ecoENERGY for Personal Vehicles Program –
Certification form with respect to Bill M-30

An Act respecting the Ministère du Conseil exécutif, R.S.Q. c. M-30

Use this form for prospective agreements that pertain to Natural Resources Canada's programs and initiatives in the province of Quebec, to ensure compliance with Bill M-30, An Act respecting the Ministère du Conseil exécutif, (the Act).

The form must be completed by the duly-authorized representative of your organization. Review the relevant provisions of Bill M-30, complete and sign this form, and return it to Natural Resources Canada, together with any necessary supporting documents.

1) Under section 3.11, is your organization a municipal body or school body within the meaning of section 3.6.2 of the Act?

    

2) Under section 3.12, is your organization a public agency within the meaning of section 3.6.2 of the Act?

    

3) If an agreement is signed between the applicant and the Government of Canada, will the agreement affect a government agency, municipal body, school body or public agency within the meaning of the Act?

    

If you answered "No" to all three questions, your organization is not subject to the provisions of Bill M-30 and the process in respect of a prospective agreement can proceed.

If you answered "Yes" to either the first or second question, you must, on behalf of your organization, obtain authorization from the Government of Quebec before you enter into an agreement with Natural Resources Canada. You must provide a copy of this authorization.

If you answered "Yes" to the third question, inform the affected government agency, municipal body, school body or public agency of the requirements of Bill M-30.

I certify that I have read and understood the information and questions above, and that the information I have provided is accurate.

Signature of representative: