Commercial App - SolarInsure

Basic Company Information

Principal Contact Full Name *

First

Last

Principal Contact's Email *

What is your business title? (ex. CEO) *

Company Name *

DBA (Doing Business As) *

Note: If not applicable please enter N/A

How did you hear about us? *

CEO Email *

VP of Sales Email *

Operations Email *

Accounting Email *

Warranty Submission Email *

The main point of contact of who will be submitting warranties and who can answer warranty-related questions or provide more information.

Customer Service Email *

Business Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

What year business was the established? *

How many years of experience does the owner have? *

Briefly describe your industry experience: *

Company Insurance Information

What is the name of the current liability insurance carrier? *

Liability insurance policy number? *

Policy Expiration Date *

Are there any insurance claims in the past five years? *

Are there any OSHA violations? *

Contractors License type: *

License number: *

Please provide copies of General Liability Insurance (required) and Standard Sales agreement if available *

Click or drag files to this area to upload. You can upload up to 5 files.

What is the average number of installs by month? Please provide a range. *

ex. 60 - 100

Installation Information

What is your average System Size (kW)? *

What is the Annual Revenue of your company? *

Number of Sales Representatives *

Written Safety Program in place? *

What proposal software are you using? *

What CRM does your organization use? *

NABCEP Certified *

Industry Associations

ie: SEI, SEIA, CALSSA (Ca installers only), etc.

Types of Inverters Used *

Enphase
Solar Edge
Generac
Other

What states do you service? (Tx, Ca, Co, Fl) *

Official Company Website *

If not available enter N/A