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EarthWise Contractor Application

Thank you for your interest in joining the EarthWise Contractor Network!

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

Workman's Comp expiration date

General Liability Insurance

General Liability expiration date

Florida State Specialty License and/or Local Construction License

State Specialty license expiration date

Signed W-9 or 1099

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.

Contractor's Acknowledgment of the

Terms and Conditions of Participation in Contractor/Vendor Program

By checking this box, I state that I have read and understood the TERMS AND CONDITIONS OF PARTICIPATION IN CONTRACTOR/VENDOR PROGRAM and I represent and warrant that (i) I am duly authorized to submit this Application on behalf of the Contractor; (ii) the information provided in the Application and any other related documents delivered to SELF, is true, accurate, and complete; (iii) I understand and accept the terms and conditions provided by SELF (including any updates thereto). I further understand and accept that the approval or rejection of the Application is at the sole discretion of SELF.

The Terms and Conditions of Participation in Contractor/Vendor Program are also available for review by clicking: Link

When clicking "Submit," you will have a final chance to review your application.

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