Canada Greener Homes Grant

1 ATTESTATION FORM. Canada Greener Homes Grant Mechanical or Electrical Equipment or System Installation . Contractor Qualifiction The purpose of this form is to seek attestation from the contractor retained to install the mechanical or electrical equipment (Ground or Water source heat pump, Air source heat pump, Cold climate air source heat pump, Heat pump water heater, Renewable energy, Furnace, or Boiler) that: the contractor has the required qualifications for the installation of the mechanical/ electrical equipment or system It is highly recommended that the homeowner.

2 Have this form completed by the contractor retained to install the mechanical/ electrical equipment or system Greener Homes Homeowner Registration Number: . I , (Name and surname). as a representative of , (Name of the installation company). located at (Complete address of the company, city , province / Territory, Postal Code). , with the telephone number and email address , attest that the mechanical/. electrical equipment or systems installed at (Complete residential installation address, city , province / Territory, Postal Code).

3 , was commissioned on by me, and that I have the required training and qualifications (Date). to complete this installation in this jurisdiction. Signature of mechanical/electrical contractor Date Professional Certification # Certification Organizatio