C-PACE Contractor Application

NCEF Commercial Energy Efficiency Contractor Application
Thank you for your interest in joining the Nevada Clean Energy Fund (NCEF) Contractor Network!

As the authorized agent for this business, please be prepared to submit required credentials and to acknowledge the Terms and Conditions for the completion of the application.

Please fill and submit the form. If you have more questions, please reach out to c-pace@nevadacef.org

NCEF allows you to save your incomplete application. Please scroll to the bottom of the page to save your application and come back to it later.
I. Applicant Information
Company name:*
Owner name:*

First NameLast Name
Contact name:*

First NameLast Name
Email:*
example@example.com
Phone number:*
Please enter a valid phone number.
Project site address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Organizational Structure*

Sole ProprietorC-CorpS-CorpLLCCorporationOther
Are you designated as a Disadvantaged Business Enterprise?*

Not ApplicableWomen OwnedMinority OwnedHispanic OwnedVeteran Owned
List anyone you have spoken with at NCEF, if applicable.
Add a second contact person
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
II. Company services
Service Areas: What counties are you readily able to serve? *
Please list all counties or relevant areas within Nevada
Primary sectors of service*

Commercial onlyResidential, also serve commercial properties
Number of years in business *
Average annual number of energy efficiency/clean energy projects in the last 5 years *
What types of energy efficiency/clean energy services do you provide? (Check all that apply.)*

Energy auditingEnergy benchmarkingEnergy modeling and analysisMeasurement & verificationProject commissioningProject designProject developmentProject installationProject integration and managementRetro-commissioningOther
What building energy improvements does your company offer? (Check all that apply.)*

Boilers, chillers, furnacesBuilding envelope (insulation, windows)Energy management systemsEnergy efficiency (general)Fuel cellsGeothermalHVAC upgrades & controlsLightingRoofingSolar PVCombined heat & power (CHP)Pumps, motors, drivesOther
III. Company licenses

Registered contractors must meet Nevada state and/or local licensing requirements applicable to the services offered. List the licenses your company holds:
State of Nevada Business License number: *
State of Nevada Business License expiration date: *

MonthDayYear
Date
Washoe County Business License number:
Washoe County Business License expiration date:

MonthDayYear
Date
Other Business License name:
Other Business License number:
Other Business License expiration number:

MonthDayYear
Date
VI. Certifications
Check all relevant certifications obtained:*

Building Energy Assessment Professional (BEAP certification by ASHRAE)Building Performance Institute, Inc. (professional certification)Certified Energy Auditor (CEA certification by AEE)Certified Energy Manager (CEM certification by AEE)Energy Efficiency Practitioner (EEP certification by AEE)Certified Measurement & Verification Professional (CMVP certification by AEE)Certified Practitioner in Energy Management Systems (50001 CP EnMS certification by AEE)Certified Building Commissioning Professional (CBCP certification by AEE)LEED AP (Leadership in energy and environmental design accredited professional by USGBC)Licensed Professional Engineer or ArchitectRESNET HERS (home energy rater certification by RESNET)Other
V. Financial and performance diligence
Has the Nevada State Contractors Board issued more than two (2) disciplinary actions against your company in the past 5 years?*

YesNo
Does your company have any active complaints of deceptive trade practices or license related violations with the Nevada Attorney General's Office?*

YesNo
Three years of audited financial documents (Balance Sheets, and Income Statements) *

Cancelof
Please upload Workers Compensation Insurance (If exempt, please provide a copy) *

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VI. Attachments
Please attach Commercial general liability insurance (minimum: $1,000,000 per occurrence) *

Cancelof
Commercial General Liability expiration date *

MonthDayYear
Date
Bid Limit ($150k minimum) *

Cancelof
Please upload Nevada Business License *

Cancelof
License expiration date *

Cancelof
Please upload Copy of Bond *

Cancelof
Copies of any additional certifications (i.e. BPI, RESNET, NATE, ASHRAE, AEE, Disability installations, UDCP) *

Cancelof
VII. Acknowledgement

Applicant acknowledges the following All information submitted to the Nevada Clean Energy Fund (NCEF) is true and correct at the time of submission, and such information does not contain any untrue or misleading statement of a material fact or omits to state any material fact necessary to make the statements contained herein not misleading. Further, applicant affirms, understands, and accepts the obligations, terms, and conditions of contracts offered by participants of NCEF funded projects. By signing below, applicant acknowledges that they understand that it is unlawful to knowingly make a false claim, a false statement, use a false of fictitious name, or obtain money or benefit under false pretenses.
Date*

MonthDayYear
Date
Signature*

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NCEF Commercial Energy Efficiency Contractor Application

I. Applicant Information

Add a second contact person

II. Company services

III. Company licenses

VI. Certifications

V. Financial and performance diligence

VI. Attachments

VII. Acknowledgement