POWER + CLIMATE REFIT FORM Name Page 1 of 6 First name * Last name * Company or vessel name * Address City State or province Zip / postal code Country or flag state * Phone number * International United States Email * Your email address Home port * Please indicate your role in the project: Boat owner Boat dealer Boat builder Naval architect Goverment agent Other Expected date of equipment delivery: * Page 2 of 6 Vessel Data Builder / naval architect Model / series Vessel type Power Sail Vessel use Pleasure Passenger Commercial fishing Workboat Tugboat Military/patrol Other LOA Gross tonnage Page 3 of 6 CURRENT POWER Generator 1 kW @ RPM * Phase single three AC Voltage * Sound Shield yes no PTO yes no DC Voltage * 12 Volt Standard Ground 12 Volt Isolated Ground 24 Volt Standard Ground 24 Volt Isolated Ground Other Features Cooling heat exchanger keel cooled radiator Exhaust wet dry Generator 2 Generator 2 information YesNo Generator 3 Generator_3_information YesNo Generator 4 Generator_4_Information YesNo Page 4 of 6 Classification / Tests: Do you need classification? YesNo Page 5 of 6 Current HVAC system Describe your current HVAC system Any there any issues with your current system? AC voltage 480/60 Chiller stage Semi automatic Automatic Manual Custom Date of AC installation Do you need an increase of your overall cooling? Yes No Heat requirements Yes No Complete tear out Yes No Page 6 of 6 Final notes Is there anything else we need to know about your refit? Any additional Information is appreciated.