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NCEF Contractor Application

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

NCEF has partnered with the Solar and Energy Loan Fund (SELF) to vet, approve, and pay contractors. By applying for the NCEF Contractor Network, you acknowledge that SELF has sole discretion to vet, approve and pay you for work performed for NCEF clients.

Eligibility Requirements:

Current General Liability Insurance certificate
If available, Workers Compensation Insurance certificate
Signed W-9
Current State Construction Specialty License, or current local Construction License, if required

· 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.

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Company & Contact Information

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Please upload the following attachments.

Workers Compensation Insurance (If exempt, please provide a copy)

Workman's Comp expiration date

General Liability Insurance

General Liability expiration date

State Specialty License and/or Local Construction/Occupational License

License expiration date

Signed W-9

Disability Installations

Universal Design Certified Professional (UDCP)

Copy of Bond

Copies of any additional certifications (i.e. BPI, RESNET, NATE, ASHRAE, AEE, Disability installations, UDCP)
Only one document may be uploaded at a time. Click "Add another response" to upload an additional document.

By signing this Acknowledgment, I represent and warrant that (i) I am duly authorized to submit this Acknowledgment on behalf of the Contractor; (ii) the information provided in this Application and any related documents are true, accurate, and complete; (iii) I understand and accept the terms and conditions provided herein (including any updates thereto). I further understand and accept that the approval or rejection of the Application is at the sole discretion of SELF.

Company Name	Website
Street State	City Zip
County	Company mailing address is different than above
Mailing Street Mailing State	Mailing City Mailing Zip

NCEF Contractor Application

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Company & Contact Information

Company Information Continued

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Please indicate all product(s) that your business is licensed to offer and install.

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Please upload the following attachments.