CONTRACTOR PROGRAM PARTICIPATION APPLICATION AND AGREEMENT

CONTRACTOR PROGRAM PARTICIPATION APPLICATION AND AGREEMENT
Company Name
Primary Contact
Contact Title
Contact Email
example@example.com
Contact Phone
Website
Years Company Has Been in Business
Number of Employees
What industry types do you serve? (check all that apply)

Residential Builders Commercial Restaurant
Services Offered (check all that apply)

Boiler install and maintenance Energy Analysis/Audits Furnace install and maintenance HVAC Controls HVAC Tune-Ups Natural Gas Piping Plumbing/Pipe Fitting Water Heaters Gas Stove/Grills Other
To become preferred contractors with IGU, the contractors have to meet the following requirements:
• Must have a licensed business for a minimum of three years with a proven track record
• Must be willing to submit license and insurance information
• Must service and install natural gas appliances
• Must pull permits in all appropriate jurisdictions
• Must offer free in-home or in-business consultations
• Must offer written proposals/contracts to customers that state all fees
• Must make every effort to resolve any customer complaints promptly
• Must offer warranties on parts and labor
• Must participate in an IGU training session
• Must comply with all laws and maintain all appropriate licenses, insurance, permits, registrations and certifications for the work
performed. Updates to licenses and insurance coverage should be provided to the program prior to its expiration
Do you meet all the above-listed requirements?

Yes No (please explain)
PROGRAM BENEFITS

• Participants are listed on the Interior Gas Utility (IGU) website as recommended contractors. IGU directs customers to that list
regularly.
• Co-marketing opportunities with IGU, suppliers, and other contractors
• One-on-one assistance with natural gas projects from the IGU team.
• Basic training from IGU.
• Networking opportunities with other contractors, manufacturer representatives, suppliers, and IGU.
• Contractors serve as natural gas appliance experts for residential customers.
COMPANY INFORMATION
Do you have the following licensed professionals on staff ? (check all that apply)

Plumber Gas Fitter Mechanical Administrator

Licenses & Certifications (list all applicable held by your company) Contractors will be required to annually submit copies of licenses and certifications.

	Type	Number	State Issued	Expiration Date

TERMS AND CONDITIONS
1. Contractors shall provide a copy of their applicable State Business License (appropriate for services offered), their business insurance and bonding certificate as a condition of approval.

2.Applicant is not a contractor, subcontractor or agent of the Interior Gas Utility (IGU IGU shall have no liability for claims of any kind, whether based on contract, tort (including negligence and strict liability) or otherwise, for any loss or damage sustained or incurred by any third party relating to this Applicant’s application or the performance of services or participation by Applicant in the Programs. Applicant hereby releases IGU from all liability for such claims. Applicant shall, to the fullest extent permitted by law, indemnify, defend, and hold harmless IGU and its affiliates, and their respective officers, directors, agents, employers and representatives from and against any and all losses, claims, damages, expenses (including attorney’s fees and costs) and liabilities arising out of or based upon property damage or bodily injury to any person caused by or related to the performance of the services or participation by Applicant in the programs.

3.Except as otherwise permitted herein, Applicant shall not refer to IGU or any company affiliated with IGU in any advertising or other publication in connection with Applicant’s participation in the Programs or work performed by Applicant under the Programs. Except as otherwise permitted herein, Applicant shall not, either directly or indirectly, publish or disclose any photographs, images, logos, copyrighted or trademark protected information of IGU or its affiliates, or use such information for the benefit of itself or any other person or entity without the prior written consent of IGU.

4.Applicant must comply with all laws and maintain all appropriate licenses, permits, registrations, and certifications for the work it is performing. Applicant will ensure that the individual(s) installing natural gas products are appropriately licensed and insured within their service jurisdictions. IGU reserves the right to request and review all licenses, permits, registrations, and certifi cations held by the Applicant.
TERMINATION CLAUSE
Please initial statement confi rming acknowledgement of termination clause and receipt of escalation

Any misrepresentation of information stated on this application or future program applications will not be tolerated. Applicants found to have intentionally misrepresented information or who have violated the Terms & Conditions will be subject to removal from the contractor network and its associated listings. This includes, but is not limited to, removal from website advertising and contractor search results, impending print advertising (bill inserts, direct mail campaigns) and email marketing. Such withdrawal is at the sole discretion of IGU and bears no liability of any kind from such withdrawal of program participant status.
I have read and agree (please initial) *
AGREEMENT AND SIGNATURE
By my signature below, I hereby warrant and represent that (i) I am duly authorized to submit this Application on behalf of the Applicant; (ii) the information provided in this Application, the Certificate of Insurance and any other related documents delivered to IGU, is true, accurate and complete; (iii)I have read this Application in its entirety; and (iv) I understand and accept the Terms and Conditions contained in this Application. I further understand and accept that the approval or rejection of the Application is in the sole discretion of IGU.
Printed Name *
Title
Date *

Month Day Year
Date
Comments
Signature

Clear
For more information about the Contractor Program, go to interiorgas.com
Should be Empty:

CONTRACTOR PROGRAM PARTICIPATION APPLICATION AND AGREEMENT

COMPANY INFORMATION

TERMS AND CONDITIONS

TERMINATION CLAUSE

AGREEMENT AND SIGNATURE