Proper Legal Company Name *

Corporate Address *

Select State where you Operate *

Company Website *

Primary Contact Name *

Primary Contact's Role or Title *

Primary Contact email *

Primary Contact Phone *

Please upload any sales certifications for ENPHASE OR Tesla

Please upload a COI of your General Liability Insurance Policy including full endorsement page (We require $1 million per accident, with $2 million aggregate)*

Please upload a completed copy of IRS form W-9. The Form is available at (https://www.irs.gov/pub/irs-pdf/fw9.pdf)*

Please provide information for a customer reference where work was performed in the last 30 days: Include each of the following: * First Project: Contact Name, Contact email, Contact phone number, Job location, and a brief description of the project.*

Customer Contact Name *

Customer Contact Email *

Customer Contact Phone *

Customer Job Location *

Brief description of the project *

Please tell us about a customer issue that happened post signing and how you were able to resolve it?*

What staff do you have to manage your project internally? *

Please indicate the products with which your team has experience.*
Enphase Battery InstallationTesla Powerwall Battery Installation

Please provide a copy of the certification for the products selected or mentioned above.

How many Sunnova projects have you sold in the last 6 months?

How many LightReach projects have you sold in the last 6 months?

How many loan projects have you sold in the last 6 months?

Please enter the total number of License sales reps in the company.

Please provide the primary cities in which you currently sell .

Please state the available employees and contractor staff for each of the following: Site survey staff support- Employees *
012-45-1011-2525+

PM support staff available- Employees *
012-45-1011-2525+

PM support staff available- Contractors *
012-45-1011-2525+

Secondary Project Management Contact Name * This is the secondary or backup individual who we will coordinate the projects with.*

Secondary Project Management Contact email*

Secondary Project Management Contact Phone number *

Please upload your most recent past 3 months of install volume/data.

If you had any notes or changes to suggest to the pricing and adders agreement for your market please upload them here.

Anything else you would like to add?

Date

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