Evaluation Information & Instructions
80% of all applicable items of each tier must be completed to each that level
$ - In...
Member ID #
Directory designation added (date):
092309CG Weblink updated by:
FOR OFFICE USE:
Zip Code
Contact Phone
Contac...
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Green level 3 form

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Want to be "greener," but unsure of how to go about making your business more environmentally-savvy without a lot of time and expense?

The Las Vegas Chamber of Commerce is introducing Green Roots, a new tiered program that gives members the tools and resources to launch, cultivate and expand the green efforts of their businesses. You can start slow or shoot for the stars with this self-audited program

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Green level 3 form

  1. 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. 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
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