2026 Energize Connecticut℠ Heat Pump Installer Network Agreement

Background Logic: Renewal or new
Background Logic: SF Record ID
Background Logic: Unique ID
Background Logic: COI
Background Logic: Surface cold climate
Background Logic: Legacy HPIN Account SF ID
Background Logic: Surface A2L cert
Background Logic: Surface Plumbers license
Background Logic: GSHP cert
Background Logic: eLearning Cert Surface
Background Logic: Program State
Background Logic: Program Status
Background Logic: Internal Placeholder cold climate air source heat pump surface
Background Logic: Internal Placeholder cold climate air source heat pump surface one shown
Background Logic: Program Status
Background Logic: Resend Form
Background Logic: Force Account Creation
Energize Connecticut℠ Heat Pump Installer Network Agreement
Participation Agreement

Please the participation agreement thoroughly with your team. Especially important is to review Section 5: General Business Practice- this section contains all of the expectations for your business as a participant on the Energize CT HPIN.
Please provide signature to indicate that you have read the participation agreement thoroughly.

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Participation agreement date

MonthDayYear
Date

Accountability Policy

Please review the policy and sign below
Participation agreement signature

Clear
Accountability policy date

MonthDayYear
Date

Quality Installations and Complete Invoices

Please review the following documents and sign below
Air source heat pump installations receiving residential or commercial rebates should be completed in accordance with the quality installation checklist above. Further, contracts and invoices must include the highlighted information on the sample invoice above.

I have reviewed and agree to follow the air source heat pump quality installation check-list and provide information included in the sample invoice.
Install checklist and invoice signature

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Install checklist and invoice date

MonthDayYear
Date

Heat Pump Incentives

Please review and disseminate within your company the incentive information below.
Understanding the incentive information is very important. Your company's representatives interfacing with customers will be expected to know the incentive information to set accurate expectations of rebate eligibility and values.

Please also review the Energy Optimization Incentive and Air Source Heat Pump Incentive pages on the website for a full list of rules and requirements. Further, the program overview course on the Energize CT eLearning Center is a valuable resource.
I've reviewed and understand the incentive offerings

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Incentive information date

MonthDayYear
Date

Company Representatives

The expectations of the primary representatives are that they're monitoring their inboxes actively for important Energize CT communications and disseminating that information to all of the stakeholders at your company: sales managers, salespeople, leadership. This information will NOT be displayed on EnergizeCT.com
Primary Representative 1

First NameLast Name
Primary Representative 1 Email
example@example.com
Primary Representative 1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Representative 1 Title/Role
Add additional primary contacts
Primary Representative 2

First NameLast Name
Primary Representative 2 Email
example@example.com
Primary Representative 2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Representative 2 Title/Role
Primary Representative 3

First NameLast Name
Primary Representative 3 Email
example@example.com
Primary Representative 3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Primary Representative 3 Title/Role
Please add any additional emails for employees you'd like to have receive Energize CT program information and updates. Separate using commas.
We highly recommend listing any and all customer-facing contacts here to ensure that they have easy access to the latest program information.

Required Documentation:
1. Signed copy of this Participating Contractor Agreement
2. W-9
3. S-1, S-9, S-3, D-1, D-3 HVAC License^1,2
4. Certificate of Comprehensive General Liability Insurance
5. EPA Section 608 Type I, Type II or Universal Certification
6. Industry training on handling of A2L refrigerants
  1. Complete online through the eLearning Center or through distributor/manufacturer training
7. Certification of relevant training:
  - Air Source Heat Pump installers:
    
    Certification of installation or service training provided by a heat pump manufacturer (within the last 5 years)
  - Ground Source Heat Pump installers:
    
    Certification of installation or service training provided by a ground-source heat pump manufacturer (within the last 5 years) or,
    
    International Ground-Source Heat Pump Association (IGSHPA) Installer or GeoExchange Designer certificate
Within the first year of enrollment:
1. Within the first year of participation, all installers must provide a certificate of completion for cold climate heat pump sizing and design training by a manufacturer and complete the Program Overview course via the eLearning Center.
1. If installing in commercial/industrial properties, must provide either an S-1, D-1, or S-9 contractor license. 2. If heat pump water heaters selected, must provide either an S-1 or P-1 contractor license.
Has there been updates to your W-9 since time of enrollment or last renewal
Please upload your W-9

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Please upload your HVAC License

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HVAC License Expiration Date

MonthDayYear
Date
HVAC License #
Please upload your Plumber's License: only required if you are a heat pump water heater installer and are NOT submitting an S-1 license

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Plumber's license expiration date (if applicable)

MonthDayYear
Date
Please upload your Certificate of Comprehensive General Liability Insurance

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Insurance Policy Expiration Date

MonthDayYear
Date
Please upload your EPA Section 608 Certification

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EPA Section 608 Date of Completion (estimated)

MonthDayYear
Date
Please upload certification of relevant training provided by a heat pump manufacturer

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Date of air-source heat pump manufacturer's training

MonthDayYear
Date
Please upload certification of cold climate air source heat pump sizing and design training provided by a heat pump manufacturer

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Date of cold climate sizing and design training

MonthDayYear
Date
Please upload certification of relevant training provided by a ground-source heat pump manufacturer or IGSHPA certification

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Date of ground-source heat pump manufacturer's training or IGSHPA certification

MonthDayYear
Date
Please upload certification covering handling of A2L refrigerants

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Date of A2L refrigerant handling course

MonthDayYear
Date
Please upload your Supplier Diversity Program Certificate

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Expiration date of Supplier Diversity Program certificate

MonthDayYear
Date
Please upload your Energize CT program overview completion certificate

Available online at this link (30m): https://energizect.iqed.online/catalog/info/id:1518
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Date of program overview completion

MonthDayYear
Date

Energize Connecticut℠ Heat Pump Installer Network Agreement

Participation Agreement

Accountability Policy

Quality Installations and Complete Invoices

Heat Pump Incentives

Company Information

Company Representatives

Market Survey