Commercial Pre-Qualification – Clean Energy Improvement Program

Commercial Pre-Qualification Form

Start your Clean Energy Improvement Program journey.

Participating Municipalities:

City of Edmonton
Sturgeon County

Please read carefully:

Submit this Form to assess your eligibility for the commercial Clean Energy Improvement Program (also referred to in this document as “CEIP” or “Program”).
Prior to submitting, review the Program Terms and Conditions for your municipality (where the project is located).
Your municipality (where the property is located) requires supporting documentation to be submitted with this form. Please upload required documents as outlined on your municipality’s CEIP webpage and in your municipality’s Terms and Conditions.
After submitting this Form, if the information submitted meets requirements, Alberta Municipalities will provide the Project Application Form. Submitting the Pre-Qualification Form and receiving a Project Application Form does not guarantee eligibility or financing through the Program; project financing is only reserved once a financing agreement is signed with the municipality.
Upgrade installations cannot begin until you are pre-qualified, have completed an ASHRAE Level 2 audit (and a feasibility study, if required), the Project Application Form is approved, and you have signed the required Program agreements.

Freedom of Information and Protection of Privacy (FOIP) Act and Reporting Requirements Collection of and Consent to Use Personal Information
- Personal information is being collected by Alberta Municipalities on behalf of your municipality, under the authority of section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act. The information collected from your participation in the Program will be collected and shared with your municipality to determine your eligibility for participation in the Program, to communicate with you, to administer the Program, and obtain feedback to improve the Program. Information collected is managed and protected under the provisions of the Act.
- If you have any questions or concerns about the collection of your personal information, please contact a CEIP Program Lead, located at Alberta Municipalities, #300 8616 51 Ave., Edmonton, AB T6E 6E6. Phone: 1-888-506-9996. Email: hello@myCEIP.ca

"*" indicates required fields

Section 1: Property Owner Details

Primary Applicant

Provide contact information for the Primary Applicant of this project. The Primary Applicant must be a registered property owner where the project will occur. If the property owner is not a natural person (e.g., a corporation), the Primary Applicant must be a legally authorized representative for the corporate property owner.

Municipality*

Is this property owner a corporation?*

Yes

Corporation Name*

Corporation Access Number*

This is a 9- or 10-digit corporate number found on correspondence with the Tax and Revenue Administration (TRA).

Title of Authorized Representative for the Corporation:

Name*

First Last

Email*

Phone*

Other Property Owners

Identify all other property owners listed on the registered title for the property where the project will occur.

How many other property owners are there?

Additional Applicant(s)

2nd Owner Name

First Last

2nd Owner Email

2nd Owner Phone

3rd Owner Name

First Last

3rd Owner Email

3rd Owner Phone

4th Owner Name

First Last

4th Owner Email

4th Owner Phone

Section 2: Property Details

A. Property Location

Complete the following information for the property where the project will occur: Property Address:

Street Address*

Street Address Address Line 2 City Province Postal Code

Property Description: (Plan, Block, Lot):*

Your legal land description, or property description, should be available on your most recent tax assessment or tax bill from your municipality. Please enter the numbers and letters, including commas or semicolons, in the order listed (e.g., plan#, block#, lot#).

Property Tax Roll Account Number*

Found on your Property Assessment Notice.

B. Property Type

What best describes your property?*

For all applicants: The Property must be privately-owned and pay property tax to participate in the Program.

Please note that the following property types are not eligible for the commercial Program: multi-unit residential buildings (e.g., condominium buildings and apartment buildings), government-owned properties, commercial land without a building, designated industrial property, and new construction (i.e., building that are no more than six months old following the date of first occupancy). Multi-unit residential buildings may be eligible for residential CEIP, depending on the municipality.

Please describe the use of the property:

Note: Designated industrial properties are accessed by the provincial assessor according to the Municipal Government Act (MGA). These properties include facilities regulated by the Alberta Energy Regulator, National Energy Board, and Alberta Utilities Commission. Designated Industrial also includes linear property and property designated as a ‘major plant’ by the Province.

Designated industrial properties are not eligible to participate in the program.

Contractors’ shop means any building used for the purpose of storing contracting or construction equipment and material or performing shop work or assembly work by any building trade or other contractor.

Is your property in a building that includes shared facilities, and will the project impact those shared facilities?*

Not in a building that includes shared facilities

In a building with shared facilities that the project will not impact

In a building with shared facilities that the project will impact

If you selected “In a building with shared facilities that the project will impact,” written approval from the building owner must be provided to Alberta Municipalities when submitting your Project Application.

Do you have a five year property tax payment history at this property?*

Yes

For City of Edmonton commercial CEIP participants, to be eligible for the program, you must have a property tax payment history of five years at this property.

Is your property an existing property that has held a valid Occupancy Permit for at least one year?*

Yes

To be eligible for the program, your property must be an existing property that currently holds a valid Occupancy Permit and has held it for at least one year.

