Qualified Contractor Application

The Penn Energy Savers Program (“PESP” or “Program”) is actively seeking contractors to participate in a qualified contractor network to provide energy efficiency and electrification improvements (“Work”) to those who qualify under the Program. Contractors who meet the qualifications will be entered into the network and assigned work in counties across Pennsylvania subject to the additional requirements listed below.

Please complete this form as part of your application for the Penn Energy Savers Program Qualified Contractor Network. Your submission should include the following supporting materials:

• Recently Completed Projects Form
• Employee Roster
• D/B/A Certificate (if applicable)
• Diversity Certification (if applicable)

For the quickest response, applicants are encouraged to complete this application online at PennEnergySavers.com.  Applicants must be approved by program staff to participate in the network. The form below is the first step in the application process. During the review process, program staff may request additional materials or information. All fields below are required to be completed unless otherwise noted.

Please review and ensure that your business can meet the requirements outlined in the Contractor Participation Manual. Compliance with the Contractor Participation Manual is a condition of being assigned work. All assigned work is subject to the Qualified Contractor Network Terms and Conditions and the Contractor Code of Conduct (“Program Documents”). The Contractor Participation Manual and the Program Documents can be accessed on the Penn Energy Savers Program website. If you have specific questions or need additional assistance, contractors are encouraged to fill out the Contact Us form here.

The services stated above will be provided by staff holding appropriate certifications within the appropriate categories as outlined in the Contractor Participation Manual, for which the undersigned Applicant is applying. Applicant acknowledges that the Program will request a copy of certificates or identification cards for certifications.

Please provide the primary contact information of the Applicant for the Program to respond to about this Application. Please ensure that the email and phone number provided is tied to a single person of contact and not general contact information for the company.

The Penn Energy Savers Program will utilize Regional General Contractors (RGCs) to assist with the management of PESP projects across the state. Responsibilities of an RGC include, but are not limited to:

1. Managing simultaneous project assignments across a broad geographic area

2. Ensuring the completion of a project’s scope of work

3. Coordinating and holding contracts with Qualified Contractors and property owners

4. Paying Qualified Contractors for completing work while carrying debt prior to reimbursement

5. Maintaining and reporting federally compliant documentation to PESP staff.

Certification Statement

By signing below, I attest that I have authority on behalf of the Applicant to submit this Application to participate in the Program. I certify that all information and representation contained in this Application are true and correct to the best of my knowledge. I agree on behalf of the Applicant to provide any additional materials the Program may ask for during the review process. I acknowledge and agree on behalf of the Applicant that, if the Applicant is assigned work, the Applicant agrees to be bound by all terms contained in the Program Documents and all work is subject to the provisions of the Program Documents.

Submit this completed and signed application along with the following documents:

• Documentation of three (3) recently completed projects per service as indicated above that demonstrates competency in the given field of expertise, and with preference to projects that are energy efficiency related
• Copy of your D/B/A certificate (if applicable)
• Copy of Diversity Supplier Enterprise Certification (if applicable)
• Employee roster including employee name and certifications (expiration dates) of any employees that will be performing the work

Applications missing any of the required documentation will not be approved.

Upon satisfactory review and acceptance of all required documents, you will be required to provide a copy of your current insurance certificate (general liability, workers compensation, automobile, and errors and omissions if applicable) as required by the PESP Contractor Participation Manual.

Upon final approval, you will be issued a PESP Qualified Contractor Certificate for proof of certification and enrollment in the Penn Energy Savers Program Qualified Contractor Network. Penn Energy Savers Program certificates will be generated for the approved employee roster and mailed directly to the address on file.

If the information provided in your Contractor Application (including supporting documents) changes, it must be reported in writing.