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HomeMy WebLinkAbout15- City Grant #2015-013 Northwest Energy Waster Rebate Plan AgreementTHE CITY OF BOZEMAN 20 E. OLIVE • P.O. BOX 1230 BOZEMAN, MONTANA 59771-1230 ENGINEERING DEPARTMENT PHONE: (406) 582-2280 • FAX: (406) 582-2263 April 16, 2015 Jeff Watkins, Outreach Professional Northwestern Energy C -NC -NG, C -NC -E -AM P.O. Box 1167 Helena, MT 59624 RE: City of Bozeman, Hyalite/Sourdough Water Treatment Plant Replacement Project Efficiency Plus (E+) Rebate Program Dear Mr. Watkins: Attached are the gas and electric Efficiency Phis Rebate applications and supporting documentation for our water treatment plant project. As we discussed on the phone, the project is complete with the exception of some building related punch list items. All of the components included in these applications have been installed, accepted and are in operation. I have attached a copy of the last pay request we made on the project. It was for a partial release of retainage. The remaining will be paid to the contractor upon completion of the punch list items. Sincerely, Robert J. Murray Jr., P.E. Project Engineer cc: Project File ERF HOME OF MONTANA STATE UNIVERSITY GATEWAY TO YELLOWSTONE PARK Farm ® Request for Taxpayer Give Form to the (Rav,December 2014) Identification Number and C'•ertifieation iA t� requester. Do ot . SDYid to the IRS. InDt�na! Hevenfue STervt�ce� 1 Name( shown on you inc a tax return). Name is required on this line; do not leave this line blank. L N 2 Business na e/ t regarded e tfty n/aeA, if dldlHe�r not frrom above _ o' 0 3 Check appropriate box for federal tax classification: check only one of the following seven boxes; 4 Exemptions (codes apply only to certain entities, not individuals; see ❑ Individual/sole proprietor or ❑ C Corporation ❑ S Corporation ❑ Partnership ❑ Trust/estate instructions on page 3): w� o o single -member LLC F1p Limited liability company. Enter the tax classification (C=C corporation, S=S corporation, P=partnership) f Exempt payee code (if any) o Note. For a single -member LLC that Is disregarded, do not check LLC; check the appropriate box in the fine above for Exemption from FATCA reporting N the tax classification of the sin le -member owner, code (if any) '+ C R. n Other (see Instructions) ► is ( rsfo acc°unls mxnte;ned oWsd° lhr Us) t^pa'° t 0 .5 AddressJurN street nd aptbr suite Requester's name and address (optional) a ,u 8 Ci te, a d ZIP co `n 7 List account number(s) here (op ional) Taxpayer Identification Number (TIN) Enter your TIN in the appropriate box. The TIN provided must match the name given on line i to avoid Social security number backup withholding. For individuals, this is generally your social security number (SSN). However, fora resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other y m entities, it is your emolover identification number (EIN). If you do not have a number, see Now, fo qt a TIN on page 3. or Note. if the account is in more than one name, see the instructions for line 1 and the chart on page 4 for I Employer identification number guidelines on whose number to enter. M, _f(wl Under penalties of perjury, I certify that: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and 2. i am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the iRS has notified me that I am no longer subject to backup withholding; and 3. I am a U.S. citizen or other U.S. person (defined below); and 4. The FATCA code(s) entered an this form (if any) indicating that I am exempt from PATCA reporting is correct. Certification instructions. You must cross out Item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply, For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments oth an i rest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 3. 11 i , HerSignature of � / I Xll�� l 1 G_ Here U.S. persons Date Genera Instructions Section references are to the Inter ai ReveAue Code unless otherwis�n jed. Future developments, Informatio b developments affecting Form W-9 (such as legislation enacted after we release it) Is at www.irs,gov/hv9. Purpose of Form An individual or entity (Form W-9 requester) who is required to file an information return with the IRS must obtain your correct taxpayer identification number (TIN) which may be your social security number (SSM, individual taxpayer identification number (ITIN), adoption taxpayer identification number (ATIN), or employer identification number (EIN), to report on an Information return the amount paid to you, or other amount reportable on an information return, Examples of Information returns include, but are not limited to, the following: • Form 1099 -INT (Interest earned or paid) • Form 1099 -DIV (dividends, including those from stocks or mutual funds) • Form 1099-MISC (various types of income, prizes, awards, or gross proceeds) • Form 1099-B (stock or mutual fund sales and certain other transactions by brokers) • Form 1099-S (proceeds from real estate transactions) • Form 1099-K (merchant card and third party network transactions) • Form 1098 (home mortgage interest),'1096 7E (student loan interest), 1098-T (tuition) • Form 1099-C (canceled debt) • Form 1099-A (acquisition or abandonment of secured property) Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN. If you do not return Form W-9 to the requester with a TIN, you might be subject to backup withholding. See What is backup withholding? on page 2. By signing the filled -out form, you: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding If you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S, person, your allocable share of any partnership income from a U,S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income, and 4. Certify that FATCA codes) entered on this form (if any) indicating that you are exempt from the FATCA reporting, is correct. See What is FATCA reporting? on page 2 for further information. Cat. No. 10231X Form W-9 (Rev. 12-2014) NordiWestern Energy www.northwesternenergy.com Customer Service: 1-888-467-2669 40 E Broadway St. Butte, MT 59701-9394 CUSTOMER: ACCOUNT NUMBER: ACCOUNT DESCRIPTION: BILLING DATE: Service Address: 7022 SOURDOUGH CYN RD, BOZEMAN MT 59715 2014 2015 2015 Days of Service 29 29 Therms Used 4443.00 9770.00 Avg. Therms per day 0.0 153.2 336.9 Avg. cost per day $ $122.18 $393.14 Avg. daily temp ('F) 28 31 Page 1 CITY OF BOZEMAN MA 3159930-1 March 12, 2015 March 30, 2015 $ 11,400.97 0 Previous Balance $ 32,820.49 Payments Received March 5, 2015 Thank you $ (32,820.49) Current Charges $ 7,305.93 Adjustments/Deposits/Transfers/Refunds $ 4,095.04 Total Amount Due $ 11,400.97 •IMISNINIMINNEEM Delivery Supply Service Service TOTAL Natural Gas Service $ 3,635.32 $ 3,670.61 $ 7,305.93 Total Current Charges $ 3,635.32 $ 3,670.61 $ 7,305.93 1!A1 PATANi ACI�OUIVT,'ITiffRRtV1 T�.0�11 _ .. > _ ,vni'mta � • •Ig Effective 3/1/2015, gas supply rates have decreased from the previous month as a result of the supply tracker. Questions about your bill or service? Call the NorthWestern Energy Customer Contact Center TOLL FREE at 888-467-2669 (Monday through Friday, 7 a.m.-6 p.m. Mountain time) or visit us at: www.northwesternenergy.com. Please return this portion of your bill with your payment. 3159930-1 1 March 30, 2015 #BWNKJDL *AUTO**SCH 5 -DIGIT 59718 #AHSQ UYYS P1 # 27398 173 Inl'IIIIIIII'lll'1111161111,I11d°IIII'I'IIIII'IIIIIIIIIlI,611 CITY OF BOZEMAN PO BOX 1230 BOZEMAN MT 59771-1230 0000003282049 0000000730593 0000001140097 NORTHWESTERN ENERGY BUTTE, MT 59707-001 II'I'Ih'II'41hIIluII'h'IIII'hllllu'IrIlilllhl'ud,u„1 0000 00000000 31599301 0001140097 NordiWeStera Account Number: 3159930-1 Page 2 Energy Customer Name: CITY OF BOZEMAN www.northwesternenergy.COM Service Address: 7022 SOURDOUGH CYN RD, BOZEMAN MT 59715 NorthWestern Energy: 1-888-467-2669 Customer Service: (M -F 7 AM - 6 PM) and Emergencies 24 hours a day PAY BY PHONE OPTIONS: Credit/Debit or ATM Card: 1-877-361-4927 Checking, Savings, or Money Market: 1-800-218-4959 Customers with unanswered questions or concerns may contact the Public Service Commission at 1-800-646-6150 or write the PSC at PO Box 202601, Helena, MT 59620-2601, Rate definitions and how to calculate your bill may be found on our website: www.northwesternenergy.com DELIVERY SERVICES- NATURAL ERVICESNATURAL GAS DELIVERY Read Dates Meter Readings Read Meter Conversion Average Billed - From -- To Days Previous Current Code Volume Pressure-BTUFactar Therms 02/05/2015 03/06/2015 1 29 20427.00 30240.00 Actual 9813.00 0.9657718 1.030948 9770.00 Meter Number: GD1304 Rate: G1500 -GS Natural Gas GS Dist. -Service Charge $ 67.75 Delivery Charges 9770.00 $ 3,567,57 Natural Gas Delivery Total $ 3,635.32 TOTAL DELIVERY SERVICES UPPLYSERVICES $ 3,635.32 NATURAL GAS SUPPLY Gas Supply 9770.00 $ 3,670.61 Natural Gas Supply Total $ 3,670.61 TOTAL SUPPLY SERVICES $ 3,670.61 When you provide a check as payment, you authorize us to either use the information from your check to make a one- time electronic funds transfer from your account or to process the payment as a check transaction. NO1 d Westem i 40 E Broadway St Energy I Butte, MT 59701-9394 www.northwesterne nergy. cam CUSTOMER: CITY OF BOZEMAN ACCOUNT NUMBER: 2092420-5 Customer Service: 1-888-467-2669 ACCOUNT DESCRIPTION: BILLING DATE: March 11, 2015 Service Address: 7022 SOURDOUGH CANYO RD, BOZEMAN MT 59715 Mar Feb Mar 2014 2015 2015 Days of Service 29 31 28 kWh Used 44160.00 67013.00 61130.00 Avg. kWh per day 1522.8 2161.7 2183.2 Avg. cost per day $213.81 $241.18 $274.28 Avg. daily temp ('F) 20 28 31 Page 1 • • March 30, 2015 $ 7,679.89 • Previous Balance $ 7,476,54 Payments Received March 5, 2015 Thank you $ (7,476.54) Current Charges $ 7,679.89 Total Amount Due $ 7,679.89 NMI V Delivery Supply Service Service TOTAL Electric Service $ 3,180,46 $ 4,499.43 $ 7,679.89 Total Current Charges $ 3,180.46 $ 4,499.43 $ 7,679.89 •' • Due to usage history or account status, you are not eligible for budget billing at this time. ifVlp01#7ANT,t4CCOUNT 1TiIFQRM4TION Effective 0310112015, electric supply rates have decreased from the previous month as a result of the supply tracker. Questions about your bill or service? Call the NorthWestern Energy Customer Contact Center TOLL FREE at 888-467-2669 (Monday through Friday, 7 a.m.-6 p.m. Mountain time) or visit us at: www.northwesternenergy.com. Please return this portion of your bill with your payment. 2092420-5 1 March 30, 2015 #BWNKJDL *****°`AUTO"*3-DIGIT 597 #AHRP YRTR P5 # 21241 138 (IIIIIIIIIIIII'll'91'Jill fill 1111111'll'lllll'll'III"IIIIIIIII CITY OF BOZEMAN PO BOX 1230 BOZEMAN MT 59771-1230 0000000747654 0000000767989 0000000767989 7 NORTHWESTERN ENERGY BUTTE, MT 59707-001 II'1911'II'lllllhlllll'll'1111'IIIIIIII'll'lllllllll'llll,l6,l 0000 00000000 20924205 0000767989 NorthWestenf Energy www.northwesternenergy.com NorthWestern Energy: 1-888-467-2669 Customer Service: (M -F 7 AM - 6 PM) and Emergencies 24 hours a day PAY BY PHONE OPTIONS: Credit/Debit or ATM Card: 1-877-361-4927 Checking, Savings, or Money Market: 1-800-218-4959 Customers with unanswered questions or concerns may contact the Public Service Commission at 1-800-646-6150 or write the PSC at PO Box 202601, Helena, MT 59620-2601. Current Rates Effective 03/01/2015 ELECTRIC DELIVERY Service Charge $ 9.30 GS -1 Distribution -Demand $ 6.2408820 GS -1 Distribution Delivery $ .0049510 GS -1 CTC -CLF $ .0033250 GS -1 Transmission -Demand $ 3.0615390 GS -1 USBC $ .0011430 ELECTRIC SUPPLY GS -1 Deferred Supply $ .0053690 GS-1Supply $ .0679650 Rate definitions and how to calculate your bill may be found on our website: www.northwesternenergy.com Account Number: 2092420-5 Page 2 Customer Name: CITY OF BOZEMAN Service Address: 7022 SOURDOUGH CANYO RD, BOZEMAN MT 59715 DELIVERY SERVICES Read Dates Days kWh Meter Previous Reading s Current Read Code- Meter Mu lt Billed kWh Demand Read Demand Usage From --- To 02/05/2015 03/05/2015 1 28 Actual 1 61130 279.00 Meter Number: DG61666496 Rate: E110 -GS Secondary Demand GS -1 Service Charge $ 930 Demand Charge $ 2,595.38 Delivery Charges 61130.00 $ 575.78 Electric Delivery Total $ 3,180.46 TOTAL DELIVERY SERVICES SUPPLY SERVICES $ 3,180.46 ELECTR/CSUPPLY Electric Supply 61130.00 $ 4,499.43 Electric Supply Total $ 4,499.43 TOTAL SUPPLY SERVICES $ 4,499.43 When you provide a check as payment, you authorize us to either use the information from your check to make a one- time electronic funds transfer from your account or to process the payment as a check transaction. a1 on�a` t 2 �Q n •b > -.0-g0@w5*a0 `: O t0 r, ?