Join Our Installer Team Business: Legal Name Tax I.D Number DBA if Applicable (list all names) Years in Business Address: City: ZIP: St: Phone: Legal Form Under Which Business Operates ( Business Structure): Proprietorship: If Division/Subsidiary, Name of Parent Company: Web Address: Primary Owner Name: Title: Ownership % Primary Owner Phone Primary Owner Email Additional Material Owner Information ( if Primary Owner <50%) Primary Contact Title Phone Email Total number of Employees Lead Generation Activities(Office| Sales) Annual Sales Revenue $ Which panel brands does your company use? What supplies do you use? Geographic Sales Area ( Please list all states that apply) CSLB Lic # Lic Expiration Date Lic Type Number of Panel Upgrades ( Residential ) Offer dedicated POC ( Name of dedicated Partner Administrative contact. ) Procurement/Inventory Management System List of Certifications (OEMs, NABCEP, etc. ) Equipment Distributors Installation Backlog General Liability Certificate ( add LA Solar Group as additionally Insured ( Liability + Workers Comp ) General Liability Limits ( $1M per occurrence, $2M aggregate ) Workers Comp Insurance Certificate Contractor License Business Licence Upload files Send Download the PDF
