SFO Template - Office of Construction & Facilities Management Home

MAY 2009SOLICITATION FOR OFFERS OUTPATIENT CLINIC SFO NO. VA-101-XX-RP-XXXX[INSERT LOCATION OF FACILITY]CERTIFICATION OF BUILDING ENERGY PERFORMANCELOCATION:PROJECT TITLE:PROJECT NUMBER:PROJECT MANAGER:I certify that the energy performance of the above project fully satisfies the energy efficiencyrequirements of DOE regulations, 10 CFR Part 435, "Energy Conservation Voluntary PerformanceStandards for Commercial and Multi-Family High Rise Residential Buildings; Mandatory for New FederalBuildings."_____________________________________NAME & TITLE___________DATEName and Address of Architect-Engineer Firm:Title/Position:Professional Registration No.:State Where Registered (use seal):Part VIII: FormsLessor __________ Gov’t. ____________________ of __________ PagesCERTIFICATION OF BUILDING ENERGY PERFORMANCE