�a�mriaOm O 3 o � ;,.� n x- C K p c g o am�mz;F vfln} = 3 q> E R �7 O;asj.-.�i o•a � u o m w O N w w w w w v w w `�(no Vt CS z zNmS����vR(• a m a Z i n i 0-o t° p co O o o .k. 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Box 1167 Helena MT 59624 Form 3740-A 08114 c -NC -NG (800) 823-5995 CUSTOMER & PAYMENT INFORMATION: (Check will be made payable to name on NorthWestern Energy account unless otherwise specified.) (Attach recent bill and list account number. Acct. tf Please PRINT Clearly NorthWestern Energy Acct# (REQUIRED): s C) — located In upper right hand corner of billing statement.) / �� • �!f?lMh Name on NorthWestem Energy NATURAL GAS Account: y e 7' Tax ID # (required): 6 ( — ('00 r 2 J a/1Tax Entity: Installation Address: -1d 7-Z 511yr d (� _ City:'02-2kM,1 Yi State: Zip: � 7B CMTs Mailing Address (if different): P. v . ( I City: A ZeKA.- State: /met Zip: Contact Name: Email Address: Dihyrrft JtOo�+e IF 5"0?. (0Phonne: g5*2- 5g6' I to 77 Contractor Name: Phone Number: PROJECT(S) COMPLETED (All invoices and/or receipts must be included with this application.) Energy Saving Date Cosi Quantity Additional Information Brand[ModelNo. Incentive Amount Measures Installed (Office Use) High Efficiency kbtu/hr Input Rating kbtuthr Output Rating AFUE or TE Condensing Furnace High Efficiency kbtuthr Input Rating kbtu/hr Output Rating TE Steam Boiler High Efficiency 5/ 1-0/460 kblu/hr Input Rating kbtu/hr Oulput Rating AFUE or TE 4V 4 ' �� r Condensing Boiler (0®® / u� c17. S Energy Management SoTFt• NA NA System Optimization ENERGYSTAFR NA NA NA Steam Cooker kbtu/hr Input Rating kblu/hr Output Rating NA Conveyor Oven ENERGYSTAR NA NA NA Convection Oven ENERGYSTAR NA NA NA Fryer ENERGY STAR NA NA NA Griddle PLEASE READ TERMS AND CONDITIONS ON THE BACK OF THIS APPLICATION BEFORE SIGNING Customers are encouraged to obtain multiple bids to compare price, product, service, product performance characteristics and contractor warranty. NorthWestem Energy or its agents do not sell energy conservation products directly to customers. NorthWestern Energy does not endorse or recommend any specific manufacturer, brand or model of energy conservation products. State and federal tax credits may be available for many qualifying energy efficiency improvements. For more information call (406) 444-6900 or visit www.revenue.mt.gov Projects completed or MATERIALS purchased prior to July 1 2014 are not eligible Fax the completed application & all supporting documents to: Projects must be completed by June 1, 2015 and pappork will not be accepted after June 30, 2015. ��(800) 823-5885 efsubmitting this application be sure to: Or mail the completed application & all supporting documents to: ENore Include a recent NorthWestern Energy bill for the installation address NorthWestern Energy Attach all applicable receipts, invoices, and commissioning reports or checklists C•NC•NG Read Terms and Conditions (on the back of this application) P.O. Box 1167 E Complete and sign the application Helena, MT 59624 {� Completed W-9 Form (Required) I car* that the information on this application is true and correct and that f have read, understand, and agree to the terms and conditions on the reverse of this application. Customer Signature: C% Date: FOR OFFICE USE ONLY. DO NOT WRITE BELOW THIS LINE. Date Application Received: Date Verification Performed: Date Additional Info Requested: Verification Results: (circle one) PASS FAIL Date Submitted for Payment: Reason(s) for Failure (if applicable): Total Incentive Amount: $ Verifier Signature: White Copy —Office Color Copy — Customer Form 3740-B C -NC -NG M Northwestern Energy Commercial Natural Gas — New Construction program Guidelines, Application Instructions :x Incentive Amounts Qualifications NorthWestern Energy commercial natural gas custorners are eligible for the program. do not qualify. Large US13 "Choice" customers • This program is for new construction comalefoiVtfacjltttes. E4sting-facilities do not quall • Work completed or materials purchased prior to July 1, 2014, will not be accepted unye • Details of the program, including incentives, are subject to change without prior noti `ce: I through June 30, 2015. are valid INCENTIP/`l=-;AMOUNTS EFFECTIVE JULY`1,120a4 E rgy Savingllrtel�stAl�s,S`;�s'+; iirlceOlW�' Amount Unit of Measurement !*- +':' :"s' --r ;Qualifiers High Efficiency Condensing Furnace $3.25 Kbtu/hr input* AFUE > 90% or OTE replaces a 8 standard AFUE < 7 78 /o High Efficiency Steam Boiler $3.25 Kbtu/hr input* High Efficiency Steam Boiler with TE>82/ High Efficiency Condensing Boiler $3.25 Kbtu/hr input* AFUE > 90% or 90% TE replaces a standard AFUE <78% Energy Management System Optimization $0.002 Square foot of building Commissioning report required for rebate ENERGY STAR' Steam Cooker $400.00 Each cooENERG efS AR® qualified with Z38% ency Conveyor Oven $10.00 Kbtu/hr input* Natural gas con"v"eyor oven with a cooking efriciencyz 42/ ENERGY STAR Convection Oven $35.00 Each ENERGY STAR certified with a cooking efficiency of > 44% ENERGY STAR Fryer $375.00 Each ENERGY STAR qualified ENERGY STAR Griddle $150.00 Each Install > 6 sq. ft. ENERGY STAR qualified griddle * Note: Rebates are calculated based on the kbtu/hr input of equipment installed. Steps to Participate 1. Refer to the chart above for eligible energy saving measures. 2. Identify which of these measures apply to your facility. For assistance, please call (800) 823-5995. 3. Obtain bids from several contractors. 4. Hire the contractor of your choice or do the work yourself. 5. Complete and sign the E+ Commercial Natural Gas — New Construction application. 6. Attach originals or legible copies of the following: • Invoice from contractor or receipt for materials purchased. • Contractor invoice should include: invoice date: invoice number: name and address of contractor: address where work was performed; brand, model number, and AFUE or TE of equipment installed; and itemized cost of all installed materials. • If EMS Optimization was performed include commissioning report. • Current NorthWestern Energy bill for address where work was performed. • Completed W-9 form is required for payment. 7. Submit completed application along with all documentation and current NorthWestern Energy bill. Mail to: NorthWestern Energy Attn: C -NC -NG PO Box 1167 Helena, MT 59624 Or, fax to: (800) 823-5885 Questions? Call (800) 823-5995 Log on to www.NorthWesternEnergy.com/Eplus for a complete list of rebate programs and details. Details of the program, including incentives, are subject to change without prior notice. incentive amounts are valid through June 30, 2015. Terms and Conditions APPLICATION: This application must be filled out completely, truthfully and accurately. Participants are advised to retain a copy of this application and any accompanying documentation submitted to NorthWestern Energy under this program. NorthWestern Energy will not be responsible for lost documentation pertaining to this application request. Funds for incentives are limited and available on a first-come, first-served basis. Details of this program, including incentives, are subject to change without prior notice. ELIGIBILITY: Incentives are available to approved applicants who are NorthWestern Energy commercial and industrial customers NorthWestern Energy natural gas "Choice" customers are not eligible for the program. Final determination of eligibility shall rest solely with NorthWestern Energy. VERIFICATION: Participant's contractor will verify that the installed energy saving measures meet program standards and State of Montana codes. Participant's facility may also be selected for post -installation verification prior to incentive payment. No warranty is implied by this verification. NorthWestern Energy's inspection of installed equipment or energy saving measures is for the sole purpose of assuring that it has been installed and program criteria have been satisfied, and it is not for the purpose of inspecting materials or quality of work. NorthWestern Energy makes no representations of warranties concerning adequacy of materials or qualify of the work by virtue of its inspection. PAYMENT: The incentives will be paid within 4-6 weeks upon: (i) completion of the Efficiency Plus (E+) Rebate Program saving measures, (ii) verification of the measures, and (iii) submission of this completed application with all required information attached. PROOF OF PURCHASE: The invoices accompanying this application must itemize the products purchased and/or work performed This proof of purchase must show: (1) the date of purchase and itemized price paid, (2) the size, type, make, model or part number for the products, and (3) a description of any installation or other labor charges. INCENTIVE AMOUNT: Incentives for the Efficiency Plus (E+) Rebate Program savings measures completed as set forth in this application are limited to the amounts set forth in this application and may not exceed the purchase price. TAX LIABILITY: NorthWestern Energy is not responsible for any tax liability imposed on Participant as a result of payment of these incentives. SAFETY & BUILDING CODES: Participant represents that: (i) all products installed and work performed complies with all federal, state and local safety, building and environmental codes, and (ii) products are UL listed, if applicable, and installed per manufacturer's instructions. NorthWestern Energy is not responsible for wiring, piping, appliances, chimneys, flues or venting, and/or equipment on Participant's premises beyond the appropriate service meter or other points of connection with NorthWestern Energy's service connection at which point the responsibility of NorthWestern Energy shall cease. NO ENDORSEMENT: NorthWestern Energy does not endorse any particular manufacturer, contractor or product in promoting the Efficiency Plus (E+) Rebate Programs. The fact that names of particular manufacturers, contractors, products or systems may appear on this application does not constitute an endorsement. Manufacturers, contractors, products or systems not mentioned are not implied to be unsuitable or defective in any way. NorthWestern Energy or its agents do not sell energy conservation products directly to customers. PROPERTY RIGHTS: Participant represents that Participant has the right to perform the rebated saving measures on the property on which those measures are performed and that any necessary landlord's consent has been obtained. ACCESS & EVALUATION: Northwestern Energy and/or its representatives may request access to the property and may review and evaluate the project during and after completion for up to 2 years. Participant agrees to provide reasonable access to the property for the purposes described herein. ENERGY INFORMATION RELEASE: Participant authorizes NorthWestern Energy to access energy usage data for the project's specified electric account at the physical address of the project. Participant agrees to provide other reasonable assistance to obtain such information. INFORMATION RELEASE: Participant agrees that NorthWestern Energy may include services and resulting energy savings in reports or other documentation submitted to the Montana Public Service Commission. NorthWestern Energy will treat all other information gathered in evaluations as confidential and report it only in the aggregate. ELIGIBLE PRODUCTS: Products must meet energy efficiency specifications of NorthWestern Energy. These specifications may be found on the Web at www.NorthWesternEnerg�.com/EPlus. If you, or your contractor, are not sure of the specifications, please call (800) 823-5995 before proceeding. DISCLAIMER / NO LIABILITY: Participant understands that, while NorthWestern Energy is providing Participant with the incentives payment, NorthWestern Energy is not supervising work performed for Participant nor is NorthWestern Energy responsible in any way for proper completion of that work or proper performance of any products purchased. NorthWestern Energy is simply providing funding to assist Participant in implementing rebated saving measures. Participant assumes the risk of any loss or damage($) that Participant may suffer in connection with installation of the measures. NorthWestern Energy does not guarantee any particular electric saving results by its approval of the application or by any other of its actions. Per discussions with Jeff Watkins (DNV GL Energy Services USA) PH 406-438-6524, this project is eligible because it is not complete. Final completion of project scheduled for spring 2015. -Mi --PM SUPPLY INC BOZETW N BR3 325 -GRAVES TRAIL BOZEMAN, MT 59718 R F.JV,E.0 APR 12 2012 BILL T0: 4 G PLMB & HTG, INC. PO BOX 17140 MISSOULA, MT 59808 CORY 1.2533-01-0750 INVOICE ** ,ri}J1QIG :GR3 TI3tX4JCE�>)k�lM9ER• _• 04/09/12 52057499.001 ?'w SUPPLY INC. P. C. HOX 603.8* HELENA, NII• 5960<--6018 1 SHIP T0: 4 G PLMB. & HTG,/ BOZEMAN HYALITE PO BOX 17140 MISSOULA, MT 59808 GIOLAR IWC WILL -CALL 30-. 