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Evaluation Information & Instructions
80% of all applicable items of each tier must be completed to each that level
$ - Indicates rebates or incentives available to your business to go "green".
Resources are highlighted to help you complete your level survey
See bottom of survey for submission instructions & contact information
Print the survey and complete boxes with an X or check mark
Highlighted terms can be found on the Green Initiative page - Terms & Definitions www.lvchamber.com/programs/green
The Leaves - Level 3
Completed Not Applicable
1 Complete 50% of possible improvements from the action plan $
2 Explore Cloud Computing with hosted server $
3 Purchase only energy efficient appliances $
4 Clean and insulate air ducts
5 Change 85% of lighting to energy efficient lighting $
6 Install window film or shades on non-efficient windows $
7 Utilize mulch around your outdoor plants for greater water efficiency
8 Remove 100% of turf and replace with drought-resistant landscape $
9 Install "Smart Controllers" for optimum irrigation management
10 Promote bike-to-work week/month and raffle a bike to employees
11 Join EZ Rider discount transit pass program*
http://www.rtcsouthernnevada.com/club_ride
12 Host or participate in an Employee Green Day Fair of various Earth friendly vendors
13 Start a composting program
14 Use reusable kitchen ware
15 Get recycling bins for outside of your facility and set up a regular pick-up schedule
Green Roots Level 3- The Leaves
http://www.nvenergy.com/surebet
Contact SNWA (702) 862-3734
Contact SNWA (702) 862-3734
Check the appropriate box
http://www.energystar.gov/index.cfm?c=appliances.pr_appliances
http://www.nvenergy.com/surebet
http://www.swgas.com/index.php
For Southwest Gas’ participation, call the Energy Specialists 1-800-OK-GAS-OK
http://www.nvenergy.com/surebet
*Only applicable to businesses who have bus riders
http://www.rtcsouthernnevada.com/club_ride
Page 1
Member ID #
Directory designation added (date):
092309CG Weblink updated by:
FOR OFFICE USE:
Zip Code
Contact Phone
Contact E-mail
Website
Green Roots is a self-administered and self-audited program. Members that complete the survey will receive Green Roots Business designation in the Chamber's on-line Business Directory.
Contact Person Title
Name of Company
Address
City/State
Contact Person
Once you have completed 80% of the applicable items on the Level 3 - The Leaves Survey, submit the form via fax at 702.735.0406 or via e-mail lbotiel@lvchamber.com.
All surveys will be verified. Please ensure that contact information is complete and legible.
Submission Information:
Page 2

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Green level 3 form

  • 1. Evaluation Information & Instructions 80% of all applicable items of each tier must be completed to each that level $ - Indicates rebates or incentives available to your business to go "green". Resources are highlighted to help you complete your level survey See bottom of survey for submission instructions & contact information Print the survey and complete boxes with an X or check mark Highlighted terms can be found on the Green Initiative page - Terms & Definitions www.lvchamber.com/programs/green The Leaves - Level 3 Completed Not Applicable 1 Complete 50% of possible improvements from the action plan $ 2 Explore Cloud Computing with hosted server $ 3 Purchase only energy efficient appliances $ 4 Clean and insulate air ducts 5 Change 85% of lighting to energy efficient lighting $ 6 Install window film or shades on non-efficient windows $ 7 Utilize mulch around your outdoor plants for greater water efficiency 8 Remove 100% of turf and replace with drought-resistant landscape $ 9 Install "Smart Controllers" for optimum irrigation management 10 Promote bike-to-work week/month and raffle a bike to employees 11 Join EZ Rider discount transit pass program* http://www.rtcsouthernnevada.com/club_ride 12 Host or participate in an Employee Green Day Fair of various Earth friendly vendors 13 Start a composting program 14 Use reusable kitchen ware 15 Get recycling bins for outside of your facility and set up a regular pick-up schedule Green Roots Level 3- The Leaves http://www.nvenergy.com/surebet Contact SNWA (702) 862-3734 Contact SNWA (702) 862-3734 Check the appropriate box http://www.energystar.gov/index.cfm?c=appliances.pr_appliances http://www.nvenergy.com/surebet http://www.swgas.com/index.php For Southwest Gas’ participation, call the Energy Specialists 1-800-OK-GAS-OK http://www.nvenergy.com/surebet *Only applicable to businesses who have bus riders http://www.rtcsouthernnevada.com/club_ride Page 1
  • 2. Member ID # Directory designation added (date): 092309CG Weblink updated by: FOR OFFICE USE: Zip Code Contact Phone Contact E-mail Website Green Roots is a self-administered and self-audited program. Members that complete the survey will receive Green Roots Business designation in the Chamber's on-line Business Directory. Contact Person Title Name of Company Address City/State Contact Person Once you have completed 80% of the applicable items on the Level 3 - The Leaves Survey, submit the form via fax at 702.735.0406 or via e-mail lbotiel@lvchamber.com. All surveys will be verified. Please ensure that contact information is complete and legible. Submission Information: Page 2