10 C.F.R. Appendix C to Subpart B of Part 431—Compliance Certification
Title 10 - Energy
Certification of Compliance With Energy Efficiency Standards for Electric Motors (Office of Management and Budget Control Number: 1910–5104. Expires 09/30/2007) 1. Name and Address of Company (the “company”): 2. Name(s) to be Marked on Electric Motors to Which this Compliance Certification Applies: 3. If manufacturer or private labeler wishes to receive a unique Compliance Certification number for use with any particular brand name, trademark, or other label name, fill out the following two items: A. List each brand name, trademark, or other label name for which the company requests a Compliance Certification number: B. List other name(s), if any, under which the company sells electric motors (if not listed in item 2 above): Submit by Certified Mail to: U.S. Department of Energy, Office of Energy Efficiency and Renewable Energy, Building Technologies (EE–2J), Forrestal Building, 1000 Independence Avenue, SW., Washington, DC 20585–0121. This Compliance Certification reports on and certifies compliance with requirements contained in 10 CFR Part 431 (Energy Conservation Program for Certain Commercial and Industrial Equipment) and Part C of the Energy Policy and Conservation Act (Pub. L. 94–163), and amendments thereto. It is signed by a responsible official of the above named company. Attached and incorporated as part of this Compliance Certification is a Listing of Electric Motor Efficiencies. For each rating of electric motor* for which the Listing specifies the nominal full load efficiency of a basic model, the company distributes no less efficient basic model with that rating and all basic models with that rating comply with the applicable energy efficiency standard. *For this purpose, the term “rating” means one of the 113 combinations of an electric motor's horsepower (or standard kilowatt equivalent), number of poles, and open or enclosed construction, with respect to which §431.25 of 10 CFR Part 431 prescribes nominal full load efficiency standards. Person to Contact for Further Information: If any part of this Compliance Certification, including the Attachment, was prepared by a third party organization under the provisions of 10 CFR 431.36, the company official authorizing third party representations: Third Party Organization Officially Acting as Representative: All required determinations on which this Compliance Certification is based were made in conformance with the applicable requirements in 10 CFR Part 431, subpart B. All information reported in this Compliance Certification is true, accurate, and complete. The company is aware of the penalties associated with violations of the Act and the regulations thereunder, and is also aware of the provisions contained in 18 U.S.C. 1001, which prohibits knowingly making false statements to the Federal Government. Attachment to Certification of Compliance With Energy Efficiency Standards for Electric Motors: Listing of Electric Motor Efficiencies
Title 10: Energy
PART 431—ENERGY EFFICIENCY PROGRAM FOR CERTAIN COMMERCIAL AND INDUSTRIAL EQUIPMENT
Subpart B—Electric Motors
Appendix C to Subpart B of Part 431—Compliance Certification
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
____________________
Address:____________________
____________________
____________________
____________________
Telephone Number:____________________
Facsimile Number:____________________
Address:____________________
____________________
____________________
____________________
Telephone Number:____________________
Facsimile Number:____________________
Responsible Person at that Organization:____________________
Address:____________________
____________________
____________________
____________________
Telephone Number:____________________
Facsimile Number:____________________
Date:____________________
Name:____________________
Title:____________________
Firm or Organization:____________________
Name of Company:____________________
____________________
---------------------------------------------------------------------------------------------------------------- Rating of electric motor Least efficient------------------------------------------------------------------------------- basic Nominal full Open or enclosed model_(model load efficiency Motor horsepower / kilowatts Number of poles motor numbers(s))----------------------------------------------------------------------------------------------------------------1 or .75........................ 6....................... Open.............. ______ ______1 or .75........................ 4....................... Open.............. ______ ______1 or .75........................ 6....................... Enclosed.......... ______ ______1 or .75........................ 4....................... Enclosed.......... ______ ______1 or .75........................ 2....................... Enclosed.......... ______ ______1.5 or 1.1...................... 6....................... Open.............. ______ ______1.5 or 1.1...................... 4....................... Open.............. ______ ______1.5 or 1.1...................... 2....................... Open.............. ______ ______1.5 or 1.1...................... 6....................... Enclosed.......... ______ ______1.5 or 1.1...................... 4....................... Enclosed.......... ______ ______1.5 or 1.1...................... 2....................... Enclosed.......... ______ ______ ........................ .................. ______ ______Etc............................. Etc..................... Etc............... ______ ______----------------------------------------------------------------------------------------------------------------Note: Place an asterisk beside each reported nominal full load efficiency that is determined by actual testing rather than by application of an alternative efficiency determination method. Also list below additional basic models that were subjected to actual testing.Basic Model means all units of a given type of electric motor (or class thereof) manufactured by a single manufacturer, and which (i) have the same rating, (ii) have electrical design characteristics that are essentially identical, and (iii) do not have any differing physical or functional characteristics that affect energy consumption or efficiency.Rating means one of the 113 combinations of an electric motor's horsepower (or standard kilowatt equivalent), number of poles, and open or enclosed construction, with respect to which § 431.25 of 10 CFR Part 431 prescribes nominal full load efficiency standards.
Models Actually Tested and Not Previously Identified------------------------------------------------------------------------ Rating of electric motor-------------------------------------------- Basic model(s) Nominal Motor power (model full load output (e.g. 1 Number Open or number(s)) efficiency hp or .75 kW) of poles enclosed motor------------------------------------------------------------------------ ______ ___ ______ ______ ___ ______ ___ ______ ______ ___ ______ ___ ______ ______ ___ ______ ___ ______ ______ ___ ______ ___ ______ ______ ___ Etc. Etc. Etc. Etc. Etc.------------------------------------------------------------------------
Browse Previous
