![](media/image1.wmf){width="3.3229166666666665in"
height="0.5208333333333334in"}

####  {#section .Subhead1}

#### nomination Form for green power purchasers {#nomination-form-for-green-power-purchasers .Subhead1}

#### How to Apply {#how-to-apply .Subhead1}

Please submit one nomination for each award for each nominee.
Nominations for Purchaser awards (three pages maximum) should be emailed
to GreenPower@navarro-inc.com (EPA Contractor Email Address).

Supplemental Purchase and Supply materials should be mailed to:

Pam Bloch Mendelson

Green Power Leadership Awards

Navarro Research & Engineering (EPA Contractor)

5640 Ward Rd, Suite 390

Arvada, CO 80002

NOTE: Please be sure to label your nomination materials with the type of
award and to include information for ALL criteria.

#### Due Date {#due-date .Subhead1}

All Nominations are due by 5:00pm PDT on June 27, 2008.

#### Additional Information {#additional-information .Subhead1}

For additional information on the Purchaser and Supplier Awards, call
Pam Bloch Mendelson at 303-275-4819 (Contractor to both EPA and DOE).

#### General Questions {#general-questions .Subhead1}

1.  For which awards category is this nomination? (select all that
    apply)

> Green Power Purchaser
>
> On-site Generation
>
> Partner of the Year

2.  Will the nominee have completed a green power purchase by the end of
    the nomination period (July 27, 2008)?

3.  Will the nominee maintain EPA partner status through October 27,
    2008?

For Partnership eligibility requirements see EPA's Green Power
partnership website: <http://www.epa.gov/greenpower/join/purchase.htm>

4.  Has the nominee previously won a Green Power Leadership Award?

> If yes, in what year and which award category(s)
>
> Green Power Purchaser, Year(s):      
>
> On-site Generation, Year(s):      
>
> Partner of the Year, Year(s):      
>
> Past award winners can be found on the following web page:
> <http://www.epa.gov/greenpower/awards/pastwinners.htm>.

5.  Nominator Contact Information:

  ----------------------------------- -----------------------------------
  First Name                               

  Last Name                                

  Title                                    

  Company                                  

  Address (Street 1)                       

  Address (Street 2/PO Box)                

  City                                     

  State                                 

  Zip                                      -    

  Phone                                    

  Fax                                      

  E-Mail                                   

  Relationship to Nominee:                 
  ----------------------------------- -----------------------------------

6.  Nominee Contact Information

> If same as Nominator, check here and skip to next question:

  -------------------------------- --------------------------------------
  First Name                            

  Last Name                             

  Title                                 

  Company                               

  Address (Street 1)                    

  Address (Street 2/PO Box)             

  City                                  

  State                              

  Zip                                   -    

  Phone                                 

  Fax                                   

  E-Mail                                
  -------------------------------- --------------------------------------

7.  Nominee's Communications/Public Relations Contact (if different than
    above)

  ----------------------------------- -----------------------------------
  First Name                               

  Last Name                                

  Title                                    

  Phone                                    

  Fax                                      

  E-Mail                                   
  ----------------------------------- -----------------------------------

####  Incremental purchasing and other activities since July 6, 2007 {#incremental-purchasing-and-other-activities-since-july-6-2007 .Subhead1}

8.  Has the nominee incrementally increased or made a new green power
    purchase since July 6, 2007 (end of the 2007 nomination period)?

9.  If this is the first year of purchasing green power, indicate the
    total amount purchased below. Otherwise indicate how much the
    nominee's purchase has incrementally increased since the past year's
    GPLA nomination deadline in July 6, 2007.

>       kWh

#### Nominee's current total purchase Information {#nominees-current-total-purchase-information .Subhead1}

Current refers to activities that have been completed by the end of the
2008 GPLA nomination period, June 27, 2008.

10. What is the nominee's current Green Power Partnership purchase
    scope?

> Please describe the facility or logical group of facilities covered by
> the purchase:      

11. What is the nominee's current total green power purchase, based on
    the purchase scope identified in question 10?

      kWh

What is the nominee's current total baseload purchased electricity use
in kilowatt-hours, based on the purchase scope identified in question
10?       kWh

12. Is the nominee currently a Green Power Leadership Club member?

Green Power Leadership Club members are purchasing at least 10 times the
minimum requirement. Facility level partners and partners with baseload
electricity use \<1,000,000 kWh are ineligible for the GPLC.

Current Leadership Club members can also be identified in column three
on EPA's Partner List page:
<http://www.epa.gov/greenpower/partners/index.htm>.

13. Please estimate what type of green power product(s) comprises the
    nominee's current total purchase and what is its relative percent
    contribution of each product to the total purchase?

