Commercial Electrification Program

Required Documentation

To enroll in the Commercial Electrification Pilot Program, applicants must provide the following with application:

Proof of ownership or lease of the Site, such as a deed of title or copy of lease
If leasing the Site, copy of the property owner’s written consent to the installation of an EV charging station(s) at the Site

Email completed application and required documents to: electric.vehicles@libertyutilities.com

Liberty Commercial Electrification Program Enrollment Application

CUSTOMER INFORMATION

Customer name on electric account

Liberty Account Number (from utility bill)

Location where electric vehicle (EV) charging station(s) is to be installed

Street Address

City

State

Zip

Contact Name

Phone Number

Email address

COMPANY INFORMATION

How many employees are at the proposed location?

How many employees currently drive EVs at the proposed location?

Description of proposed EV charging station(s) location (relative to buildings, areas, or parts of the property)

How many Level 2 EV charging stations are requested with this application?

Are you signed up for e-bill/paperless billing?

Yes

Do you currently have EV charging stations at your business?

Yes

Are there any corporate and/or local environmental initiatives within any part of your organization’s operations?

Yes

If so, please explain:

FLEET VEHICLE INFORMATION

How many total light-duty vehicles are in your fleet?

How many are battery electric (no other fuel)?

How many are plug-in hybrid vehicles?

Agreement

I accept the terms and conditions*

Print Name of Applicant

Date

SURVEY

I am interested in participating in the Commercial Electrification Pilot Program because (check all that apply)

The Program allows us to electrify our fleet without the initial investment and operational responsibility of the charging stations

The discounted kWh cost to charge vehicles

The Program provides a turn-key approach to vehicle charging

We want to support the environmental benefits of driving an EV

Helps support company sustainability goals

Cost-saving benefits to the company fleet

Provides an employee benefit

Our employees are asking for workplace charging

Our employees are asking to electrify our fleet

Other (specify)

* Acknowledgments

Applicant acknowledges that participation in the Program is contingent upon the execution of the Participation Agreement and payment of CEPP Enrollment Fee.

Applicant will permit Liberty representatives to inspect the site of intended installation on a mutually satisfactory date and time.