2014 INSTALLERS PACKET
WHY THIS INFORMATION IS REQUIRED The information acquired from the Installer s Packet is needed for several reasons: To confirm the company holds the appropriate Business and Arizona Registrar of Contractors (AZROC) licenses. (Trade Name Certifications should be provided if the company s name is different from what is reported on either the business license and or AZROC license.) The information obtained is also used to create a Company ID in Tucson Electric Power s (TEP) renewable program application database. This allows TEP to associate the online application with the correct installer. This information is also entered into our integrated Purchasing/Accounts Payable (EBS) computerized system, which allows TEP to assign the incentive and remit payment to the installer or third party, if applicable. o o Foreign Companies: The appropriate W-8 (BEN, ECI, EXP, IMY, or 8233) must be completed and sent in lieu of W-9. All incentive payments, if applicable, will be withheld until a properly completed W-9 and/or W-8 is submitted and subsequently verified through the IRS database (TIN Matched). WHO SHOULD COMPLETE THIS FORM Any Installer, General Contractor and or Leasing Company installing, or causing to be installed, a Residential and or Non- Residential Solar PV and/or Solar Water Heating system in the TEP service territory. If your company only holds a General Contractor s license, an Installer s Packet must be submitted for all licensed subcontractors employed by the General. Page 2 of 10
INSTALLER S CHECKLIST The following items are required: Completed Company Approval Form (one per company) W-9 or substitute form W-9, and or W-8 if foreign company Copy of Business License Copy of Trade Name Certification (If applicable) Remit To payment information Accounts Receivable address & contact information Minority Reporting Self-Certification (If applicable) Arizona Transaction Privilege Tax (TPT) License Copy of AZROC License(s) Specification sheet on products proposed for installation. (If not on file already with TEP) Once the Installers Packet is complete: Residential Solar PV installers may scan and e-mail to sunshare@tep.com or fax to 520-545-1576 Residential Solar Water Heating installers may scan and e-mail to solarwaterheating@tep.com or fax to 520-545-1577 Non Residential Solar PV installers may scan and e-mail to commrenewables@tep.com or fax to 520-770-6719 Page 3 of 10
COMPANY APPROVAL FORM TEP does not endorse any installer. To meet Program requirements, a customer may hire any installer of their choice, so long as said installer holds the appropriate license for the technology they are installing. Company Name: Trade Name or DBA: Owner Name (If DBA): Legal Structure: LLC LP LLP Corporation Partnership Federal Employer s Tax ID Name: Federal Employer s Tax ID Number Sole-Proprietorship Foreign Company Must Provide SS# & Name on SS# Must Provide W-8, (BEN,ECI,EXP,IMY)or Form 823 Name of Person for assigned Social Security Number: Social Security Number: Arizona Transaction Privilege Tax (TPT) License: (Sales, Resale, Wholesale, Vendor or Tax License) Number of Employees (Required Field): Authorized Agent / Primary Contact: Street Address: City, State, Zip: Business Telephone: Business Fax: General E-mail Address: Secondary E-Mail Address: Website URL: Page 4 of 10
REMIT PAYMENT TO ACH (Automated Clearing House)/EFT (Electronic Funds Transfer) is the only Payment Method available unless otherwise agreed to by the Accounts Payable Department ACH Format: CCD CCD+ CTX Financial Institution Name/Branch: Account Name: Account Type: Checking Savings Routing Transit Number (ABA): ACH Remittance Advice Notification Method: Email: Account Number: REQUIRED if choosing ACH Fax Number: ACCOUNTS RECEIVABLE ADDRESS & CONTACT Street or PO Box: City: State: Zip: County: Country: Accounts Receivable Contact Name: Phone Number: Email Address: Page 5 of 10