> Renewable Energy Certificates (REC) Percent of total      
>
> Onsite Generation Percent of total      
>
> Utility Green Pricing Product (Regulated Market) Percent of total
>      
>
> Utility Green Marketing Product (Deregulated Market) [Percent of total
>      ]{.underline}

Total Purchase **100%**

14. If this purchase includes an eligible onsite renewable energy
    system, has the nominee retained or retired the renewable energy
    certificates associated with the system? Nominees who sell the RECs
    from their on site system can qualify for the Awards if the nominee
    replaces the sale of RECs from an onsite system by purchasing RECs
    from other eligible renewable resources.

> Yes
>
> No
>
> Some of the RECs Please Explain:      
>
> Not applicable - this organization's purchase does not include an
> eligible onsite system

15. If this is a REC or utility delivered product, is it certified?

> Green-e
>
> Environmental Resources Trust (ERT)
>
> Independent third-party audit
>
> Part of the purchase, what percent - please explain      
>
> None of the purchase is certified
>
> I don\'t know, please explain      

16. What eligible resource(s) are included in the nominee's current
    total purchase and what percentage does each resource contribute to
    the total purchase?

> Wind Percent of total      
>
> Solar Electric Percent of total      
>
> Geothermal Percent of total      
>
> Hydropower (Low-impact) Percent of total      
>
> Biomass Percent of total      
>
> Biogas Percent of total      
>
> Eligible Fuel Cells Percent of total      
>
> Other [Percent of total      ]{.underline} Please explain:     
>
> Total 100%

17. What percent of the nominee's current total purchase is sourced from
    "new" renewable facilities? A green power purchase qualifies as new
    if generating facilities were put into service after January 1,
    1997.

>       Percent "new" renewables

18. Is the nominee's current total green power purchase incremental or
    additional to any mandates? Was the purchase made in the absence of
    obligations set forth through state renewable portfolio standards
    (RPS) or other mandates placed on utilities or load-serving
    entities? All green power purchases must be incremental to what the
    Partner would have purchased absent proactive green power
    procurement. For additional information on this requirement, please
    consult EPA's Partnership Requirements document.
    <http://www.epa.gov/greenpower/documents/gpp_partnership_reqs.pdf>

> Yes
>
> No, if so please explain      
>
> Don't know

19. What role does green power play in the nominee's broader business
    and environmental strategy?

  --------------- ------------------- ----------------- -------------------
  Environmental   Climate             Sustainability    Global Stewardship
  Focus:                                                

  History of      Pollution           Recycling         ISO 9000
  Strategy:       Prevention                            

  Financial:      Financial risk      Electricity       Electricity Price
                  mitigation          reliability       stability
  --------------- ------------------- ----------------- -------------------

> Other; please explain:       *(200 word maximum)*

#### Nominee's Purchasing History {#nominees-purchasing-history .Subhead1}

20. **Please complete the following table, to the best of your ability,
    to describe the nominee's green power purchasing activity prior to
    July 6, 2007. Information provided will assist the purchaser
    evaluation panel with evaluation of the historical stature of the
    nominee. A nominee's overall purchase history will be considered as
    part of the Partner of the Year nomination evaluation. Any new or
    incremental purchase increases made since July 6, 2007 (since the
    previous GPLA awards cycle) should be reflected in questions 7, 8,
    and 9 above.**

+--------+--------+--------+--------+--------+--------+--------+--------+
|        | **     | **     | **     | **     | **     | **     | **Up   |
|        | 2001** | 2002** | 2003** | 2004** | 2005** | 2006** | to     |
|        |        |        |        |        |        |        | July   |
|        |        |        |        |        |        |        | 6,     |
|        |        |        |        |        |        |        | 2007** |
+--------+--------+--------+--------+--------+--------+--------+--------+
| **     |        |        |        |        |        |        |        |
| Annual | kWh    | kWh    | kWh    | kWh    | kWh    | kWh    | kWh    |
| Pu     |        |        |        |        |        |        |        |
| rchase |        |        |        |        |        |        |        |
| Amou   |        |        |        |        |        |        |        |
| nt\*** |        |        |        |        |        |        |        |
+--------+--------+--------+--------+--------+--------+--------+--------+
| *      |        |        |        |        |        |        |        |
| *Scope |        |        |        |        |        |        |        |
| of     |        |        |        |        |        |        |        |
| Purc   |        |        |        |        |        |        |        |
| hase** |        |        |        |        |        |        |        |
+--------+--------+--------+--------+--------+--------+--------+--------+
| **Ba   |        |        |        |        |        |        |        |
| seload | kWh    | kWh    | kWh    | kWh    | kWh    | kWh    | kWh    |
| elect  |        |        |        |        |        |        |        |
| ricity |        |        |        |        |        |        |        |
| use    |        |        |        |        |        |        |        |
| for    |        |        |        |        |        |        |        |
| ind    |        |        |        |        |        |        |        |
| icated |        |        |        |        |        |        |        |
| scope  |        |        |        |        |        |        |        |
| of     |        |        |        |        |        |        |        |
| purc   |        |        |        |        |        |        |        |
| hase** |        |        |        |        |        |        |        |
+--------+--------+--------+--------+--------+--------+--------+--------+
| *      |        |        |        |        |        |        |        |
| *Green | P      | P      | P      | P      | P      | P      | P      |
| Power  | ercent | ercent | ercent | ercent | ercent | ercent | ercent |
| as a   |        |        |        |        |        |        |        |
| P      |        |        |        |        |        |        |        |
| ercent |        |        |        |        |        |        |        |
| of     |        |        |        |        |        |        |        |
| total  |        |        |        |        |        |        |        |
| Ba     |        |        |        |        |        |        |        |
| seload |        |        |        |        |        |        |        |
| Pur    |        |        |        |        |        |        |        |
| chased |        |        |        |        |        |        |        |
| elect  |        |        |        |        |        |        |        |
| ricity |        |        |        |        |        |        |        |
| use**  |        |        |        |        |        |        |        |
+--------+--------+--------+--------+--------+--------+--------+--------+

\* In this row, please provide kWh that reflect the amount of green
power delivered to you that year.

#### Nominee's Communications Activities {#nominees-communications-activities .Subhead1}

21. Please check the boxes in the correct column below showing all
    communications efforts the nominee has made to promote their green
    power purchase (for example, promotional materials like Web page,
    Google Search, brochures, newsletters, articles, Newspaper article,
    magazine cover, third party web site, t-shirts and other promotional
    give-aways). Nominees will receive higher consideration if hard
    copies or electronic copies of materials are provided, yet
    nominators are encouraged to indicate a nominee's communications
    efforts even if examples are not available. All activities should
    have a direct and clear communications connection to the nominee's
    green power purchase. Please distinguish between activities led by
    the purchaser and those led by stakeholders and others in
    collaboration with the nominee, such as providers, NGOs etc.

  -------------------------------- --------- ------------- ------------------- --
  **Green Power Related Public     Nominee   Stakeholder   Materials submitted 
  Relations**                      led       led                               

  Press releases                                                               

  Press conference, announcement                                               
  or dedication events                                                         

  Media outreach/interviews/pitch                                              
  stories                                                                      

  Educational kiosks/virtual tours                                             

  Promotion of ranking on EPA Top                                              
  Partner List(s)                                                              

  Other,                                                                       
  -------------------------------- --------- ------------- ------------------- --

> please explain      

  -------------------------------------- --------- ------------- -------------
  **Green Power Related Marketing**      Nominee   Stakeholder   Materials
                                         led       led           submitted

  Public web page (visitor statistics)                           

  Paid print, radio, television                                  
  advertising                                                    

  Public Service Announcements                                   

  Product packaging                                              

  In store communications/window                                 
  stickers                                                       

  Marketing                                                      
  collateral/brochures/catalogs/flyers                           

  Public facing signage (office                                  
  buildings, shuttles)                                           

  Other,                                                         
  -------------------------------------- --------- ------------- -------------

> please explain      

  --------------------------------------------- --------- ------------- -------------
  **Green Power Related Stakeholder Outreach**  Nominee   Stakeholder   Materials
                                                led       led           submitted

  Speaking                                                              
  events/presentations/conferences/tradeshows                           

  Stakeholder newsletters                                               

  Corporate intranet/internal web announcements                         

  Sales force education                                                 

  Web casts/videos                                                      

  Trade outreach (industry associations,                                
  tradeshow booth)                                                      

  Supplier and distributor outreach (workshops,                         
  etc)                                                                  

  Stakeholder green power purchase                                      
  opportunities                                                         

  Corporate sustainability report                                       

  Sponsorships or partnerships (committees,                             
  task forces, environmental events)                                    

  Other,                                                                
  --------------------------------------------- --------- ------------- -------------

please explain      

> EPA Green Power Community Campaign Communications

  ------------------------------------- --------- ------------- -------------
                                        Nominee   Stakeholder   Materials
                                        led       led           submitted

  Posting of EPA Green Power Community                          
  Signs                                                         

  Door-to-door campaign outreach                                

  Informational poster campaigns                                

  Chamber of Commerce outreach                                  

  Direct mailings/utility bill inserts                          

  Other,                                                        
  ------------------------------------- --------- ------------- -------------

> Please explain      

#### Nominee's Purchasing Future Plans {#nominees-purchasing-future-plans .Subhead1}

Future plans include activities that have not yet occurred by the June
27, 2008 deadline

22. What plans, if any, does the nominee have for buying more green
    power or increasing their purchase scope?

Please explain:      

23. What plans, if any, does the nominee have for reaching out to
    stakeholders to encourage them to buy their own green power?

Please explain:      

24. What future communications activities, if any, does the nominee plan
    to initiate to further promote their purchase?

Please explain:      

25. What activities, if any, does the nominee plan on undertaking to
    take a leadership role within their industry?

Please explain:      

#### Essay Question {#essay-question .Subhead1}

> As the nominator for this organization, why do you think the
> organization is worthy of national recognition? (200 word maximum)
>
>