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RESIDENTIAL TRADE ALLY APPLICATION
Contractors interested in participating in the NIPSCO Residential Programs (Home Energy Assessment (HEA), Heating Ventilation Air Conditioning (HVAC) and Income Qualified Weatherization (IQW)) will need to complete and submit this application for TRC's Trade Ally Network. The TRC Trade Ally Network is for companies that provide guidance, products and services to assist NIPSCO Residential customers in implementing energy efficient measures. Contractors are encouraged to join our Residential Trade Ally Network which include benefits such as:
Your company’s name, contact information and website in the Trade Ally Listing on the NIPSCO Residential website.
Access to sales training and seminars that focus on industry best practices.
Timely email updates on program activities and changes.
Exclusive invitations from TRC to program events and networking opportunities.
* If the Training and Certification sections within this application do not apply to your business you may skip those sections. Submit completed and signed application to
NIPSCO SaveEnergy
Company Information
*
Company Name:
Company Web Address
Please enter company name
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Company Telephone:
Company Email Address:
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*
Address
Please enter company Address
*
City
*
State
*
Zip
Please enter company City
Please enter company City
Please enter company Zip
Business Type
Company Ownership (if applicable):
Design Build
Energy-Efficiency Consulting
Engineering
Maintenance
Manufacturing
Distributor/Supplier/Wholesaler
Financing
Installation
Manufacturer Rep
Sales
Minority
Woman
Veteran
Have you participated in NIPSCO Residential Programs previously?
No
Yes
Services Offered (check all that apply):
Insulation
Commercial Cooking
HVAC
Lighting
Motors & Drives
Refrigeration
Compressed Air
PC Power Management
Rebate Processing
Architect/Engineering
Building Controls
Electrical
Plumbing
Pump Systems
Process Heating
Steam
Counties Served Select the areas your company’s location primarily services
Adams
Allen
Benton
Boone
Carroll
Cass
Clinton
DeKalb
Elkhart
Fulton
Howard
Huntington
Jasper
Kosciusko
LaGrange
Lake
LaPorte
Marshall
Miami
Newton
Noble
Porter
Pulaski
St. Joseph
Starke
Steuben
Tipton
Wabash
Wells
Whitley
Warren
White
Tippecanoe
Grant
Blackford
Hamilton
EMPLOYEE TRAINING AND CERTIFICATIONS Please include a copy of certifications or ID cards
BPI CERTIFICATION
Building Analyst
Envelope Professional
Residential Building WHALCI
Please enter BPI Certification
Please enter Building Analyst
Please enter Envelope Professional
Please enter Residential Building WHALCI
Heating
Multifamily
AC/HP
Please enter Heating
Please enter Multifamily
Please enter AC/HP
BPI CERTIFICATION
Building Analyst
Envelope Professional
Residential Building WHALCI
Heating
Multifamily
AC/HP
BPI CERTIFICATION
Building Analyst
Envelope Professional
Residential Building WHALCI
Heating
Multifamily
AC/HP
BUILDING PERFORMANCE INSTITUTE (BPI) OR HOME ENERGY RATING SYSTEM (HERS) CERTIFICATION INFORMATION Please provide copies of both sides of the BPI badge for each staff member listed below.
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
CHECK ONE
CERTIFIED STAFF NAME
IDENTIFICATION NUMBER
REXPIRATION DATE
BPI
HERS
COMPANY CONTACT INFORMATION Please list individuals who should receive program updates and information. If there are more than three, please attach an additional sheet.
Primary Contact First Name
Contact Last Name
Title
Phone Number
Mobile Number
Email
Invalid email
Address
City
State
Zip
Secondary Contact First Name
Contact Last Name
Title
Phone Number
Mobile Number
Email
Invalid email
City
State
Zip
Address
Secondary Contact First Name
Contact Last Name
Title
Phone Number
Mobile Number
Email
Invalid email
Address
City
State
Zip
CUSTOMER REFERENCES Describe three of your company’s past energy efficiency projects.
Company Name
Contact First Name
Contact Last Name
Phone Number
Address
City
State
Zip
Describe energy efficiency upgrades and overall project (s)
Company Name
Contact First Name
Contact Last Name
Phone Number
Address
City
State
Zip
Describe energy efficiency upgrades and overall project (s)
Company Name
Contact First Name
Contact Last Name
Phone Number
"
Address
City
State
Zip
Describe energy efficiency upgrades and overall project (s)
Additional Documentation Needed During Application Submission
.PDF,.DOC,.DOCX,.XLSX,.XLS,.RTF,.BMP,.GIF,.JPEG,.PNG,.TIFF,.MSG,.JPG,.ALLOW,.OXPS
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INSURANCE AGREEMENT Please submit a current copy of your certificate of insurance with your application.
I agree to maintain valid and current insurance coverage, as outlined in the terms and conditions, while I am a member of the TRC Residential Trade Ally Network.
AGREEMENT
Print Name
Title
DAte
*
>
*
Please enter Print Title