10 Days Net 30 .Rm *'* P6601 & P6602 *** TACO '1911 40 GPM @ 19' 1/.2 HP W/2-1/"2" FLANGES 120/1 * Nonstock - subject to restock TACO ACUF-200-AC-1 2" CU SWT CIRC SETTER NIBCO S -480Y.2" SPRING CHECK 2* Nonstock - subject to restock EFP SB26A26A02000120 211x12 SS MIPxMIP BRAID 'FLEX CONNECTOR * Nonstock - subject -to restock ** P6603 & 26604 **'* TACO FI -1509 60 GPM @ 60' 460/3 TFEC W/MPV 2" W/SD030025 SUCTION DIFFUSER '* Nonstock - subject to restock EFP SBIOA10A030000090 3x9" FLEX CONNECTOR * Nonstock - subject to restock *** 8-6601 2 ** LOCHINVAR KBN601 KNIGHT XL BOILER 120MBH-600MBH NATURAL GAS, ZED DISPLAY, OUTDOOR RESET, FLOW SWITCH,- _ADJUSTABLE -HIGH-LIMIT- -- --- — SWITCH W/MANUAL RESET & BUILT IN CASCADING CONTROL FOR UP TO 8 UNITS IIDE * Nonstock - subject to restock LOCHINVAR KIT3046 CONDENSATE Continued on Next Page *** 90 if64d�R� BASK 2 MARK JOHNSON_ Day 04/_09/12 01/1*1/12 21 514.0001 1028.00 .2 2 131.000 .262.00 ,2 2 68.000 136.00 4 4 75.000 300.00 2 2 2431.000 4862.00 4 4 90.000 360.00 21 21 10950.000 21900.00 A 21 0.0001 0.00 r MORMSON MAIERLE,iNc. Shop Drawing Transmittal No. 112-(15555-001 A) Apollo # (Spec Section -Series) Project Name: City of Bozeman Water Treatment Plant Replacement Project Date Received: 01-06-2012 Project Owner: City of Bozeman Checked By: Contractor: Apollo, Inc. Owner: City of Bozeman Log Page: Address: 1133 West Columbia DriveAddress: Kennewick, WA 99336 1715 S. Reserve St., Ste. C Missoula, MT 59801 HDR No.: 00...88114 Spec Section: 15555 Drawing/Detail No Attn: Stacee Keller Attn: Nathan Kutil 1st. Sub 4. See comments. ReSub. X Date Transmitted: 01-06-12 Previous Transmittal Date: 7. Wrong spec. section. Item No. No. Copies Description Manufacturer MfrNendor Dwg or Data No. Action Taken* 01 1 Boiler Data Resubmittal Lochinvar B By Date Distribution: Contractor I I File I I Field H OwnerOther Remarks: The Action Designated Above is in Accordance with the Following Legend: A - 1-urnish as suomlrrea - 1AVJ­« B - Furnish as Noted E - Engineer's review not required 1. Submittal not required. C - Revise and Submit 2. Supplemental Information. Submittal retained for 1. Not enough information for review. informational purposes only. 2. No reproducibles submitted. 3. Information reviewed and approved on prior 3. Copies illegible. submittal. 4. Not enough copies submitted. 4. See comments. 5. Wrong sequence number. 6. Wrong resubmittal number. 7. Wrong spec. section. 8. Wrong form used. 9. See comments. Comments: 1. NOx rating acceptable as long as it meets the local air board standards. 2. Contractor shall provide gas pressure regulator for each boiler if not provided by manufacturer. 3. Provide gas pressure gage by manufacturer or contractor. 4. Provide 100 psig relief valve. Ted Kontonickas 1/6/12 By Date Distribution: Contractor I I File I I Field H OwnerOther Submittal -Transmittal Building People Who Build Great Things TO: Nathan Kutii HDR 1715 S. Reserve St, Suite C Missoula, MT 59801 406-532-2239 Date: Submittal No.: Apollo Project No.: CC: Nigel Stevenson Dan Kelly Devie Bessette 01-06-12 112-15555-001A P133 PROJECT: City of Bozeman Water Treatment Plant Replacement Project Specification Section: 15555 - Boilers DESCRIPTION: Boiler Data Resubmittal certifiesApollo, Inc. - attached to this transmittal comply requirements of .. For Approval. N/A Hard Copies N/A Color Chart TRANSMITTED BY: Stacee Keller for Nigel Stevenson VEHNAI: O PR0!'7S.557C7NPL 5P7L5.5 POffNi5 January 5, 2011 4G Plumbing & Heating, Inc. Attn: Mr. Cory Hanninen P.O. Box 17140 Missoula, MT 59808-7140 RE: Bozeman Hyalite/Sourdough WTP Spec Section 15555 Boiler Submittal Review Comments 20162 nd Ave. North PO Box 129 (59103) Billings, MT 59101 406.248.8373 Phone 406.248.8396 Fax www.vemcoinc.com mail@vemcoinc.com Please see below for responses to the submittal review comments on the Lochinvar boilers for the Bozeman Hyalite/Sourdough WTP project. 1. The Entering and Leaving water temperatures will be set for the specified temperatures. The temperatures can be set and changed on the integral boiler control panel. 2. The boiler will be provided with High Altitude. Greater than 3000'. The boiler will operate at the required output with altitude taken into consideration. 3. We do not offer a UV detecting flame sensor. Lochinvar offers a flame rod microamp signal to detect flame rectification. 4. The boiler is standard with a down fired counter flow design. 5. The boiler will include a condensate trap. Standard. 6. The boiler may be vented up to 100 equivalent FT with a vent diameter equal to the combustion chamber outlet diameter. 7. A. The burner is horizontal with a Neg-Reg gas train to mix the gas/air. B. Yes. C. Yes. D. Yes. E. Yes. The ignitor and flame rod are secured to the heat exchanger to ensure these items will not come out of alignment. F. Lochinvar Knight boilers can operate in a safe condition at a derated output With gas supply as low as 4 inches of water column. G. Boiler has a rating for NOx of 20 PPM or less corrected to 3% 02. 8. A. Yes. Ignition safety controls are standard and integral to the boiler. B. 1. Burner controls have a digital safeguard with microamp flame rectification. 2. Both Pre and Post purge cycles are standard. 9. A. Yes. Two manual ball type gas valves are standard. B. Negatively regulated main gas valve with solenoid. C. Yes. Manometer needed. Manometer is not included. D. No. See comment F. E. No. See comment F. F. We supply a factory mounted spark ignition. Boiler will ignite at a low fire rate. All factory components are factory mounted. (7v�h 30 {..t d.-Pp-sf� the 0q—cfbW' ascd ow - e E7 -d—' -t * 10. A. High and Low Gas Pressure Switches will be provided. B. Yes. C. Yes. D. Yes. 1 1. Gas regulators are provided by others. Not Included with the boiler. 12. A. Yes. B. Yes. C. To access all of the internals of the boiler, the top and front panels will need to be Removed. No tools required. D. Yes. 13. A. A 50 PSI relief valve will be provided with the boiler, standard. We will order the boiler to accommodate the 100 PSI Relief Valve. B. No. Electronic supply and return sensors will digitally display the temperatures on the boiler. C. Yes. D. No. We offer Stainless Steel. E. Yes F. Yes G. No. By Others. H. Yes. 1. Yes. Inside the boiler. External to the boiler, by others. .J. No. K. No. 14. A. Yes. B. Yes. 15. A. Yes. B. Yes. C. Yes. D. #145. Yes. 16. Yes. 17. Yes. 18. Yes. High voltage and low voltage boards are separated. 19. A, B, and C. Yes. 20. By Qt#em. 21. A. Yes. % HP 13.1150 Phase Sincerely, Nathan Malek Vemco Inc. c"711 -k 30 *.'.A. tli,- PLscssaA g—, a JW.4C �scd�c3tfay Fal «. MOMSON 144A MAIERLE, INC Sh®p Drawing Transmittal No. 046-(15555-001) Apollo # (Spec Section -Series) Project Name: City of Bozeman Water Treatment Plant Replacement Project Date Received: Project Owner: City of Bozeman Checked By: Contractor: Apollo, Inc. Owner: City of Bozeman Log Page: Address: 1133 West Columbia Drive Kennewick, WA 99336 Address: 1715 S. Reserve St., Ste. C Missoula, MT 59801 HDR No.; 00...88114 Spec Section: 15555 Drawing/Detail No.: Attn: Stacee Keller Attn: Nathan Kutil 1st, Sub 4. ReSub. 4. See comments. Date Transmitted: 10-21-11Previous Transmittal Date: Item No, No. copies Description 7. Manufacturer Mfr/Vendor Dwg or Data No, Action Taken* 01 1 Boiler Data Lochinvar <� �•,_� �7,� f r,�� / i /7Y�_� �'' Remarks: * The Action Designated Above is in Accordance with the Following Legend: A - Furnish as Submitted u - Kejectea B - Furnish as Noted E - Engineer's review not required 1. Submittal not required, C - Revise and Submit 2. Supplemental Information. Submittal retained for 1. Not enough information for review. informational purposes only. 2. No reproducibles submitted. 3. Information reviewed and approved on prior 3. Copies illegible. submittal. 4. Not enough copies submitted. 4. See comments. 5. Wrong sequence number. 6. Wrong resubmittal number. 7. Wrong spec. section. 8. Wrong form used. 9 See comments. Comments: <� �•,_� �7,� f r,�� / i /7Y�_� �'' By Da e Distribution: Contractor I ( File I Field I I Owner Other City of Bozeman WTP Submittal 15555-001 Comments 11123(11 Provide information to verify the following specification requirements: 1. Entering and leaving water shall be 145 DegF and 180 DegF respectively. 2. Verify the heating output is rated for the altitude at the site. 3. The boiler shall use a UL approved flame safeguard ignition control system using UV detection flame sensing. The UV detector shall be air cooled to prevent condensate formation and so designed as to prevent misalignment. 4. The boiler shall be down fired counter flow such that formed condensate always moves toward a cooler zone to prevent re -evaporation. 5. An aluminum corrosion resistant condensate drain designed to prevent pooling and accessible condensate trap shall be provided. 6. Boiler shall be able to vent a horizontal distance of 80 equivalent FT with a vent diameter equivalent to the combustion chamber outlet diameter. 7. Gas Burner: a. The burner flame shall burn horizontally and be of the pre -mix type with a forced draft fan. b. Burner shall fire to provide equal distribution of heat throughout the entire heat exchanger. c. The burner shall be easily removed for maintenance without the disruption of any other major component of the hniler d. A window view port shall be provided for visual inspection of the boiler during firing. e. Ignition components: The ignition hardware shall consist of electrodes and UV sensing tube permanently arranged to ensure proper ignition electrode and UV alignment. f. Verify the rated capacity of the boiler shall be capable of operating at rated capacity with gas pressures as low as 2 IN W.C. at the inlet to the burner gas valve. g. The burner shall be capable of maximum efficiency without exceeding a NOx reading above 11 ppm. 8. The burner and gas train shall be provided with the following trim and features: a. Safety Controls: Energize ignition, limit time for establishing flame, prevent opening of gas valve until pilot flame is proven, stop gas flow on ignition failure, and allow gas valve to open. b. Burner Controls: 1) Digital flame safeguard with UV rectification. 2) Flame safeguard capable of both pre and post purge cycles. 9. Gas Train: a. Two manual ball type gas valves. b. Main gas valve (solenoid). c. Manual test and check valves. d. Pilot gas pressure regulator. e. Automatic pilot gas valve. f. All components to be factory mounted. 