C. Property-Secured Debt

Property owners must be in good standing on property-secured debt payments, such as mortgage payments, to be eligible for CEIP. The following information is required to confirm eligibility.

Is there currently a mortgage on the property?*

Yes

If yes, please answer the following:

What is the outstanding principal left on the mortgage as of the date of this application?

Are you current on your mortgage payments?

Yes

Is there additional property-secured debt on the property? (e.g., commercial/small business property-tied line of credit or additional mortgages secured with the property only)*

Yes

What type of additional property-secured debt do you hold?

What is the total amount owing on the additional property-secured debt as of the date of this application?

Are you current on your additional property-secured debt payments?

Yes

Are you aware of any liens or registrations on the property? (e.g., a builder’s lien, property tax liens)*

Yes

If yes, please answer the following: What type of registrations or liens are on the property?

Section 3: Initial Project Information

Please select the upgrades you plan to make, and how much financing your project will require. You will have the opportunity to make changes to the type of upgrades and/or financing required at the Project Application stage.

Note: The City of Edmonton program requires a minimum of three upgrades to be installed as a part of a single CEIP Project. Please visit myCEIP.ca/commercial/upgrades/ for a full of list eligible upgrades.

Select the upgrade categories you are considering for your project (select all that apply):*

Building envelope: insulation, windows, doors, air infiltration, sealing and pressurization, etc.

HVAC: furnace, boiler, heat pump, chillers, air conditioning, ERV/HRV, etc.

HVAC: controls/building automation system

Lighting: controls and fixtures

Motors and drives: motors, belts, pumps, VFD, etc.

Renewable energy: solar photovoltaic (PV)

Renewable energy: solar thermal water heating

Water Heating: tankless, tank, heat pump, etc.

Other: If your upgrade(s) is not listed above, please list it below; OR, if you’re waiting for the results of an energy audit and are undecided about which upgrades to implement, please indicate so below.

If "Other" was selected, please list your upgrade here, or indicate if you are undecided about the upgrade(s) you would like to make to your property.

Provide a best estimate of the financing amount required for your project, between $3,000 and $1,000,000. For Sturgeon County program, the maximum amount for Sturgeon County commercial projects is $300,000:*

Please enter a number from 3000 to 1000000.

Please review the CEIP Commercial Terms and Conditions for your municipality to see the minimum and maximum financing amounts available.

Section 4: Document Submission

Your municipality requires supporting documentation to be submitted with this form. The documents required for submission are listed in the Pre-Qualification section of your municipality’s CEIP webpage and in your municipality’s Commercial Program Terms and Conditions.

At minimum, you are required to submit:

Proof your property is insured. Accepted proof includes documentation that clearly states the policy provider, policy number, property address, commercial liability coverage, and duration of the policy (e.g., insurance binder letter). At minimum, the following must be included in the insurance policy:

Standard commercial broad form property insurance; and
$2 million in commercial general liability insurance.

Attachments*

Drop files here or

Accepted file types: doc, docx, jpg, jpeg, png, pdf, tiff, rtf, Max. file size: 100 MB.

Please upload all required documents as stated in your municipality’s Terms and Conditions. Select multiple forms to upload in one batch.

Property Owner Acknowledgement

I hereby consent and acknowledge that:

All property owners on registered title for the property have consented to participate in the Program and I am authorized to sign and submit this form on behalf of all property owners on registered title;
By completing this form, I agree to release my personal information and all information contained in this form to the Alberta Municipalities and the municipality in which the property is located for the purposes of administering the Program only;
I consent to allowing the municipality (where the project is located) to release the property tax information for the property where the project will occur to the Alberta Municipalities for the purposes of administering the Program only;
I confirm all property owners on registered title have read and agree to the Commercial Program Terms and Conditions for the municipality in which the property is located found on myceip.ca;
I affirm that I am in good standing with respect to property tax payments for the last five years on the property where the project will occur;
I affirm that I am not in bankruptcy or insolvency and the property is not in foreclosure;
If a mortgage is on the Property, I am responsible for determining if my mortgage provider requires that they provide consent in order to participate in the Program. Failure to obtain consent from all mortgage lender(s) could result in the Participant breaching a mortgage obligation with the lender, and Alberta Muncipalities and the municipality (where the project is located) are not responsible or liable for such an outcome;
If the property is a building that includes shared facilities, and the project will impact those shared facilities, I will obtain written approval from the building owner and provide it to Alberta Municipalities; and
I affirm all information submitted as part of this form is true to the best of my knowledge.

Primary Application Signature*

Electronic Signature Authorization: By applying my electronic signature to this document, I agree that my electronic signature is the legally binding equivalent, and therein replaces my handwritten signature on paper. I will not, at any future time, claim that my electronic signature is not legally binding or enforceable.

Primary Applicant Name (Print)*