SSC Updated Logo for CCP.png

Certified Local Application

General Information

Business Information

Name of Business  

Description of Business

Contact Information

Name, Title

Address

City, State, Zip

Phone, Email

Ownership Information

Corporate Information

Address

City, State, Zip

County

Phone, Email

Ownership Type

Owner 1 Information

Name, % Ownership

Address

City, State, Zip

County

Phone, Email

Owner 2 Information

Name, % Ownership

Address

City, State, Zip

County

Phone, Email

Owner 3 Information

Name, % Ownership

Address

City, State, Zip

County

Phone, Email

Business Activity

# Solar Installations completed in Sonoma County over last 12 months

Total # Solar Installations completed over last 12 months

Years Installing in Sonoma County (minimum 1)

Number of Solar Installations in Sonoma County (minimum 10)

What Facilities are Located in Sonoma County

Employment Information

# Full-Time Equivalent Employees Living in Sonoma County

Total # Full-time Equivalent Employees

Total Payroll $ Spent on Sonoma County Resident Employees

Total Payroll $ Spent on In-House Employees

Total $ Spent on Subcontracted Services

Comments

Certification Statement

I certify that all information provided in this application is true and correct to the best of my knowledge.

Signature                                                                        Date

Printed Name                                                                        Title