10. Safety Devices: a. Low gas pressure switch. b. Blocked flue detection switch. c. High temperature manual reset. d. All safeties to be factory mounted. 11. Individual gas regulator provided by factory, shipped loose for field installation, one per boiler. 12. Service Access: a. The boilers shall be provided with access covers for easily accessing all serviceable components. b. All accesses must seal completely as not to disrupt the sealed combustion process. c. All components must be accessible and able to adjust with the removal of a single cover or cabinet component. d. Access doors or panels shall be designed to be operated by a single person. 13. Accessories: a. 100 psi ASME rated relief valve. b. Dial type thermometers for supply and return water temperatures. c. Boiler drain valve. d. Aluminum condensate receiver pan. e. Flame check valves. f. Flame arrester. g. Gas pressure gage: h. Gas cocks with lubricated plug cocks and operating handles. i. Gas piping meeting NFPA recommendations. j. Low pressure check valve. k. Air inlet filter. 14. Control panel: a. Indication lights. b. Enclosure NEMA 12 type. 15. Individual lights: a. Power on. b. Boiler on. c. Boiler ready. d. Alarms: 1) Low water cutoff. 2) Flame failure. 3) High temperature. 4) High pressure. 5) Ventilation alarm. 16. Provide boiler lockout for combustion air fan failure. 17. Front panel 120 V disconnect switch: a. In off position all internal wiring disconnected from power. 18. Metal barrier to separate instrumentation/control wiring from power cables. 19. Isolated contacts for remote monitoring: a. Boiler on. b. Boiler off/ready. c. Natural gas being used. 20. Local disconnect switch for shutoff of all boiler, controls and accessory power. 21. Blower motor: a. '/z HP. b. 120 V/1 phase. ® KNIGHT XL U Clh�ulvar® COMMERCIAL BOILER High EmciencyWater Heaters, Boilers end Pool Heaters Submittal Sheet KBX-Sub-08 KNIGHT®XL COMMERCIAL CONDENSING HEATING BOILERS JOB NAME Hyalite / Sourdough WTP LOCATION Bozeman, MT ARCH./ENGR. Morrison Maierle WHOLESALER MDM Supply MECH. CONTRACTOR 4G Plumbing MODEL NO. KBN601 (Tag: B-6601/6602 TYPE GAS Natural Btu/hr INPUT 120-600 Btu/hr OUTPUT 567 NOTES w/ ModBus Communication STANDARD FEATURES ) Up to 94.6% Thermal Efficiency > Modulating Burner with 5:1 Turndown > Direct -Spark Ignition > Low NOx Operation > Sealed Combustion > Low Gas Pressure Operation > ASME Stainless Steel Heat Exchanger > ASME Certified, "H" Stamped Gasketless Heat Exchanger > 160 psi Working Pressure > 50 psi ASME Relief Valve > Highly efficient, condensing design > Vertical & Horizontal Direct -Vent > Category IV venting up to 100 feet > PVC, CPVC or AL29-4C Venting up to 100 Feet > Factory Supplied Sidewall Vent Termination > Smart System Control > Other Features > On/Off Switch > Adjustable High Limit w/ Manual Reset > Automatic Reset High Limit > Flow Switch > Flue Temperature Sensor > Low Air Pressure Switch > Temperature & Pressure Gauge > Adjustable Leveling Legs > Condensate Trap > Zero Clearances to Combustible Material > 10 Year Limited Warranty (See Warranty) SMART SYSTEM FEATURES > SMART SYSTEM Digital Operating Control > Multi -Colored Graphic LCD Display w/ Navigation Dial > Three Reset Temperature Inputs with curves for three set point temperature inputs > Built in Cascading Sequencer for up to 8 Boilers >Lead Lag > Efficiency Optimization > Outdoor Reset Control with Outdoor Air Sensor > Programmable System Efficiency Optimizers > Night Setback > DHW Night Setback > Anti -Cycling > Outdoor Air Reset Curve > Ramp Delay > Boost Temperature &Time > Three Pump Control > System Pump With Parameter for Continuous Operation > Boiler Pump With Variable Speed Pump Control* > Domestic Hot Water Pump > Domestic Hot Water Prioritization > DHW tank piped with priority in the boiler loop > DHW tank piped as a ne n the system with the pumps controlledz4>y t�le Smart System > DHW Modulation Limiting > Separately Adjustable SH/DHW Switching Times* > Building Management System Integration > MODBUS Communication (Optional) > 0-10VDC Input to Control Modulation or Set Point > 0-10VDC Input Signal from Variable Speed System Pump* > 0-10VDC Modulation Rate Output > 0-10VDC Input to Enable/Disable call for heat > Access to BMS Settings through Display > High Voltage Terminal Strip > 120 VAC / 60 Hertz / 1 Phase Power Supply > Three sets of Pump Contacts with Pump Relays > Low Voltage Terminal Strip > 24 VAC Device Relay > Proving Switch Contacts > Flow Switch Contacts > Alarm on Any Failure Contacts > Runtime Contacts > DHW Thermostat Contacts > 3 Space Heat Thermostat Contacts >System Sensor Contacts > DHW Tank Sensor Contacts > Outdoor Air Sensor Contacts > Cascade Contacts > 0-10 VDC BMS External Control Contact > 0-10VDC Boiler Rate Output Contacts > 0-10VDC Variable Speed System Pump Signal Input > 0-10VDC Signal to Control Variable Speed Boiler Pump > Modbus Contacts > Time Clock > Data Logging > Hours Running, Space Heating > Hours Running, Domestic Hot Water > Ignition Attempts > Last 10 Lockouts > Other Features > Low Water Flow Safety Control & Indication > Password Security > Inlet & Outlet Temperature Readout > Customizable Freeze Protection Parameters > Custom Maintenance Reminder with Contractor Info *Exclusive feature, available only from Lochinvar OPTIONAL EQUIPMENT FlAlarm Bell ®Condensate Neutralization Kit) OConcentric Vent Kit (KB40o-KB6oi) ❑High & Low Gas Pressure Switches w/ Manual Reset (KB5oi-KB8oi) 71Low Water Cutoff w/Manual Reset & Test [DSMART SYSTEM PC Software Dtainless Steel Vent Kits (KB7os-KB8oi) QStack Frame FIRING CODES ®M9 Standard Construction E3N17 California Code EDN13 CSD1 / FM / GE Gap (KB501-KB801) KNIGHT XL Commercial Boiler Dimensions & Specifications LOW VOLTAGE LEFT SIDE l 1 � p s - A 1!4°-1-114' J ADJUSTABLE FRONT VENTING OPTIONS ❑ Direct Vent Vertical ❑ Direct Vent Horizontal 0 Vertical Vent with Sidewall Air Intake ❑ Sid ewall Vent with Rooftop Air Intake ❑Vertical Vent with Optional Room Air ❑Sidewall Vent with Optional Room Air &bwalro y91Q� i MEMBERr U o 4 Eich ERiclencywoter Eeatera, Eollcra and Tool Eeaten 6 te4 0., Lochinvar Corporation • 300 Maddox Simpson Pkwy • Lebanon, 'IN 37090 a 615-889-8900 / Fax: 615-547-1000 www. Loch invar.com 5/10—Printed in U.S.A. LKNIGHT XL HEATING BOILER 0'RIDIMENSIONS AND SPECIFICATIONS Model Input Output t E F K, Gas Water Inlet Air Vent Size Shipping Wt, Number KBN400 80 399 93.3% 372 324 42-1/2' 15-1/2' 27-3/4' 3-3/4' 20-3/4" 21" 14" 34' 34" Conn. 2' 18-3/4' 1' Conn. 1-1/2" 4" 4" (Ibs.) 280 KBN501 100 500 93.3% 467 406 42-112° 15-1/2" 31-1/2' 3-3/4" 25-1/2" 21" 14' 32-1/2" 36" 2' 18" 1" 1-1/2" 4" 4" 310 KBN601 120 600 94.6% 567 493 42-1/2" 15-1/2" 36-1/4" 3-3/4" 25" 21" 14" 36' 32-3/4' 5-1/2' 19-1/2" 1" 2" 4' 4' 340 KBN701 140 700 94.3% 660 574 42-1/2" 15-112' 40-1/4' 3-3/4" 29' 23" 17" 36" 32-3/4" 3-1/4' 23-12" 1" 2" 4" F 370 KBN801 160 800 94.0% 752 654_ 42-1/2" 15-1/2" 4S-1/4' 3-3/4' 33-1/4' 23" 11" 36" 32-3/4" 3-1/4' 27-3/4' 1" 2" 4' 6" 405 Notes: Indoor installation only. All information subject to change. Change "N" to 'L" for LP gas models. VENTING OPTIONS ❑ Direct Vent Vertical ❑ Direct Vent Horizontal 0 Vertical Vent with Sidewall Air Intake ❑ Sid ewall Vent with Rooftop Air Intake ❑Vertical Vent with Optional Room Air ❑Sidewall Vent with Optional Room Air &bwalro y91Q� i MEMBERr U o 4 Eich ERiclencywoter Eeatera, Eollcra and Tool Eeaten 6 te4 0., Lochinvar Corporation • 300 Maddox Simpson Pkwy • Lebanon, 'IN 37090 a 615-889-8900 / Fax: 615-547-1000 www. Loch invar.com 5/10—Printed in U.S.A. ar°,Typical Specirle'ation -�„ Lochhcv 615-889-8900 /Fax: 615-547-1000 KBX-SPEC-05 www.Lochinvar.com Typical Specification for Lochinvar a Knight XL Heating Boiler Models 399,000 - 800,000 Btu/Hr The BOILER shall be a LOCHINVAR KNIGHT XL Model KB(N,L) KB N having a modulating input rating of 600 , &WoBtu/Hr, an output of 120 Btu/Hr and shall be operated on (Natural Gas) (L.P. Gas). The BOILER shall be capable of full modulation firing down to 20% of rated input with a turndown ratio of 5:1. The BOILER shall bear the ASME "H" stamp for 160 psi working pressure and shall be National Board listed. There shall be no banding material, bolts, gaskets or "O" rings in the header configuration. The 316L stainless steel combustion chamber shall be designed to drain condensation to the bottom of the heat exchanger assembly. A built-in trap shall allow condensation to drain from the heat exchanger assembly. The complete heat exchanger assembly shall carry a ten (10) year limited warranty. The BOILER shall be certified and listed by C.S.A. International under the latest edition of the harmonized ANSI Z21.13 test standard for the U.S. and Canada. The BOILER shall comply with the energy efficiency requirements of the latest edition of the ASHRAE 90.1 Standard and the minimum efficiency requirements of the latest edition of the BTS2000 Standard. The BOILER shall operate at a minimum of 93% thermal efficiency at full fire on 399,999 and 500,000 Btu/hr models and at a minimum 94% thermal efficiency at full fire on 600,000, 700,000 and 800,000 Btu/hr models. All models shall operate up to 98% thermal efficiency with return water temperatures at 100°F or below. The BOILER shall be certified for indoor installation. The BOILER's Thermal Efficiency shall be verified through third party testing by the Hydronics Institute Division of AHRI and listed in the AHRI Certification Directory. The BOILER shall be constructed with a heavy gauge steel jacket assembly, primed and pre -painted on both sides. The combustion chamber shall be sealed and completely enclosed, independent of the outer jacket assembly, so that integrity of the outer jacket does not affect a proper seal. A burner/flame observation port shall be provided. The burner shall be a premix design and constructed of high temperature stainless steel with a woven metal fiber outer covering to provide modulating firing rates. The BOILER shall be supplied with a gas valve designed with negative pressure regulation and be equipped with a variable speed blower system, to precisely control the fuel/air mixture to provide modulating boiler firing rates for maximum efficiency. The BOILER shall operate in a safe condition at a derated output with gas supply pressures as low as 4 inches of water column. The BOILER shall be equipped with leveling legs. The BOILER shall utilize a 24 VAC control circuit and components. The control system shall have an electronic display for boiler set-up, boiler status, and boiler diagnostics. All components shall be easily accessed and serviceable from the front and top of the jacket. The BOILER shall be equipped with; a temperature/pressure gauge, high limit temperature control certified to UL353, ASME certified pressure relief valve, outlet water temperature sensor, return water temperature sensor, a UL 353 certified flue temperature sensor, outdoor air sensor, low water flow protection and built-in adjustable freeze protection. The BOILER shall feature the "Smart System" control with a Multi -Colored Graphic LCD display with Navigation Dial and Soft Keys for, password security, three loop temperature setpoints with individual outdoor air reset curves, pump delay with adjustable freeze protection, pump exercise, domestic hot water prioritization with DHW modulation limiting and USB PC port connection. The BOILER shall be capable of controlling a variable speed boiler pump to keep a constant Delta T at all modulation rates. The BOILER shall have the capability to accept a 0-10 VDC input connection for BMS control of modulation or setpoint, enable disable of the boiler, variable system pump signal and a 0-IOVDC output of boiler modulation rate. The Boiler shall have a built-in "Cascade" with sequencing options for "lead lag" or "efficiency optimized" modulation logic, with both capable of rotation while maintaining modulation of up to eight boilers without utilization of an external controller. Supply voltage shall be 120 volt / 60 hertz / single phase. The BOILER shall be equipped with two terminal strips for electrical connection. A low voltage connection board with 42 data points for safety and operating controls, i.e., Auxiliary Relay, Auxiliary Proving Switch, Alarm Contacts, Runtime Contacts, Manual Reset Low Water Cutoff, Flow Switch, High and Low Gas Pressure Switches, Tank Thermostat, Three Wall Thermostat/Zone Controls, System Supply Sensor, Outdoor Sensor, Building Management System Signal, Modbus Control Contacts and Cascade Control Circuit. A high voltage terminal strip shall be provided for supply voltage. The high voltage terminal strip plus integral relays are provided for independent pump control of the System pump, the Boiler pump and the Domestic Hot Water pump. The BOILER shall be installed and vented with a (select one): (a) Direct Vent Sidewall system with a horizontal sidewall termination of both the vent and combustion air. The flue shall be PVC, CPVC or Stainless Steel sealed vent material terminating at the sidewall with the manufacturers specified vent termination. A separate pipe shall supply combustion air directly to the BOILER from the outside. The air inlet pipe may be PVC, CPVC, ABS, Galvanized, Dryer Vent, or Stainless Steel sealed pipe. The air inlet must terminate ori the same sidewall with the manufacturer's specified air inlet cap. The BOILER's total combined air intake length shall not exceed 100 equivalent feet. The BOILER's total combined exhaust venting length shall not exceed 100 equivalent feet. Foam Core pipe is not an approved material for exhaust piping. (b) Direct Vent Vertical system with a vertical roof top termination of both the vent and combustion air. The flue shall be PVC, CPVC or Stainless Steel sealed vent material terminating at the roof top with the manufacturers specified vent termination. A separate pipe shall supply combustion air directly to, the BOILER from the outside. The air inlet pipe may be PVC, CPVC, ABS, Galvanized, Dryer Vent, or Stainless Steel sealed pipe. The air inlet must terminate on the roof top with the manufacturer's specified air inlet cap. The BOILER's total combined air intake length shall not exceed 100 equivalent feet. The BOILER's total combined exhaust venting length shall not exceed 100 equivalent feet. Foam Core pipe is not an approved material for exhaust piping. (c) Sidewall Vent with Room Air system with a horizontal sidewall termination of the vent with the combustion air drawn from the interior if the building. The flue shall be PVC, CPVC or Stainless Steel sealed vent material terminating at the sidewall with the manufacturers specified vent termination.. The BOILER's total combined exhaust venting length shall not exceed 100 equivalent feet. Foam Core pipe is not an approved material for exhaust piping. (d) Vertical Vent with Room Air system with a vertical rooftop termination of the vent with the combustion air drawn from the interior of the building. The flue shall be PVC, CPVC or Stainless Steel sealed vent material terminating at the rooftop with the manufacturers specified vent termination. The BOILER's total combined exhaust venting length shall not exceed 100 equivalent feet. Foam Core pipe is not an approved material for exhaust piping. (e) Vertical Vent with Sidewall Air system with a vertical rooftop termination of the vent with the combustion air being drawn horizontally from a sidewall. The flue shall be PVC, CPVC, or Stainless Steel sealed vent material terminating at the roof top with the manufacturers specified vent termination. A separate pipe shall supply combustion air directly to the BOILER from the outside. The air inlet may be PVC, CPVC, ABS, Galvanized, Dryer Vent, or Stainless Steel sealed pipe. The air inlet must terminate on a sidewall using the manufacturers specified air inlet cap. The BOILER's total combined air intake length shall not exceed 100 equivalent feet. The BOILER's total combined exhaust venting length shall not exceed 100 equivalent feet. Foam Core pipe is not an approved material for exhaust piping. The BOILER shall have an independent laboratory rating for Oxides of Nitrogen (NO,) of 20 ppm or less corrected to 3% 02. The manufacturer shall verify proper operation of the burner, all controls and the heat exchanger by connection to water and venting for a factory fire test prior to shipping. The BOILER shall operate at altitudes up to 4,500 feet above sea level without additional parts or adjustments. The BOILER shall be suitable for use with polypropelene glycol, up to 50% concentration without contingencies. Maximum unit dimensions shall be: Length 36 114 inches, width 15 1 /2 inches and Height 42 1 /2 inches. Maximum unit weight shall be 340 pounds. The Firing Control System shall be M9 (Options Below). M9 Direct Spark Ignition with Electronic Supervision (Standard) M13 GE GAP (FM/IRI/CSD-1) (KB 500-800) OPTIONAL CONSTRUCTION CODES The BOILER shall be constructed in accordance with requirements. (Options Below) M7 California Code MA Massachusetts Code KY Kentucky Code Note: Due to the large discrepancy in CSD -1 requirements from state to state, please confirm to the factory all controls required in your jurisdiction. 06/10 —Printed in U.S.A. v0AM1 SSe\®P Qv � 0 0 TOMissoula, Montana Q .� 728-1515 c� P 2jCA L Co 4G PLUMBING & HEATING, INC. P.O. Box 17140 Missoula, MT 59808-7140 Fax: (406) 728-6257 PROJECT TITLE: Bozeman Hyalite WTP DATE: October 10 2011 ARCH/ENG: HDR/Morrison Maierle GENERAL CONTRACTOR: APOLLO SUBCONTRACTOR: 4G PLUMBING & HEATING, INC SUPPLIER: MDM SUPPLY MANUFACTURER'S NAME: LOCHINVAR SUBMITTAL NUMBER: SPECIFICATION SECTION: 15555 SPECIFICATION TITLE: BOILERS COMMENTS: APPROVED: j -A E I MORRISON X1 1! MAIERLE, INC EXHIBIT C1 Equipment Record Page 1 of 2 Equipment Maintenance Data Summary Project Name : City of Bozeman Water Treatment Plant Replacement Project Page 1 of 2 Equip. Description Boiler#1 Date Installed 3-1-13 Date Started Equip, Location Boiler Room Cost Estimated Life Project Equip. Tag No. B-6601 Shop Dwg. Trans. No. Spec. See. 15555 Equip. Manuf. Lochinvar Address 00...88114 City of Bozeman Water Treatment Plant Replacement Project 5/3/2013 01340-1 laq ., MORMON MAIERLE, mc, EXHIBIT C2 Lubrication Summary Equipment Record Page 2 of 2 Equipment Descri tion Boiler#1 Prc'ect Equip. Ta No. B-6601 Pae 2 of 2 Lubricant Point Manufacturer Product AGMA # SAE # ISO T 1 NIA F- c 2 m 3 .n` 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO a 1 F� c 2 3 a 4 5 Lubricant Point Manufacturer Product AGMA#__ SAE # ISO 1 t— c 2 `�— 3 .n` 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO a 0- 1 2 R{ v 3 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO T F- C 2 ro 3 .n` 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO � T 1 c 2 -' 3 .n` � 4 5 00...88114 City of Bozeman Water Treatment Plant Replacement Project 5/3/2013 01340-2 tDI 4 MOFFISON A � MAIERLE, wC, rEXCHio1 1 v 1 Equi.0--nent Record Page 1 of 2 Equipment Maintenance Data Summary Project Name : City of Bozeman Water Treatment Plant Replacement Project Page 1 of 2 Equip. Description Boller #2 Date Installed 3-1-13 Date Started Equip. Location Boller Room Cost Estimated Life Project Equip. Tag No. B-6602 Shop Dwg. Trans. No. pec. Sec. 15555 tquip. Manut. Lochinvar 00...88114 City of Bozeman Water Treatment Plant Replacement Project 5/312013 01340-1 LA ; MORRISON MAIERLK WC. EXHIBIT C2 Lubrication Summary Equipment Record Page 2 of 2 Equipment Descri tion Boiler#2 Project Equip. Ta No. B-6602 Pae 2 of 2 Lubricant Point Manufacturer Product AGMA # SAE # ISO T 1 N/A t— c 2 CU -J 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO m CL 1 r - c 2 3 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO m 1 FT c 2 m 3 —J 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO a T 1 F c 2 (6 3 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO � T 1 f• - c 2 CU —' 3 75n 4 5 Lubricant Point Manufacturer Product AGMA # SAE # ISO � 1 �T E 2 l0 —' 3 .v 4 5 00...88114 City of Bozeman Water Treatment Plant Replacement Project 5/3/2013 01340-2 NorthWestern Energy Nord&esteniI ® Er.tciencyn Commercial Electric Energy Plus . i_ Additional Measures -New Construction P.O. Box 1167 Helena MT 59624 (800)823-5995 Form 3753-A 06/14 C -NC -E -AM ruSTnMER & PAYMENT INFORMATION: (Check will be made savable to name on NorthWestern Energy account unless otherwise specified.) (Attach recent bill and list Please PRINT Clearly NorthWestern Energy Acct# (REQUIRED): 0, _® account number. located in upper right hand cornernerof billing statement.) r ` Name on NorthWestern Energy ELECTRIC Account: c r Tax ID # (required): 8( ® Tax Entity: 100 InstallationAddress:7d2� h City: V*W_M State: Zip: NAM�T • 0-77 different • • (� City: 1%�1�, 4W Stater Zip: Mailing Address (if Contact Name: i�iPA Email Address:brX0PrA rWa*Chone: 49L-2'20( ,g ®► P Phone Number. Contractor Name: .� PROJECT(S) COMPLETED (All invoices and/or receipts must be included with this application.) Equipment Date Cost Quantity Additional Information Manufacturer and Incentive Amount Installed 4, Model No. (office Use) Automated Exhaust Fan Horsepower VFD Control - Parking Garage CO Sensor Automated Ventilation VFD Sg ft of area controlled Control (Occupancy SensorsfCO2 Sensors) Exhaust Hood Makeup Air NA Hotel Key Card or # of rooms controlled OS Room Energy Control System Motor Horsepower Motor - Fan System - Variable Speed Drive ��3 t��35• Motor Horsepower 1 ®®ems �G �IPst d Motor - Pump System- Variable Speed Drive �� �� r-y� �(sj Optimized Variable Volume Lab NA Hood Design PLEASE READ TERMS AND CONDITIONS ON THE BACK OF THIS APPLICATION BEFORE SIGNING Customers are encouraged to obtain multiple bids to compare price, product, service, product performance characteristics and contractor warranty. NorthWestern Energy or its agents do not sell energy conservation products directly to customers. NorthWestern Energy does not endorse or recommend any specific manufacturer, brand or model of energy conservation products. State and federal tax credits may be available for many qualifying energy efficiency improvements. For more information call (406) 444.6900 or visit www.revenue.mt.gov Projects completed or MATERIALS urchased prior to July 1 2014 are not eligible. Fax the completed application & all supporting documents to: Projects must be completed by June 1, 2015 and paperwork will not be accepted after June 30, 2015. (800) 823.5885 Before submitting this application be sure to: Or mail the completed application & all supporting documents to: Include a recent NorthWestern Energy bill for the Installation address NorthWestern Energy Attach all applicable receipts, invoices, and commissioning reports or checklists C -NC -E -AM Read Terms and Conditions (on the back of this application) P.O. Box 1167 Complete and sign the application Helena, MT 59624 �I Completed W-9 Form (Required) ! certify that the information gq this application ' true and correct and that! have re , / understand, and agree to the terms and conditions on the reverse or this application. O Date: Customer Signature: FOR OFFICE USE ONLY. DO NOT WRITE BELOW THIS LINE. Date Application Received: Date Verification Performed: Date Additional Info Requested: Verification Results: (circle one) PASS FAIL Date Submitted for Payment: Reason(s) for Failure (if applicable): Total incentive Amount: $ Verifier Signature: White Copy - Office Color Copy - Customer Form 3753-B C -NC -E -AM NorthWestern Energy Commercial Electric Additional Measures — New Construction Program Guidelines, Application Instructions & Incentive Amounts Qualifications • NOrthWestem Energy commercial electric' customers ar&eIlgitite for the program. Large USB "Choice" customers do not qualify. 2'9,'• c'.3 ".,'1 Pt • NorthWestern Energy representatives may verifv completed jobs prior to pavtritt' ?', %y, ' } • This program is for new construction commercial facilities. Existing commercial facile— t es do not qualify. • Work completed or materials purchased prior to July 1, 2014, will not be accepted under the program. y jbet�ls^of the pro�!�M, including incenoyes,,1re,subject to change without gri4rino#ic* tcq-nVyj; amounts are ;.K71i Yhrougl; June 30 2915, wr►°• l °► ti i- �; si i INCENTIVE AMOUNTS EFFECTIVE JULY 1, 2014 Equipment Incentive Amount ($/unit) Unit of Measurement Qualifiers Automated Exhaust VFD Control – $450.00 per fan horsepower Base case is constant volume Parking Garage CO Sensor continuous duty fan(s) Automated Ventilation VFD Control $0.07 per sq. ft. of area 'Demand controlled ventilation (VFD and (Occupancy Sensors/CO2 Sensors) controlled CO2 or Occupancy sensors) Exhaust Hood Makeup Air $2,500.00 per unit installed Central heating exclusively with electricity (kitchen only) Hotel Key Card or OS Room Energy $100.00 per room Heating and cooling exclusively with Control System. electricity (PTAC units only) Motor - Fan System – Variable Speed $100.00 per motor horsepower No soft -starts Drive Motor - Pump System – Variable Speed $100.00 per motor horsepower No soft -starts Drive Optimized Variable Volume Lab Hood $700.00 per unit installed Constant volume to variable air volume Design Steps to Participate Refer to the chart above for eligible energy saving measures. Identify which of these measures apply to your facility. For assistance, please call (800) 823-5995. Obtain bids from Sgveral contractors. Hire the contractor bf yotir'choice or do the -work yourself. �. Complete and sign the E+ Commercial Electric Additional Measures — New Construction application. Attach originals or legible copies of the following: • Invoice from contractor or receipt for materials purchased. • Contractor invoice should include: invoice date; invoice number; name and address of contractor; address where work was performed; brand, model number, and the number of units installed; itemized cost of all installed materials • Current NorthWestern Energy bill for address where work was performed. • Completed W-9 form is required for rebate payment. Submit completed application along with all documentation and current NorthWestem Energy bill. Mail to: NorthWestern Energy Attn: C -NC -E -AM PO Box 1167 Helena, MT 59624 Or, fax to: (800) 823-5885 Questions? Call (800) 823-5995 Log on to www.NorthWestemEnergy.com/Eolus for a complete list of rebate programs and details. Details of the program, including incentives, are subject to change without prior notice. Incentive amounts are valid through June 30, 2015. Terms and Conditions APPLICATION: This application must be filled out completely, truthfully and accurately. Participants are advised to retain a copy of this application and any accompanying documentation submitted to NorthWestern Energy under this program. NorthWestern Energy will not be responsible for lost documentation pertaining to this application request. Funds for incentives are limited and available on a first-come, first-served basis. Details of this program, including incentives, are subject to change without prior notice. ELIGIBILITY: Incentives are available to approved applicants who are NorthWestern Energy commercial and industrial customers. NorthWestern Energy large USB "Choice" customers are not eligible for the program. Final determination of eligibility shall rest solely with NorthWestern Energy. VERIFICATION: Participant's contractor will verify that the installed electric saving measures meet program standards and State of Montana codes. Participant's facility may also be selected for post -installation verification prior to incentive payment. No warranty is implied by this verification. NorthWestern Energy's inspection of installed equipment or energy saving measures is for the sole purpose of assuring that it has.been installed and program criteria have been satisfied, and it is not for the purpose of inspecting materials or quality of work. NorthWestern Energy makes no representations of warranties concerning adequacy of materials or qualify of the work by virtue of its inspection. PAYMENT: The incentives will be paid within 4-6 weeks upon: (i) completion of the Efficiency Plus (E+) Rebate Program saving measures, (ii) verification of the measures, and (iii) submission of this completed application with all required information attached. PROOF OF PURCHASE: The invoices accompanying this application must itemize the products purchased and/or work performed. This proof of purchase must show: (1) the date of purchase and itemized price paid, (2) the size, type, make, model or part number for the products, and (3) a description of any installation or other labor charges. INCENTIVE AMOUNT: Incentives for the Efficiency Plus (E+) Rebate Program savings measures completed as set forth in this application are limited to the amounts set forth in this application and may not exceed the purchase price. TAX LIABILITY: NorthWestern Energy is not responsible for any tax liability imposed on Participant as a result of payment of these incentives. SAFETY & BUILDING CODES: Participant represents that: (i) all products installed and work performed complies with all federal, state and local safety, building and environmental codes, and (ii) products are UL listed, if applicable, and installed per manufacturer's instructions. NorthWestern Energy is not responsible for wiring, piping, appliances, chimneys, flues or venting, and/or equipment on Participant's premises beyond the appropriate service meter or other points of connection with NorthWestern Energy's service connection at which point the responsibility of NorthWestern Energy shall cease. NO ENDORSEMENT: NorthWestern Energy does not endorse any particular manufacturer, contractor or product in promoting the Efficiency Plus (E+) Rebate Programs. The fact that names of particular manufacturers, contractors, products or systems may appear on this application does not constitute an endorsement. Manufacturers, contractors, products or systems not mentioned are not implied to be unsuitable or defective in any way. NorthWestern Energy or its agents do not sell energy conservation products directly to customers. PROPERTY RIGHTS: Participant represents that Participant has•the right to perform the rebated saving measures on the property on which those measures are performed and that any necessary landlord's consent has been obtained. ACCESS & EVALUATION: Northwestern Energy and/or its representatives may request access to the property and may review and evaluate the project during and after completion for up to 2 years. Participant agrees to provide reasonable access to the property for the purposes described herein. ENERGY INFORMATION RELEASE: Participant authorizes NorthWestern Energy to access energy usage data for the project's specified electric account at the physical address of the project. Participant agrees to provide other reasonable assistance to obtain such information. INFORMATION RELEASE: Participant agrees that NorthWestern Energy may include services and resulting energy savings in reports or other documentation submitted to the Montana Public Service Commission. NorthWestern Energy will treat all other information gathered in evaluations as confidential and report it only in the aggregate. ELIGIBLE PRODUCTS: Products must meet energy efficiency specifications of NorthWestern Energy. These specifications may be found on the Web at www.NorthWesternEnergy.com/EpLu—s. If you, or your contractor, are notsure of the specifications, please call (800) 823-5995 before proceeding. DISCLAIMER / NO LIABILITY: Participant understands that, while NorthWestern Energy is providing Participant with the incentives payment, NorthWestern Energy is not supervising work performed for Participant nor is NorthWestern Energy responsible in any way for proper completion of that work or proper performance of any products purchased. NorthWestern Energy is simply providing funding to assist Participant in implementing rebated saving measures. Participant assumes the risk of any loss or damage(s) that Participant may suffer in connection with installation of the measures. NorthWestern Energy does not guarantee any particular electric saving results by its approval of the application or by any other of its actions. Bozeman VFD Driven Loads Client: City of Bozeman Project: WTP Upgrade Project #: 162206 Date initiated: 2/24/2015 Date modified: Initiated by: Lance Kirmeyer Modified by: Lance Kirmeyer Load JQTY 1connected Load Description JHP lConnected JHP Load VFD Loads Membrane Feed Pumps 150 5 750 Rapid Mixers 15 3 45 Floc Drives - 5hp 5 3 15 Floc Drives - 2hp 2 3 6 Floc Drives - 1hp 1 3 3 RF Supply Pump, P -4302A/13 25 2 50 Air Scrub Blowers 50 2 100 Boiler Pumps 3 2 6 STONEWAY ELECTRIC, - JPPLY WHOLESALE DISTRIBUTOR STONEWAY ELECTRIC 402 NORTH PERRY ST SPOKANE, WA 99202-2921 509-535-2933 Fax 509-534-4512 MOUNTAIN STATES ELECTRIC PO BOX 4325 SPOKANE, WA 99220-0325 III Poll 11111111 I II 1111 I it III 1111 Invoice INVOICE DATE INVOICE NUMBER 01/04/2013 S100127313.013 5 PAGE NO. REMIT TO: -93666.32 STONEWAY ELECTRIC 0.00 PO 4037 SPOKOANE, WA 99220-0037 1 of 1 SHIP TO: MOUNTAIN STATES - 12-008 X 7022 SOURDOUGH CANYON RD SOURDOUGH/HYALITE WTP BOZEMAN, MT 59715-8020 CUSTOMER NUMBER CUSTOMER PO NUMBER JOB NAME / RELEASE NUMBER SALESPERSON 24980 32365-12-008 MAJOR GEAR PO DAN KECK WRITER SHIP VIA TERMS SHIP DATE ORDER DATE PHIL GRAVES BEST METHOD PA 10th Due 25th 01/04/2013 02/29/2012 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE LOT LOT ^SQUARE -D LOT ITEM 93666.320 93666.32 Thi.q I nt Shinment Consists of: Order Qty Ship Qty Description SQD 8839MFDWG4VWF07A08F09A10F10G10l Type: MEMBRN SubType: 5 5 Invoice is due by 02125/2013 Past Due invoices may be subject to 1.50% late charge. Printed By: LORIROB on 2/24/2015 9:40:15 AM Subtotal 93666.32 S&H Charges 0.00 Tax 0.00 Payments -93666.32 Amount Due 0.00 STONEWAY ELECTRIC SUPPLY WHO ESALE DISTRIBI erOR '0 , STON€W,NY ELECTRIC 402 NORTH PERRY ST SPOKANE, WA 99202-2921 509-535-2933 Fax 509-534-4512 BILL TO: MOUNTAIN STATES ELECTRIC PO BOX 4325 SPOKANE, WA 99220-0325 Invoice INVOICE DATE INVOICE NUMBER 01/04/2013 S100127313.015 1 PAGE NO, REMIT TO: STONEWAY ELECTRIC PO BOX 4037 SPOKANE, WA 99220-0037 1 of 1 SHIP TO: MOUNTAIN STATES - 12-008 X 7022 SOURDOUGH CANYON RD SOURDOUGH/HYALITE WTP BOZEMAN, MT 59715-8020 CUSTOMER NUMBER CUSTOMER PO NUMBER JOB NAME / RELEASE NUMBER SALESPERSON 24980 32365-12-008 MAJOR GEAR PO DAN KECK WRITER SHIP VIA TERMS SHIP DATE ORDER DATE PHIL GRAVES BEST METHOD PA 10th Due 25th 01/04/2013 02/29/2012 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE LOT LOT "SQUARE -D LOT ITEM 76291.580 76291.58 This Lot Shipment Consists of: Order Qty Ship Qty Description SQD MODEL 6 LVMCC Type: MCC -6501 SubType: 1 1 THIS INVOICE INCLUDED (6) VFDS WITH AN ESTIMATED TOTAL VALUE OF $25,265.00 Invoice is due by 02/25/2013 Past Due invoices may be subject to 1.50% late charge. Printed By: LORIROB on 2/24/2015 9:40:34 AM Subtotal 76291.58 S&H Charges 0.00 Tax 0.00 Payments -76291.58 Amount Due 0.00 STONEWAY ELECTRIC jPPLY WHOLESAl.E:019TRIBUTOH41011 Mw STONEWAY ELECTRIC 402 NORTH PERRY ST SPOKANE, WA 99202-2921 509-535-2933 Fax 509-534-4512 BILL TO: MOUNTAIN STATES ELECTRIC PO BOX 4325 SPOKANE, WA 99220-0325 111 "I IIIIIIII1II11 II111III1111 Invoice INVOICE DATE INVOICE NUMBER 01/04/2013 S100127313.017 Description SQD MODEL 6 LVMCC Type: MCC -6502 SubType: PAGE NO, REMIT TO: STONEWAY ELECTRIC PO BOX 4037 SPOKANE, WA 99220-0037 1 of 1 SHIP TO: MOUNTAIN STATES - 12-008 X 7022 SOURDOUGH CANYON RD SOURDOUGH/HYALITE WTP BOZEMAN, MT 59715-8020 CUSTOMER NUMBER CUSTOMER PO NUMBER JOB NAME / RELEASE NUMBER SALESPERSON 24980 32365-12-008 MAJOR GEAR PO DAN KECK WRITER SHIP VIA TERMS SHIP DATE ORDER DATE PHIL GRAVES BEST METHOD PA 10th Due 25th 01/04/2013 02/29/2012 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE LOT LOT ^SQUARE -D LOT ITEM 98156.850 98156.85 This Lot Shipment Consists of: Order Qty Ship Qty Description SQD MODEL 6 LVMCC Type: MCC -6502 SubType: 1 1 THIS INVOICE INCLUDED (10) VFDs WITH AN ESTIMATED TOTAL VALUE OF $42,105.00. Invoice is due by 02/25/2013 Past Due invoices may be subject to 1.50% late charge. Printed By: LORIROB on 2/24/2015 9:40:53 AM Subtotal 98156.85 S&H Charges 0.00 Tax 0.00 Payments -98156.85 Amount Due 0.00 STONEWAY ELECTRIC SUPPLY 440WHOLESALE DISTRIDUTOR 1 Law STONEWAY ELECTRIC 402 NORTH PERRY ST SPOKANE, WA 99202-2921 509-535-2933 Fax 509-534-4512 BILL TO: MOUNTAIN STATES ELECTRIC PO BOX 4325 SPOKANE, WA 99220-0325 Invoice INVOICE DATE INVOICE NUMBER 02/07/2013 S100127313.025 REMIT TO: PAG 2 STONEWAY ELECTRIC PO BOX 4037 8839MFDEG4VW N07A08A10F10H10110S10T1 SPOKANE, WA 99220-0037 1 of 1 SHIP TO: MOUNTAIN STATES - 12-008 X 7022 SOURDOUGH CANYON RD SOURDOUGH/HYALITE WTP BOZEMAN, MT 59715-8020 CUSTOMER NUMBER CUSTOMER PO NUMBER JOB NAME / RELEASE NUMBER SALESPERSON 24980 32365-12-008 MAJOR GEAR PO DAN KECK WRITER SHIP VIA TERMS SHIP DATE ORDER DATE PHIL GRAVES BEST METHOD PA 10th Due 25th 02/07/2013 02/29/2012 ORDER QTY SHIP QTY DESCRIPTION UNIT PRICE EXT PRICE LOT LOT ^SQUARE -D LOT ITEM 8606.300 8606.30 This Lot Shipment Consists of: Order Qty Ship Qty Description SQD 2 2 0.00 Payments 8839MFDEG4VW N07A08A10F10H10110S10T1 Amount Due 0.00 0X10410E2 Type: BOILER SubType: Invoice is due by 03/25/2013 Past Due invoices may be subject to 1,50% late charge. Printed By: LORIROB on 2124/2015 9:35:58 AM Subtotal 8606.30 S&H Charges 0.00 Tax 0.00 Payments -8606.30 Amount Due 0.00 Item #1 S c h -n eid e r ;9 Electric CERTIFICATE OF CONFORMANCE Date, January/08/1.3 No-, 112 HYALITE SOURDOUGH WTI' 7022 SOURDOUGH CANYON RIS BOZEMAN, MONTANA, USA 59715 Customer Order Monterrey Order Quantity: Markings Q2C: 31327891-094 5 pes To Whore It May Concern: Type: 8839MFDWG4V'WF07AO8FO9 A I OF I OH 101100 1 OS I OT I O 22 4E224E227E227E234E234E249 E249E402E411 Spee # This is to certify that the items furnished and/or work performed on this order has been inspected and tested in accordance with applicable specifications and purchase order requirements and found to be in conformance, 'Test results are available upon request, It is Engineering's judgement that any design changes that have occurred should not adversely affect performance, and the product(s) on this order still maintain the same integrity, function, performance, operation, mounting and overall dimensions. Na DESIGN CHANGE SINCE: Very truly yours. DIC -102012 Lorena E, Val Quality "r '') FM09-1108 Revisi6n 0 05•Marzo-2009 Autorizado por: Sergio Salcido Item #2 Schneider _ a E Iectri c FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 094 UNIT: 1 of QTY/SEC: 5 ENC/MCC: SNCL EQUIPMENT TYPE: MFLEX CATALOG NUMBER: 8839MFDWG4VWF07A08F09A10F10H 10110 EQUIPMENT DESIGNATION: MEMBRANE FEED PLJMP 1 P -3102A DRIVE SERIAL NUMBER: 6W0234000305 APPLICATION SOFTWARE: 2.11 E26 MACRO SOFTWARE: 1.51E20 PRODUCT SOFTWARE: 2.1 IE34 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO.: 722228003816 TEST START DATE: 12/06/2012 TEST START TIME: 1:00:00 PM TEST END DATE: 1 12/07/2012 TEST END TIME: 1:00:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 200 IIP DRIVE CONTROLLER LINE VOLTAGE: 492 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 240 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):j DEG. C Tuesday, December 11, 2012 Page I of 5 FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 094 UNIT: 2 of QTY/SEC: 5 ENC/MCC: ENCL EQUIPMENT TRIPE: MFLEX CATALOG NUMBER: 8839MFDWG4VWF07A08F09A10F10H10110 EQUIPMENT DESIGNATION: MEMBRANE FEED PUMP 2 P-31028 DRIVE SERIAL NUMBER: 6W0235000101 APPLICATION SOFTWARE: 2.1 IE26 MACRO SOFTWARE: 1.51E20 PRODUCT SOFTWARE: 2.1 IE34 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO,: 722151003838 TEST START DATE: 10/06/2012 TEST START TIME: 1:00:00 PM TEST END DATE: 492 TEST END TIME: ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: $ HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 200 HF DRIVE CONTROLLER LINE VOLTAGE: 492 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 240 - AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C Tuesday, December 11, 2012 Page 2 of 5 r#1�= FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP Q2C NO: 31327891 ITEM: 094 UNIT: 3 of QTY/SEC: 5 ENC/MCC: E N C L' EQUIPMENT TYPE: M F L EX CATALOG NUMBER: 8839MFDWG4VWF07A08F09A10F10H 10110 EQUIPMENT DESIGNATION: MEMBRANE FEED PUMP 3 P-1'311 02C DRIVE SERIAL NUMBER: 6W0235000106 APPLICATION SOFTWARE: 2.11 E26 MACRO SOFTWARE: 1.51E20 PRODUCT SOFTWARE: 2.11 E34 GRAPHIC TERMINAL SOFTWARE: I 2.51E21 1 GRAPHIC TERMINAL SERIAL NO.:j 722221203402 TEST S'T'ART DATE: 12111 /2012 TEST START TIME: 632 00 AM TEST END DATE: 12/11/2012 TEST END TIME: 2:32:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: "OURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 290 HP DRIVE CONTROLLER LINE VOLTAGE: 492 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 240 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C Tuesday, December 1.1, 2012 Page 3 of 5 Oft Electric FULL LOAD TEST REPOT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 094 UNIT: 4 of QTY/SEC: 5 ENC/MCC: ENCL EQUIPMENT TYPE: MFLEX CATALOG NUMBER: 8839MFDWG4VWF07A08F09A10F10H10110 EQUIPMENT DESIGNATION: MEMBRANE FEED PUMP 4 P -3102D DRIVE SERIAL NUMBER: 6W0235000132 APPLICATION SOFTWARE: 2.11E26 MACRO SOFTWARE: 1.51E20 PRODUCT SOFTWARE: 2.1 IE34 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO.: 722220202404 HST START DATE: 12/10/2012 HST START TIME: 8:00:00 AM TEST END DATE: 12/12/2012 TEST END TIME: 3:00:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 200 HP DRIVE CONTROLLER LINE VOLTAGE: 492 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 240 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):l DEG. C Tuesday, December 11. 2072 Page 4 of 5 FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 094 UNIT: 5 of QTY/SEC: 5 ENC/MCC: SNCL EQUIPMENT TYPE: MFLEX CATALOG NUMBER: 8839MFDWG4VWF07A08F09A10F10H10110 EQUIPMENT DESIGNATION: M'r_MBR"�NLc-: FEED PUMIP 5 10-3102E DRIVE SERIAL NUMBER: 6W0235000135 APPLICATION SOFTWARE: 2.11 E26 MACRO SOFTWARE: 1.51E20 PRODUCT SOFTWARE: 2.61E34 GRAPHIC TERMINAL SOFTWARE: 2.51E21 € GRAPHIC TERMINAL SERIAL NO.: 722220202374 1 TEST START DATE: 12/10/2012 TEST START TIMT,J 8:00.00 AM TEST END DATE: 12/10/2012 TEST END TIME: 3:00:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 200 HP DRIVE CONTROLLER LINE VOLTAGE: 492 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 240 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):1 DEG. C Tuesday, December 11, 2012 Page 5 of 5 RR DESCRIPTION BY DATE B 7`71EASE TO SOP JS 16/2012 A I RESUBMITTAL JS 07/20/2012 - ---- -- -- -- CERTIFICATE 0 F FACTORY TESTS Motor Control Centers Purchaser: P.O. #: Job Name: HYALITE SOURDOUGH WP F. 0. #: 31327891-005 MCC Designation: MCC -6501A Job Location- BOZEMAN MT Description of Tests Testedandel Accepted By Date 1. Inspection of Motor Control Center (SPB QA046.401 XX and QCF-604) L:l� 2. Factory Test for Industrial System a (NEMA ICS 1) or (IEC 60439-1) 3. Performance Tests (NEMA ICS 1) or (IEC 604,39-1) A. Visual Inspection 1 - Z y 0 B. Adjustments and Settings 1�� .� C. Operating Tests D. Dielectric Tests Jy�� E. Continuity Tests 4. Ground Fault Protection U (UL 845) Theabove tests are approved by: Date Title I hereby certify that the above tests have been performed on the equipment noted on the above factory order (F.O.) number, and that this equipment successfully met the acceptance criteria of these tests. This statement is made to the best of my knowledge and belief. Respectfully submitted, ,-per`�.-- A:;'Vq , SQUARED COMPANY QAF-601 Quality Assurance Manager 2/10 JOB NAME: HYALITE SOURDOUGH WTP EQUIPMENT DESIGNATION: MCC -6501A JOB LOCATION: BOZEMAN MT EQUIPMENT TYPE: MODEL 6 MOTOR CONTROL CENTER DRAWN BY: JASON SPLAWN DRAWING TYPE: NAMEPLATE INFORMATION ENGR: JEREMY SUMMEY DATE: NOVEMBER 16, 2012 by Sdh..W. El..Vk DRAWING STAT s: RECORD DWGJ N31327891-006-01 PG 3 oP 3 REv B 12-13-2012 — 09:48:447 Wallace Beebe Item #4 FULL ]COAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 005 UNIT: of QTY/SEC: 17C ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 17C EQUIPMENT DESIGNATION: FL:.;CC'U'LATION DRIVE 3 FL -2301C DRIVE SERIAL NUMBER: 8BO215115045 APPLICATION SOFTWARE: 2.1 IE MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.11 E35 GRAPHIC TERMINAL SOFTWARE: 2.51E21 I GRAPHIC TERMINAL SERIAL NO,: 12220,'001761 1 TEST START DATE: 12/18/2012 TEST START TIME 2:45.00 PM TEST END DATE: 12/19/2012 TEST END TIME: 12:20:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY:e 8 IHOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 ITP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C Friday, December 21, 2012 Page 1 of 6 7 FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 005 UNIT: of QTY/SEC: 18C ENC/I%ICC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 18C EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 1 FL -2301A DRIVE SERIAL NUMBER: 8BO215115070 APPLICATION SOFTWARE: 2,11E27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.11 E35 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO,! 722208002320 TEST START DATE: 12/18/2012 TEST START TIME: 2:45:00 PM TEST END DATE: 12/10/2012 TEST END TIME: 12:20:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C Friday, December 21, 2012 Page 2 of 6 FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 005 UNIT: of QTY/SEC: 180 ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 180 EQUIPMENT DESIGNATION: FLl;CCULATION ^RIVE 2 FL -2301 B DRIVE SERIAL NUMBER: 860215228008 APPLICATION SOFTWARE: 2.11E27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE: 2.51 E21 GRAPHIC TERMINAL SERIAL NO --I -754 722207001/ TEST START ATF-- 12/18/2012 TEST START TIME.: 2:45:00 P11./I TEST END DATE: 12/19/2012 TEST END TIME: 12:20:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: DRIVE CONTROLLER OUTPUT CURRENT: 488 VOLTS 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):l DEG. C Friday, December 21, 2012 Page 3 of 6 Schneider Elect is FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 005 UNIT: of QTY/SEC: 19D ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 19D EQUIPMENT DESIGNATION: RF SUPPLY PUMP 1 P -4302A DRIVE SERIAL NUMBED: 6WO235000070 APPLICATION SOFTWARE: 2.11 E26 MACRO SOFTWARE: 2,31E34 PRODUCT SOFTWARE: 2,1 IE34 GRAPHIC TERMINAL SOFTWARE: 2,51E21 GRAPHIC TERMINAL SERIAL NO,: 722229001518 TEST START DATE: 12/18/2012 TEST START TIME: 2:45:00 PM TEST END DATE: 12/19/2012 TEST END TIME: 12:20:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLED HORSEPOWER RATING: 40 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 52 AMPS SPECIAL AMBIENT TEMPERATURE (IF READ): - DEG, C Priday, December 21, 2072 Page 4 of 6 FULL LL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 005 UNIT: of QTY/SEC: 20A ENC/MCC: MCC EQUIPMENT TYPE: ATV71 CATALOG NUMBER: MCC SECTION 20A EQUIPMENT DESIGNATION: RF SUPPLY PUMP 1 P -4302A DRIVE SERIAL NUMBER: 6WO240000141 APPLICATION SOFTWARE: 3.31E62 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 3.31E66 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO,-,� 722232001825 TEST START DATE: 12/20/2012 TEST START TIME, 2:00:00 PM TEST END DATE: 12/21/2012 TEST END TIME: 11:20:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 75 HP DRIVE CONTROLLER LINE VOLTAGE: 485 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: SPECIAL AMBIENT TEMPERATURE (IF REQD): 96 AMPS DEG. C Friday, December 21. 