EA109 - Credit form

No CFC-based refrigerants and no HCFC-based refrigerants are included in any new mechanical cooling or refrigeration equipment serving the project.

For projects reusing existing HVAC&R equipment with CFC-based refrigerants or HCFC-based refrigerants

Table: Mechanical Cooling and Refrigeration Equipment

Complete the table below for all modes of mechanical cooling and refrigeration equipment with 0.5 lb (225 g) or more of refrigerant serving the project. Multiple pieces of the same equipment must only be recorded in the table once.

HVAC&R Equipment Type	Refrigerant Used1	Manufacturer Name	Installation Date1
	{{ row.equipmentType == 'Other' ?row.equipmentTypeOther :row.equipmentType }}		{{ (row.refrigerantUsed == 'Other') ?row.refrigerantUsedOther :row.refrigerantUsed }}		{{ row.manufacturer }}		{{ row.instalDate }}

Notes:
1 Projects that install new HVAC&R equipment that use CFC-based refrigerants or HCFC-based refrigerants are ineligible for prerequisite compliance.

Upload the CFC and/or HCFC phase-out conversion plan(s) (or summary) for all existing mechanical cooling equipment. Highlight language indicating specific equipment using CFC-based refrigerants and/or HCFC-based refrigerants and expected phase-out dates. Include leakage rates and refrigerant quantities. Phase-out must be complete prior to project completion.

If applicable, describe the reason(s) why the CFC and/or HCFC phase-out will not be completed prior to project completion. If not applicable, enter "N/A" below.

Special Circumstances

Describe the circumstances limiting the project team's ability to provide the submittals required in this form. Be sure to reference what additional documentation has been provided, if any. Non-standard documentation will be considered upon its merits. (Optional)

Upload any additional documentation that supports the claim to special circumstances. (Optional)