FortisBC Gas Trade Ally Network - Program application

Important: to complete this application form you'll need to attach the following:
• copy of Technical Safety BC natural gas contractor licence
• proof of natural gas appliance installation permits (for the past twelve (12) months)
• copy of business licence (for each operating community)
• proof of liability insurance ($2,000,000 minimum coverage)
• proof of WorkSafeBC or third party disability coverage

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Company information
Business name
Business start datePer the program terms and conditions, you must have been in business for a minimum of two years Business start date
Per the program terms and conditions, you must have been in business for a minimum of two years / MM / DD YYYY
Street address
City
Province
Postal code
Country
Business telephone number Business telephone number - ### - ### ####
Fax number Fax number - ### - ### ####
Email
Web site
Proprietor/owner name
Primary contact name
Primary contact telephone number Primary contact telephone number - ### - ### ####
Languages spoken in addition to English:

Languages spoken in addition to English: Mandarin Cantonese Punjabi Hindi Korean French Spanish Tagalog Farsi Other Other
Sectors served
(check all that apply)

Sectors served (check all that apply) Residential (detached homes) Commercial / Industrial*
Please indicate approximate % breakdown between “Residential” and “Commercial / Industrial” sectors:
Residential (detached homes):
Commercial / Industrial:
Business focus
(check all that apply)

Business focus (check all that apply) New construction Renovations / Retrofits
Please indicate approximate % breakdown between "New construction" and "Renovations / Retrofits" sectors:
New construction:
Renovations / Retrofits:
Business type:
(check all that apply)

Business type: (check all that apply) Natural gas contractor Energy advisor Distributor Manufacturer’s representative Wholesaler Other Other
Business type:
(check all that apply)

Business type: (check all that apply) Natural gas contractor Distributor Manufacturer’s representative Wholesaler Other Other
Business type:
(check all that apply)

Business type: (check all that apply) Natural gas contractor
Do you operate a retail location?

Do you operate a retail location? Yes No
Technical Safety BC natural gas contractor licence number
Number of staff
Number of certified gas fitters
Number of service/install trucks
Number of permitted natural gas installations in the last 12 months
Number of natural gas appliance service calls in the past 12 months
Number of natural gas appliances sold in the last 12 months?
Do you currently host lunch and learn session for your natural gas contactors?

Do you currently host lunch and learn session for your natural gas contactors? Yes No
In the past 12 months, has the business been the subject of an enforcement action by Technical Safety BC (formerly BCSA)? If yes, please explain.
Do you have a showroom featuring energy efficient products?

Do you have a showroom featuring energy efficient products? Yes No
Do you offer 24 hour emergency service?

Do you offer 24 hour emergency service? Yes No
Are you a member of any of the following organizations?
(check all that apply)

Are you a member of any of the following organizations? (check all that apply) ASHRAE ASTTBC BBB (Accreditation) HPBAC HRAI MCA TECA
In 500 characters or less, describe the products and services your company provides. This information may be published on the FortisBC website.
Maximum of 500 characters allowed. Currently Entered: 0 characters.

Natural gas products and services provided (check applicable boxes only)
	Residential	Commercial / Industrial
Furnaces	FurnacesResidential	FurnacesCommercial / Industrial
Boilers	BoilersResidential	BoilersCommercial / Industrial
In-floor radiant heating	In-floor radiant heatingResidential	In-floor radiant heatingCommercial / Industrial
Storage tank water heaters	Storage tank water heatersResidential	Storage tank water heatersCommercial / Industrial
On-demand/tankless water heaters	On-demand/tankless water heatersResidential	On-demand/tankless water heatersCommercial / Industrial
Ranges/cooktops	Ranges/cooktopsResidential	Ranges/cooktopsCommercial / Industrial
Clothes dryers	Clothes dryersResidential	Clothes dryersCommercial / Industrial
Fireplaces	FireplacesResidential	FireplacesCommercial / Industrial
Barbecues	BarbecuesResidential	BarbecuesCommercial / Industrial
Pool/spa heaters	Pool/spa heatersResidential	Pool/spa heatersCommercial / Industrial
Patio heaters	Patio heatersResidential	Patio heatersCommercial / Industrial
Outdoor fireplaces	Outdoor fireplacesResidential	Outdoor fireplacesCommercial / Industrial
Sheet metal work (e.g. ductwork)	Sheet metal work (e.g. ductwork)Residential	Sheet metal work (e.g. ductwork)Commercial / Industrial
Gas fitting (e.g. extending piping for additional appliances)	Gas fitting (e.g. extending piping for additional appliances)Residential	Gas fitting (e.g. extending piping for additional appliances)Commercial / Industrial
Equipment service	Equipment serviceResidential	Equipment serviceCommercial / Industrial
Steam boilers (commercial / industrial only)	Steam boilers (commercial / industrial only)Residential	Steam boilers (commercial / industrial only)Commercial / Industrial
Commercial food service (commercial / industrial only)	Commercial food service (commercial / industrial only)Residential	Commercial food service (commercial / industrial only)Commercial / Industrial
Industrial type equipment (commercial / industrial only)	Industrial type equipment (commercial / industrial only)Residential	Industrial type equipment (commercial / industrial only)Commercial / Industrial

*Steam boilers are a commercial only product. Please select the "Commercial / Industrial" checkbox.
*Commercial Food Service is a commercial only product. Please select the "Commercial / Industrial" checkbox.
*Industrial type equipment is a commercial only product. Please select the "Commercial / Industrial" checkbox.
Customer sectors served:
For example, agriculture, pulp & paper, hotels, etc. If not serving any specific sector, leave blank.

FortisBC Gas Trade Ally Network - Program application

FortisBC Gas Trade Ally Network - Program application

Company information