2012 Page 5 of 6 Schneider Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 005 UNIT: of QTY/SEC: 21 D ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 21 D EQUIPMENT DESIGNATION: RAPID MIXER 1 MX -2201 DRIVE SERIAL NUMBER: 880215107051 APPLICATION SOFTWARE: 2.11 E27 MACRO SOFTWARE: 2.31 E34 PRODUCT SOFTWARE: 2.11 E35 GRAPHIC TERMINAL SOFTWARE: 2,51E21 GRAPHIC TERMINAL SERIAL NO.: 722209003642 TEST START DATE: 12/20/2012 TEST START TIME: 2:00:00 PM TEST END DATE: 12/21/2012 TEST END TIME: 11:20:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 IROiJRS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING; 25 HP DRIVE CONTROLLER. LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 34 AMPS SPECIAL AMBIENT TEMPERATURE (IF RE QD):l DEG. C Friday, Deceiuber 21, 2012 Page 6 of 6 EV DESCRIPTION BY DATE B RELEASE TO SHOP JS 11/16/2012 ' FFR Rf`' BMITTAL JS 07/20/2012 - ---- -- - CERTIFICATE 0 F FACTO RY\TESTS 11tem #5 Motor I Control Centers Purchaser: P.a #: Job Name: � ALIT€ SOURDOUGH V4T� F. 0. #: 31327891 -082 MCC Designation: MCC -6501 B Job Location, BOZEMAN MT Description of Tests Tested and Accepted By Date 1. Inspection of Motor Control Center _ (SPB QA046.401 XX and QCF-604) �) Kp.�h.�n a•� 1 l� 2. Factory Test for Industrial System (NEMA ICS 1) or (IEC 60439-1) 3. Performance Tests (NEMA ICS 1) or (IEC 60439-1) A. Visual Inspection ' �cj .�/o�.. � A.A B. Adjustments and Settings C. Operating Tests D. Dielectric Tests E. Continuity Tests , -��,,�,Y -'2) " 4. Ground Fault Protection /A (UL 845) Jy The tests are approved by: 'yabove �i Date � I Q �� • «oe�,r,�iz Title I hereby certify that the above tests have been performed on the equipment noted on the above factory order (F.O.) number, and that this equipment successfully met the acceptance criteria of these tests. This statement is made to the best of my knowledge and belief. Respectfully submitted, 1001 SQUARE D COMPANY QAF-601 Quality Assurance Manager 2/10 JOB NAME: HYALITE SOURDOUGH WTP EQUIPMENT DESIGNATION: MCC -6501 B JOB LOCATION: BOZEMAN MT EQUIPMENT TYPE: MODEL 6 MOTOR CONTROL CENTER DRAWN BY: JASON SPLAWN DRAWING TYPE: NAMEPLATE INFORMATION ENGR: JEREMY SUMMEY 1153 n DATE: NOVEMBER 16, 2012 bKSStmeider Electric DRAWING swus: RECORD DWG # NJ 132781-082-01PG 3 of 3 REy 8 al -w m-- I@ FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 082 UNIT: of QTY/SEC: 4A ENC/MCC: MCC EQUIPMENT TYPE: ATV71 CATALOG NUMBER: MCC SECTION 4A EQUIPMENT DESIGNATION: AIR SCRUB RLOWE.R 2 RLR -6039A DRIVE SERIAL NUMBER.: 6WO240000077 APPLICATION SOFTWARE: 3.31E62 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 3.31 E66 GRAPHIC TERMINAL SOFTWARE; 2.51E21 GRAPHIC TERMINAL SERIAL NO,, 722232002317 TEST START DATE: 12/14/2012 TEST START TIME: 2:30:00 PM TEST END DATE: 12/17/2012 TEST END TIME: 12:42:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 75 IIP DRIVE CONTROLLER. LINE VOLTAGE: 487 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: �96 AMPS I SPECIAL AMBIENT TEMPERATURE (IF REQD);l DEG, C Friday, Decenther 21, 2012 Page I of' 10 h nie1*der FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 082 UNIT: of QTS'/SEC: 5D ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 5D EQUIPMENT DESIGNATION: RAPID MIXER 2 MX -2202 DRIVE SERIAL NUMBER: 8BO217217043 APPLICATION SOFTWARE: 2.11 E27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE: 2.51 E21 e GRAPHIC TERMINAL SERIAL NO.: 722208202663 TEST START DATE: 12/17/2012 TEST START TIME: 2:45:00 PM TEST END DATE: 12/18/2012 TEST END TIME: 1:25:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 25 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 34 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C FriclaD, Decemher 21. 2012 Page 2 of 10 Schneider Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 082 UNIT: of QTY/SEC: 6Q ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 6D EQUIPMENT DESIGNATION: RAP I D M IXE R 3 MX -2203 DRIVE SERIAL NUMBER: 860217215047 APPLICATION SOFTWARE: 2.1 IE27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO.: 722206202826 TEST START DATE: 12/17/2012 TEST START TIME. 2:45:00 PM TEST END DATE: 12/18/2012 TEST END TIME: 1:25:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY. 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 25 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 34 AMPS SPECIAL AMBIENT TEMPERATURE (IF RE QD):l DEG, C Friday, Deeernher 21, 2012 Page 3 of 10 aft bchnei*u'er Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327591 ITEM: 082 UNIT: of QTY/SEC: 7C ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 7C EQUIPMENT DESIGNATION: FLUCCULATION ®RIVE 4 FL -2302A DRIVE SERIAL NUMBER: 8BO211112017 APPLICATION SOFTWARE: 2.1 IE27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.11E35 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO.: 722152001791 TEST START DATE: 12117/2012 TEST START TIME: 2:45:00 PM TEST END DATE: 12/18/2012 TEST END TIME: 1:25:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):l DEG. C Friday, December 21. 2012 Page 4 of 10 Schneider EIect_ric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH W` P 02C NO: 31327891 ITEM: 082 UNIT: of QTY/SEC: 70 ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 70 EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 5 FL -2302B DRIVE SERIAL NUMBER: 88021 1 1 1 2004 APPLICATION SOFTWARE: 2.11 E27 MACRO SOFTWARE: 2,31E34 PRODUCT SOFTWARE: 2,11E85 GRAPHIC TERMINAL SOFTWARE; 2,51E21 GRAPHIC 'TERMINAL SERIAL NO.: 722131202956 TEST START DATE: 12/17/2012 TEST START TIME: 2:45:00 PM TEST END DATE: 12/18/2012 TEST END TIME: 1:25:00 PM ELAPSED TIME AT END OF TEST PER. GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT; 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD); DEG, C Friday, Decenther 21, 2012 Page 5 of'10 Schneider Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTR 02C NO: 31327891 ITEM: 082 UNIT: of QTY/SEC: 8C ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 8C EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 6 FL -2302C DRIVE SERIAL NUMBER: 8BO211112008 APPLICATION SOFTWARE: 2.11 E27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE: 2.51E21 GRAPHIC TERMINAL SERIAL NO,: 722152001780 TEST START DATE: 12/19/2012 'T'EST START TIME. 1:30:00 PM TEST END DATE: 12/20/2012 TEST END TIME: 11:30:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):l DEG. C Friday, Decetnber 21. 2012 Page 6 of 10 Schneider Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 082 UNIT: of QTS.'/SEC: 80 ENCIMCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 80 EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 7 FL -2302A DRIVE SERIAL NUMBER: 880211112007 APPLICATION SOFTWARE: 2.11 E27 -- - MACRO SOFTWARE: 2.31 E34 PRODUCT SOFTWARE: 2,1 IE35 GRAPHIC TERMINAL SOFTWARE: 2.51 E21 GRAPHIC TERMINAL SERIAL NO,: 722201003163 - - - -- TESTSTART DATE: - -- -- -- 12/19/2012 - - - -- - TEST START TIME: - - -- _. -------- - _TEST 1:30:00 PM TEST END DATE: 12/20/2012 TEST END TIME: 11:30:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: $ HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 IIP DRIVE CONTROLLER. LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF RE QD);l DEG, C r ridtq, Decernher 21, 2012 Page 7 of 10 FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: .082 UNIT: of QTY/SEC: 9C ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 9C EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 8 FL -23028 DRIVE SERIAL NUMBER: 860152207001 APPLICATION SOFTWARE: 2.11 E27 MACRO SOFTWARE: 2.31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE-, 2.51E21 GRAPHIC TERMINAL SERIAL NO.: 722137203675 TEST START DATE: 12/19/2012 TEST START TI7VIE: 1:35:00 PM TEST END DATE: 12/20/2012TEST END TIME: 11:30:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD): DEG. C Friday, Deeemher 21. 2012 Page 8 of 10 Schneider Electric FULL LOAD TEST REPORT JOB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327891 ITEM: 082 UNIT: of QTY/SEC: 90 ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 90 EQUIPMENT DESIGNATION: FLUCCULATION DRIVE 9 FL -2302C DRIVE SERIAL NUMBER: 860011112010 APPLICATION SOFTWARE: 2.1 IE27 MACRO SOFTWARE: 2,31E34 PRODUCT SOFTWARE: 2.1 IE35 GRAPHIC TERMINAL SOFTWARE: 2,51E21 GRAPHIC TERMINAL SERIAL NO„ 722152001779 TEST START DATE: 12/19/2012 TEST START TIME: 1:35:00 PM TEST END DATE: 12/20/2012 TEST END TIME: 11:30:00 AM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY: 8 IHOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 10 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 14 AMPS SPECIAL AMBIENT TEMPERATURE (IF REQD):j DEG. C Friday, Deceniher 21, 2012 Page 9 of 10 r7er EIectrIt FULL LOAD TEST DEPORT JOBB NAME: HYALITE SOURDOUGH WTP 02C NO: 31327391 ITEM: 082 UNIT: of QTY/SEC: 15H ENC/MCC: MCC EQUIPMENT TYPE: ATV61 CATALOG NUMBER: MCC SECTION 15H EQUIPMENT DESIGNATION: RF SUPPLY PUMP 2 P-4302 S DRIVE SERIAL NUMBER: 6W0234000376 APPLICATION SOFTWARE: 2.11 E26 MACRO SOFTWARE: 2.31 E34 PRODUCT SOFTWARE: 2.1 IE34 GRAPHIC TERMINAL SOFTWARE. 2.51 E21 GRAPHIC TERMINAL SERIAL NO.:, 722149203294 TEST START DATE: 12/21/2012 TEST START TIME: 12:55:00 PM TEST END DATE: 12/26/2012 TEST END TIME: 12:15:00 PM ELAPSED TIME AT END OF TEST PER GRAPHIC DISPLAY. 8 HOURS TESTING CONDITIONS DRIVE CONTROLLER HORSEPOWER RATING: 40 HP DRIVE CONTROLLER LINE VOLTAGE: 488 VOLTS DRIVE CONTROLLER OUTPUT CURRENT: 52 AMPS SPECIAL AMBIENT TEMPERATURE (IF RFQD):l DEG. C Friday, December 21. 2012 Page 10 of 10 Commission Memorandum REPORT TO: Honorable Mayor and City Commission FROM: Bob Murray, Project Engineer Rick Hixson, City Engineer SUBJECT: Hyalite Sourdough Water Treatment Plant Project — Northwestern Energy Incentive. MEETING DATE: May 18"', 2014 AGENDA ITEM TYPE: Consent RECOMMENDATION: Authorize acceptance of the Northwestern Energy Incentives for installation of energy efficient components. BACKGROUND: Attached is a copy of the Efficiency Plus (E+) Rebate Program Applications which have been submitted to Northwestern Energy for the Water Treatment Plant. After completion of the project, our consultants HDR became aware of this program that was being offered by Northwestern Energy. The boiler and variable speed drive pumps that were installed on the project are eligible for the incentive program, so the attached applications were prepared and submitted. The incentive could total $97,807.45 based on the pump motor horsepower and boiler input rating. This consent item is being submitted in accordance with Administrative Order No. 2014-01 — Adoption of Grant Application and Reception Policy. UNRESOLVED ISSUES: None ALTERNATIVES: If the Commission chooses not to accept the incentive, any checks received will be returned to Northwestern Energy. FISCAL EFFECTS: Potential Incentive/Rebate of $97,807.45 Attachments: North ivestern Energy Applications and Supporting Documentation. Report compiled on: 5/5/15 VROZEMAN MT City of Bozeman Grant Routing Cover Sheet This form is used in conjunction with Administrative Order 2014-01 adopting the Grant Application and Reception Policy. When a Department Director signs grant documents under this provision, they are certifying that they understand and will carry out the provisions of the grant and its impact on city operations and finances. All the required boxes must be initialed by the appropriate departments. Use a separate routing sheet for each phase of the grant process. Utilize assigned grant number for each phase for tracking purposes. Grant Document Title: Accepty NW Energy Incentives for WTP CFDA # (applies to Federal grants) Department: Engineering Phase of Process: F] Notice of Intent Date Document Signed: May 18, 2015 Grant # (issued by City Clerk): 2015-013 Grant Total: $97,807.45 Grant Match: Grant Project Manager: Bob Murray Application 7 Award/Contract For all grants under $20,000 in Department Finance Office City Manager Original Signed value. Director Grant Documents to City Clerk Does not require approval on Commission meeting agenda For all grants over $20,000 in Department Finance Office City Manager Original Signed value. Director Grant Documents to City Clerk *Department Director initials verify notification to City Commission and City Manager within 30 days of grant application. REQUIRES City Commission Approval I` / DATE of COMMISSION MEETING: May 18, 2015 Presented by: Bob Murray t FVI Consent F-1 Action ° Revised 10/27/2014