Company name:

Website:

Address:

Phone: ( )

Fax: ( )

E-mail:

Contact Person/Dealer:

Title in Company:

Years in that position:

Years with company:

Year Company started?

How many employees?

Have you or your company provided or installed poultry house upgrades before?

How many poultry houses have you upgraded? (approximately)

Please give name, title, educational background, years of experience for the key team members for designing and installing this energy efficient equipment or insulation (even if portions are outsourced.) For example, do you have an electrician or is electrical outsourced?

Name: Title: Apprx Yrs of Experience Degree (circle) University

______Owner/President ___ HS, AS, BS ______

______Sales Representative ___ HS, AS, BS ______

______Construction Manager ___ HS, AS, BS ______

______Electrician ___ HS, AS, BS ______

______Other ______HS, AS, BS ______

EIM will use the above information to complete a write-up similar to the one below. We will also need a copy of the entire project quote for each grant applicant. (Please read this to see if it is OK. Feel free to add, delete, and brag!)

Company Name specializes in providing energy efficient upgrades and equipment. Company Name carries complete insurance, including liability, for all projects until completion and final payment of the project. The Company Name mission statement /vision statement is: (Delete sentence if you do not have mission or vision statements.)

The project team, service providers, equipment technicians, and installation providers have the necessary professional credentials, licenses, certifications, or relevant experience to develop the proposed poultry house upgrades. The company has been in business for ____ years and have a team of (how many?) ___ employees to serve customers across (what state/co?)______

They are proud of their qualified design teams, their experienced crew, their professional sales and service representatives. Their crew members have experience with construction, electrical, and insulation work. Sales Rep/Dealer , ______of Company Name has worked for the company since when/year. Other members of the team include ______. Company Name has installed and maintained dozens of energy efficient poultry house upgrades similar to what will installed on this project. Individualized design drawings or CAD drawings have been utilized for this project. Company Name is well qualified to complete this high efficiency poultry house upgrade project and to provide any future service which might be needed. They hereby verify that the required equipment is available, and can be procured & delivered within the proposed project development schedule.

Our dealership (name) ______verifies that we will be able to complete work described on written quote for this grant applicant according to the following schedule:

Within 2 months of notification of grant award: order equipment as indicated on quote/estimate.

Within one month of ordering equipment: prepare site for new equipment and deliver equipment.

Within one month of delivering equipment: install equipment and complete electrical work; or connect propane if needed.

Within 2 weeks of installing equipment and connecting fuel and electrical: run start-up test and train new owner in care and use of the equipment.