MINORITY REPORTING SELF-CERTIFICATION CATEGORIES check appropriate categories: NOTE: Definitions Control is defined as exercising the power to make policy decisions. Operated is defined as actively involved in the day-to-day management and not merely acting as officers or directors. Large Business - A domestic concern which, including domestic and foreign divisions and affiliates, normally employs 500 or more persons, is independently or publicly owned or controlled and operated, and which may be a division of another domestic or foreign concern. Small Business - The term small business shall mean a small business as defined pursuant to Section 3 of the Small Business Act and in relevant regulations promulgated thereto. Generally, unless your firm is operating in an industry with a special size standard, it is considered small if:(a) it has fewer than 500 employees for manufacturing industries, (b) has average annual receipts for three (3) preceding years of less than $12 million for general construction (c) has average annual receipts for preceding fiscal years of less than $2 million for service industry. Small Business Minority Owned - A concern that is at least fifty-one percent (51%) owned by one or more minority individuals; or, in the case of any publicly owned business, at least fifty-one percent (51%) of the stock of which is owned by one or more minority individuals, and whose management and daily business operations are controlled by one or more minority individuals. Small Business Women Owned - A concern that is at least fifty-one percent (51%) owned by one or more women: or, in the case of any publicly owned business, at least fifty-one percent (51%) of the stock of which is owned by one or more women, and whose management and daily business operations are controlled by one or more women. Small Business Veteran or Service Disabled Owned - A concern that is at least fifty-one percent (51%) owned by one or more individuals who have a physical or mental impairment that substantially limits one or more major life activities. The individual(s) must either have a record of such impairment or correctly regard him-herself(s) as having such an impairment or in the case of any publicly owned business, at least fifty-one percent (51%) of the stock of which is owned by one or more handicapped persons, and whose management and daily business operations are controlled by one or more such individuals. Small Business HUBZone (Historically Underutilized Business Zone) A concern that must be located in a historically underutilized business zone, must be owned and controlled by one or more US Citizens and is at least thirty five (35%) of its employees must reside in a HUB Zone Authorized Agent Name: Authorized Agent Signature: Date: Page 6 of 10
Taxpayer Identification Number Request & Certification SUBSTITUTE FORM W-9 (IRS Rev. October 2007) Please complete the following information. We are required by law to obtain this information from you when making a reportable payment to you. If you do not provide us with this information, your payments may be subject to federal income tax backup withholding. Use this form only if you are a U.S. person (including US. resident alien.). If you are a foreign person, use the appropriate Form W-8 (BEN, ECI, EXP, IMY, or 8233). Part 1 Tax Status: Print Tax Reporting Name: Address (number, street, and apt, or suite no.): City: State: Zip: Phone: ( ) Complete One: Individual/Sole Proprietor Business Name, if different from above Social Security Number - - - or - Business EIN - Partnership EIN - Corporation EIN - Please answer questions below if you are a corporation: 1. Corporation providing legal services? Y N 2. Corporation providing medical services? Y N Limited Liability Company EIN - Tax-Exempt or Not-for-Profit under 501(C)(3) EIN - Government Entity EIN - Estate or Trust EIN - All other Entities EIN - Part 2 Exemption: If exempt from Form 1099 reporting, check here: and circle your qualifying exemption reason below Part 3 Certification: Under penalties of perjury, I certify that: 1. Corporation, except there is no exemption for medical and healthcare payments or payments for legal services 2. An organization exempt from tax under IRC section 501(a) 3. The United States or any of its agencies or instrumentalities 4. A state, the District of Columbia, a possession of the United States, or any of their political subdivisions or instrumentalities 5. A foreign government or any of its political subdivisions, agencies, or instrumentalities 6. An international organization or any of its agencies or instrumentalities 7. Other: 1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. person (including a U.S. resident alien). Certification instructions: You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. Signature of U.S. person: Date: Page 7 of 10
TEP APPROVED LICENSES INSTALLERS ARE REQUIRED TO PASS A SOLAR TRADE EXAM WITH THE ARIZONA REGISTRAR OF CONTRACTORS. Always refer to the Arizona Registrar of Contractors website for the most up to date information. http://www.azroc.gov Please be aware of rule changes effective July 1, 2014 that will impact nearly all applicants and licensees. Click here for a summary of how these changes will impact license classifications, new license fees, renewal license fees, and bond amounts. THE FOLLOWING LICENSE CLASSIFICATIONS ARE CURRENTLY ACCEPTED: GENERAL CONTRACTING Residential and Commercial General Contracting and Remodeling Licenses may contract for solar installations. However, all work pertaining to the installation must be subcontracted to a properly licensed solar plumbing, air conditioning, boiler, electrical or swimming pool contractor. An exception is that the A-General, B-4 General and KA-Dual Engineering Licenses may perform solar installations. A- GENERAL ENGINEERING B-04 GENERAL RESIDENTIAL ENGINEERING CONTRACTOR KA DUAL ENGINEERING KB-1 DUAL BUILDING CONTRACTOR KB-2 DUAL RESIDENCE AND SMALL COMMERCIAL B-1 GENERAL COMMERCIAL CONTRACTOR B-2 GENERAL SMALL COMMERCIAL CONTRACTOR B- GENERAL RESIDENTIAL CONTRACTOR B-3 GENERAL RESIDENTIAL REMODELING AND REPAIR CONTRACTOR C-61 LIMITED REMODELING AND REPAIR CONTRACTOR (Not to exceed $25,000 per project per dwelling; Excludes swimming pools) SOLAR PV: A-17 ELECTRICAL AND TRANSMISSION LINES K-11 DUAL ELECTRICAL L-11 COMMERCIAL ELECTRICAL C-11 RESIDENTIAL ELECTRICAL SOLAR WATER HEATING: K-77 DUAL PLUMBING INCLUDING SOLAR K-78 DUAL SOLAR PLUMBING LIQUID SYSTEMS ONLY L-77 COMMERCIAL PLUMBING INCLUDING SOLAR L-78 COMMERCIAL SOLAR PLUMBING LIQUID SYSTEMS ONLY C-37 RESIDENTIAL PLUMBING INCLUDING SOLAR C-37R* RESIDENTIAL SOLAR PLUMBING LIQUID SYSTEMS ONLY (R= Restricted see reference below) Page 8 of 10
LICENSES CLARIFICATION MAY BE NEEDED IF ANY OF THE FOLLOWING APPLY: If your company holds a C-05 Residential (as restricted by the registrar) license or K-05 Dual (as restricted by the registrar) license; please contact the AZROC for review of your license and authorization to proceed with solar installations. If your company holds an L-37 Commercial or K-37 Dual, plumbing license, these classifications do NOT authorize you to install solar water heating systems. Please contact the AZROC. If your company holds a C-37R* Residential plumbing license it still may not authorize you to install solar water heating systems as the R at the end of the classification stands for restricted. Please contact the AZROC. If your company holds a C-39 Residential Air Conditioning & Refrigeration, including solar license, this classification does NOT authorize you to install solar water heating systems. Please contact the AZROC. If your solar business/company does not hold any license at all, you are not authorized to subcontract for the purposes of installing solar systems for TEP customers. Please contact the AZROC. If your company installs solar PV, you may not subcontract to another licensed subcontractor to install solar water heating systems, and vice versa. Contractors are not authorized to subcontract outside their scope of work. An exception is a general contractor subcontracting to the appropriate subcontractor for the technology being installed. Please contact the AZROC. PLEASE REFER TO THE ARIZONA REGISTRAR OF CONTRACTORS FOR FURTHER CLARIFICATION AND APPROPRIATE LICENSING GUIDELINES AND RESTRICTIONS: TUCSON FIELD OFFICE 400 W. Congress, Ste. 212 Tucson, AZ 85701-1311 520-628-6345 http://www.azroc.gov Please be aware of rule changes effective July 1, 2014 that will impact nearly all applicants and licensees. Click here for a summary of how these changes will impact license classifications, new license fees, renewal license fees, and bond amounts. Page 9 of 10
CONFIRM CURRENT AZROC LICENSE INFORMATION AZROC License Number: License Expiration Date: License Class: AZROC License Number: License Expiration Date: License Class: AZROC License Number: License Expiration Date: License Class: MARK ALL THAT APPLY AND PROVIDE LICENSE INFORMATION ABOVE FOR EACH APPLICABLE TECHNOLOGY: Residential PV Non Residential/Commercial PV Residential Solar Water Heating Other Check here if subcontractor Subcontracting for (Company Name): Contractor s license status may change at any given time. It is the responsibility of the contractor to immediately notify TEP of any changes to their license status and the license status of their subcontractors, regardless of whether the change was voluntary or involuntary. I certify that the information provided is accurate. I have read and agree to abide by the guidelines outlined in the current Renewable Energy Credit Purchase Program (RECPP) and TEP s Service Requirements SR-1.20-1.21 and SR-1.22. Authorized Agent Name: (print) Title Signature Date Page 10 of 10