SURVEY QUESTIONNAIRE

ENERGY DATA AVAILABILITY, ACCESSIBILITY, AND NEEDS OF LOCAL

GOVERNMENT UNITS

CONFIDENTIALITY
ANY INFORMATION OBTAINED IN CONNECTION WITH THE ASSESSMENT AND THAT
CAN BE IDENTIFIED WITH THE RESPONDENT WILL REMAIN CONFIDENTIAL AND
WILL NOT BE DISCLOSED. RESULTS OF THIS SURVEY WILL PRIMARILY BE USED FOR
PURPOSES OF THE USAID ENERGY SECURE PHILIPPINES (ESP) ACTIVITY.

Introduction:

The USAID Energy Secure Philippines (ESP) Activity focuses on advancing inclusive economic
growth and resilient development through increasing private investment to promote advanced
technology deployment and boost the energy sector’s resilience to shocks and stresses. USAID
ESP has three primary objectives as follows: 1) improve electric utility performance, 2) increase
deployment of advanced energy sources and systems, and 3) enhance competition in the power
sector. One essential activity to attain the third objective is assessing the experiences of local
government units (LGUs) on Republic Act No. 9184, also known as the Government
Procurement Act, in relation to procurements of energy services and equipment.

Objective of the Survey:

The purpose of the survey is to determine the current energy performance, accessibility, availability, and
plans of the LGU with respect to the recently passed Energy Efficiency and Conservation Act (RA
11285).
1.1 Department/Section/Office responsible for Energy Efficiency and Conservation (EEC)

Department/Section/ Name Designation Email Contact

Office Address Number
City Environment Engr. Elfren EMS – I Elfrengatchali 09563323582
and Natural Antonio Gatchalian an17@yahoo.
Resources Office Jr. com
City General Mr. Elmer Rivera Admin. Aide 09471020267
Services Office III
Office of the City Engr. Rodylmar 09985187934/
Engineer Marcella 09298451129

1.2 Functions carried out by the Department/Section/Unit/Office in charge of EEC (please check
all that applies)

  Prepare energy efficiency and conservation plan and target/s

  Prepare budgetary requirement for EEC plan and target/s
  Prepare energy consumption report
  Implement mitigation measures of LCCAP
  Conduct regular monitoring of energy consumption
 Conduct an energy audit of the LGU (please indicate the year of most recent audit)
_______
 Others, please specify: ___________________________________________

PART II: LIST OF EEC PROJECT/S IMPLEMENTED

2.1. Please check all the EEC project/s implemented by your LGU including brief description.

Name of Project  Brief Description

IEC campaign (ex. signages,
stickers on energy conservation,
and other IEC materials, etc.)
Use of sky lighting
Switch to LED lighting
Use of inverter technology
Use of solar PV technology
Use of automation technology
Use of energy-efficient
equipment/appliance
 Stickers and Posters for environmental protection
and energy conservation
 LED Lighting on Offices
 Using of air condition inverter
 Solar Streetlight and Solar Facility
 Air conditioning, Refrigerator, TV
 Others, please specify

Note: Please add additional rows if needed.

PART III. ENERGY CONSUMPTION INFORMATION

3.1 Electricity Consumption

Source of data
(Please indicate which
Year Total kWh Total Cost (PHP) office, e.g., Finance,
Accounting, etc.)
2017
2018
2019
2020

3.2 List of Energy Consuming Appliance/Equipment (as of the latest inventory)

Month and Year of Inventory: _____________________________________

Source of data
Hours of operation
Appliance/Equipment Quantity (Put N/A if not
per day
available)
1. Lighting
Incandescent bulb
20 Watts N/A
40 Watts N/A
60 Watts N/A
75 Watts N/A
100 Watts & above N/A
Compact Fluorescent Lamp (CFL)
10 Watts N/A
20 Watts N/A
25 Watts N/A
40 Watts N/A
Light Emitting Diode (LED)
3 Watts N/A
5 Watts N/A
7 Watts N/A
9 Watts 75 8 Hrs EAS-Elect. Section
 Source of data
Hours of operation
Appliance/Equipment Quantity (Put N/A if not
per day
available)
11 Watts N/A
15 Watts N/A
18 Watts 134 8 Hrs EAS-Elect. Section
20 Watts N/A
25 Watts N/A
Others: Fluorescent Lamp Tube
18 Watts 80 8 Hrs EAS-Elect. Section
20 Watts 128 8 Hrs EAS-Elect. Section
40 Watts 570 8 Hrs EAS-Elect. Section
LED Tube
9 Watts 40 8 Hrs EAS-Elect. Section
18 Watts 446 8 Hrs EAS-Elect. Section
2. Air-conditioning
 Window type
0.5 horsepower N/A
0.75 horsepower N/A
1.0 horsepower N/A
1.5 horsepower 40 8 Hrs EAS-Elect. Section
2.0 horsepower 76 8 Hrs EAS-Elect. Section
2.5 horsepower N/A
 Split type
0.5 horsepower
0.75 horsepower
1.0 horsepower
1.5 horsepower
2.0 horsepower
2.5 horsepower
3.0 horsepower
5.0 horsepower
7.0 horsepower
3. Computer
 Desktop 295 8 Hrs EAS-Elect. Section
 Laptop 140 8 Hrs EAS-Elect. Section

4. Others Quantity Wattage Hours of Source of data

operation per day
 Refrigerator 8 100 Watts 8 Hrs EAS-Elect. Section
 Television 8 55 Watts 8 Hrs EAS-Elect. Section
 Printer 124 45 Watts 8 Hrs EAS-Elect. Section
 Source of data
Hours of operation
Appliance/Equipment Quantity (Put N/A if not
per day
available)
 Photocopier 25 86 Watts 8 Hrs EAS-Elect. Section
 Water heater N/A
 Water dispenser 64 420 Watts 8 Hrs EAS-Elect. Section
 Microwave oven N/A
 Electric fan 156 50 Watts 6 Hrs EAS-Elect. Section
 Elevator 1 8 Hrs EAS-Elect. Section
Note: If the table above does not provide the type and wattage of your appliance/equipment,
please indicate in a separate sheet.

3.3 Fuel Bill

Vehicle/equipment type Quantity Annual fuel consumption Annual Total cost Source of data
(liters) (Php)
Car (gasoline)
Car (diesel)
SUV (gasoline)
SUV (diesel)
Van (gasoline)
Van (diesel)
Multicab (gasoline)
Multicab (diesel)
Motorcycle
Truck
Others: GENSET 2 200 Liters PHP 10, 250 EAS-Elect. Section
Note: If the table above does not include other types of vehicle and equipment, please indicate in
a separate sheet.

PART 4. BUILDING AND FACILITY INFORMATION

Please list down all buildings and facilities administered and maintained by your LGU.

Kindly use the table below as a guide in preparing the list. Please feel free to edit the table to fit
your LGU’s context.
 Source of data
Building type Area (m2) Floor level No. of occupants (Put N/A if not
available)
1. Main building
 Office of the Mayor
 Office of the Vice Mayor
 Office of City/Municipal Council
 Office of the Administrator
 Office of Human Resource
 Office of Budget & Accounting
 Office of Planning & Development
 Office of Engineering & Design
 Office of Environment & Natural
Resources
 Office of Social Welfare & Development
2. Extension office
 Office of Agrarian Reform
 Office of Agriculture & Veterinary
 Office of Health & Sanitation
 Office of Fire Protection
 Office of Disaster Risk & Reduction
3. Motor pool
4. Others (e.g., multipurpose, parking, etc.)
Building type Area (m2) Quantity No. of floors
School
Hospital/clinic
Sports and wellness
Evacuation site
Facility Quantity Wattage Hours of operation
Street lighting 950 120 W 11 Hrs. EAS-Elect. Section
Park lighting
Others (e.g., chapel, recreation, aesthetics, etc.)

PART V. COMPLIANCE TO THE EEC ACT (RA 11285)

5.1 Has your LGU been energy audited in the past? _____ Yes _____ No

5.1.1 If yes, when was it audited, and who performed the audit?

Energy Audit Date (month and year) Energy Auditor

5.2. Are any of your personnel familiar or knowledgeable on how to conduct an energy audit?
_____ Yes _____ No

5.2.1 If Yes, did he/she conduct an energy audit of the LGU? _____ Yes _____ No

5.2.1.1 If Yes, please list down the energy conservation measures implemented by
your LGU based on the result of the energy audit conducted.

ENERGY CONSERVATION DATE OF IMPLEMENTATION

MEASURES IMPLEMENTED

5.2.1.2. If No, is your LGU interested in training on how to conduct an energy

audit?
____ Yes ____ No

5.3. Are you familiar with an Energy Service Company (ESCO)? _____ Yes _____ No

5.3.1. If Yes, please provide details of the service performed by the ESCO to your office
in the last three (3) years.

SERVICES PERFORMED BY ESCO

2018 2019 2020

5.3.2. If No, are you interested in attending an ESCO orientation seminar?

_____ Yes _____ No

5.4. Does your office collect energy data and information? ____ Yes _____ No

5.4.1. If Yes, please check which among the following energy management data
collection system your office use.
 Building Energy Management System (BEMS) software
 EcoStruxure Power Monitoring (Expert Building Edition) software
  Excellence in Design for Greater Efficiencies (EDGE) software
 Others, please specify: ___________________________________________

5.4.2. If No, please check which among the challenges below your office experienced in
collecting energy data and information (Check all that applies)
 Lack of infrastructure for energy data and information collection (e.g., sub-meter,
data logger, etc.)
 Lack of trained personnel to collect energy data and information
 Lack of local policy/directive to collect energy data and information
 Others, please specify: ___________________________________________

5.5. What capacity building activity does your LGU need to address these challenges?

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________

5.6. Is your LGU aware of the Joint Memorandum Circular (JMC 2020-01) issued by the
Department of Interior and Local Government (DILG) and the Department of Energy (DOE)
regarding the guidelines for LGUs to facilitate energy projects? _____ Yes _____ No

5.7. Does your LGU have an Energy Efficiency & Conservation Office (EECO)? ___ Yes___ No

5.8. Is your LGU planning to create an Energy Efficiency & Conservation Office (EECO)?
___ Yes___ No

5.9. Does the LGU have an Energy Sector Committee (ESC)? ___ Yes___ No

5.10. Is your LGU planning to create an Energy Sector Committee (ESC)? ___ Yes___ No

5.11. Does your LGU have energy efficiency and conservation (EEC) goals and targets for the
next 3-5 years? ____ Yes_____ No

If Yes, please list down the most immediate project/s and indicate the investment required
Name of Project Estimated Required Investment (PHP)

5.12. Has your LGU completed a greenhouse gas emission (GHG) inventory? ___ Yes  No

5.12.1. If Yes, what level was the GHG inventory undertaken?

_____ Entity Level _____ Community-Level
5.13. Does your LGU have renewable energy (RE) goals and targets for the next 3-5 years?
___ Yes  No

If Yes, please list down the most immediate project/s and indicate the investment required.

Name of Project Estimated Required Investment (PHP)

PART VI. ENERGY ACCESSIBILITY AND RESOURCES

6.1. Is your LGU a part of an energy-generating facility? ___ Yes  No

If yes, please indicate what type of power plant

 Coal-fired power plant

 Gas-fired power plant (natural gas)
 Diesel-fired power plant
 Others, please specify:
___________________________________________

6.2. Does your LGU host an energy generating facility? ___ Yes  No

If yes, please indicate what type of power plant

 Coal-fired power plant

 Gas-fired power plant (natural gas)
 Diesel-fired power plant
 Others, please specify:
___________________________________________

6.3. What incentive/s do you receive for being a part or host of an energy generating facility?
Please list down the incentive/s. This may be incentives and/or benefits from ER1-94, other
government incentives, and from the power generation company itself.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4.6.4. Is your LGU involved or has been involved in any of the following energy projects?
(Please check as many as applicableall that apply)

 Power distribution
 Power transmission
 Energy exploration
 Downstream oil activities (e.g., oil refining, marketing & distribution of
refined products and natural gas, petrochemical manufacturing, etc.)
 Others, please specify:
___________________________________________

Please list down the name/s of energy project/s if you check any of the above

TYPE OF ENERGY PROJECT NAME OF PROJECT

6.5. During a disaster or an emergency situation, does your LGU have an alternate or ready
source of energy?  Yes _____ No

If yes, which among the following alternate energy source do you use?
  Generator set
 Rechargeable Battery
 Solar-powered battery
 Wind-powered electricity generator
 Others, please specify:
___________________________________________

6.6. Is there an ongoing or planned construction/development of renewable energy power generating

plant/facility in your LGUHas your LGU been involved or currently engaged in a study for a
potential renewable source of energy?
_____ Yes  No

If yes, which among the potential renewable energy sources below is your LGU involved
in a study? (Pplease check all the RE types listed below that apply.ies)
 Solar energy (PV, array, floating, farm, etc.)
 Wind energy (farm, offshore, etc.)
 Biomass (co-generation, Combined Heat and Power, gasification, etc.)
 Hydropower
 Tidal power
 Geothermal
 Hybrid (solar-wind, solar-biomass, wind-tidal, wave-thermal, etc.)
 Ocean Thermal Energy Conversion (OTEC)
 Hydrogen
 Others, please specify:
__________________________________________