A project of the
Halton Environmental Network
Geothermal Contractor Contact Information
Business Name:
Type of Business:
Incorporated
Partnership
Sole Proprietor
Address:
City:
Province:
Postal Code:
Telephone:
Website:
Contact name:
Contact email:
Contact phone:
Certifications
CGC Accreditation?
Workplace Safety & Insurance Board worker insurance?
Commerical General Liability Insurance (of at least $2,000,000 per occurrence)?
Other qualifications:
Technologies
Geothermal Technology?
horizontal
vertical
pond
direct expansion
open loop
Other
What type of installations?
residential
small to medium commercial
large commercial
Other
What activities do you engage in?
equipment supply
installation
permit/rebate applications
maintenance
leasing
Other
Do you sell system components for DIY?
Do your systems qualify for government rebates and incentives?
General
Are you a Canadian-owned company?
How long have you been in business in Ontario?
0-3 years
4-15 years
more than 16 years
Number of employees in Ontario:
less than 5
5-20
21-100
more than 100
Do you use independent contractors?
Number of installations in Ontario - total:
less than 5
5-20
21-100
more than 100
Number of installations in Ontario - 2009:
less than 5
5-20
21-100
more than 100
Number of installations in Halton Region: (Burlington,Halton Hills,Milton,Oakville)
less than 5
5-20
21-100
more than 100
Are you a member of Better Business Bureau?
Are you currently involved in any litigation?
Any other business affiliations not listed above?
References available?
Comments:
I certify that the information provided herein is true and accurate to the best of my knowledge, and I am authorized to respond on behalf of my company.
Name:
Email:
