Commercial New Construction application – participant

If you have any questions please contact your Key Account Manager or email CNCprogram@fortisbc.com.

Please ensure any changes made to this information are communicated to FortisBC as soon as possible.

Find your Key Account and Energy Solutions Manager.
FortisBC representative name FortisBC representative name First Last
FortisBC representative email
If your representative’s email is not listed, please add it here
Participant information
Contact name Contact name First Last
Position/title
Email address
Phone number Phone number - ### - ### ####
Registered company information
Legal name of registered company
Corporate head office address Corporate head office address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Building project site name (e.g., Vancouver General Hospital- Research Pavilion)
Is building project site address same as head office address?

Is building project site address same as head office address? Yes No
If no, confirm building project site address If no, confirm building project site address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Project information

This is for our information only and can be approximate. Nearest quarter is acceptable.
Have you applied for, or received, a building permit?

Have you applied for, or received, a building permit? Yes No
Date on building permit
Estimated date building permit will be acquired Estimated date building permit will be acquired / MM / DD YYYY
Estimated construction start date Estimated construction start date / MM / DD YYYY
Estimated occupancy permit date Estimated occupancy permit date / MM / DD YYYY
Do you plan to apply for the mid-construction airtightness rebate?

Do you plan to apply for the mid-construction airtightness rebate? Yes No Unsure
Will this site be provided with thermal energy delivered via a thermal energy system owned by a Thermal Energy Services Provider1? i.e. is the building connected to a distributed energy system?

Will this site be provided with thermal energy delivered via a thermal energy system owned by a Thermal Energy Services Provider1? i.e. is the building connected to a distributed energy system? Yes No
Emails from FortisBC

Emails from FortisBC I agree to receive emails from FortisBC containing news, updates and promotions regarding FortisBC’s products, services, programs and any associated business opportunities. You may withdraw your consent to receive such emails from FortisBC at any time. Please refer to our Privacy Policy or contact us for more information.
Energy modeller declaration
Acknowledgment

Acknowledgment I understand that falsification of information submitted to FortisBC as a part of this declaration or failure to comply, as determined by FortisBC in its sole discretion, with any of the Terms and Conditions of the Program, means that I will need to repay FortisBC any incentive amount paid to me under this Program, and will terminate any obligation on the part of FortisBC to pay any subsequent incentives pursuant to the Program. I have fully read, understand and agree to abide by the terms and conditions contained in this declaration form in addition to the Terms and Conditions of the Program. The undersigned is an authorized representative of the Participant and has the authority to bind the Participant.
Participant name Participant name First Last
Authorized representative name (if applicable) Authorized representative name (if applicable) First Last
Participant title
Date Date / MM / DD YYYY
Participant or authorized representative signature

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Project energy modeller
Project energy modeller contact name Project energy modeller contact name First Last
Project energy modeller contact email

Commercial New Construction application – participant

Commercial New Construction application – participant

Participant information

Registered company information

Project information

Energy modeller declaration