  Water Efficiency  Energy & Atmosphere  Materials & Resources  Indoor Environmental Quality  Innovation in Design

Please describe the innovation’s impact on the community for this category (max.100 words): Project Form Check one category this form pertains to:  Sustainable Sites  Water Efficiency  Energy & Atmosphere  Materials & Resources  Indoor Environmental Quality  Innovation in Design

Insert six (6) images max. on the following slides. Include copyright information (required). Photos will not be used by USGBC-LA for any purposes other than for jury day and the USBGC Award Ceremony Project Form

Add copyright information here (required) Project Form

Add copyright information here (required) Project Form

Add copyright information here (required) Project Form

Add copyright information here (required) Project Form

Add copyright information here (required) Project Form

Add copyright information here (required) Project Form

Excellence in Water Conservation Candidate (Yes or No): Project must have achieved all LEED points for Water Efficiency. If yes, please provide an Excellence in Water Conservation Statement on the next slide. Provide examples that demonstrate why this project should be recognized for Excellence in Water Conservation. Project Form

Excellence in Water Conservation Statement (max. 400 words): Project Form

Project of the Year Candidate (Yes or No): If yes, please provide a Project of the Year Statement on the next slide. Provide examples that demonstrate why this project should be recognized as Project of the Year. Project Form

Project of the Year Statement (max. 400 words): Project Form