ClickCease
 

Contractor Bond Application

Welcome, {name}. Please start a new application or edit an existing application by selecting one from the table below.

Application #
Applicant
Application Status
Credit Score
Bond Amount
Premium
Bond Rate
Decedent
Last Updated

Agency: 

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Who are you bidding to or working for? 
What type of work is it?
What is the value of work?
Do you have this job?
Are you working with an insurance agency for this bond?

Type of bond request

Principal Business Information

Contractor/Business Name ("Principal")

Your company name as it appears on your business tax return

Contractor/Business Address

Principal POC Phone #

Principal POC Email

Owners Information
Owner Name
Position
Percentage Ownership
Spouse Name

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Is this owner married?

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Business Information
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Year Established

Prior Three Years Annual Sales

Does the Principal or Owner have an open credit line with any financial institution?

List the four largest contracts the Principal completed in the prior three years:

Contact Email Address
Type of Work
Contract Price
Year Completed
No
No
No
Add Contract
Remove Contract
Next Section

List the four largest contracts the Principal has in process:

Contact Email Address
Contract Price
Amount Billed To Date
Estimated Completion Cost
Add Contract
Remove Contract
Next Section
Name
Email Address
Material or Service
Est. Annual Purchases
Add supplier / subcontractor

Please list the Principal’s largest suppliers and subcontractors:

Has the Principal or Any of Its Owners, Management, Key Personnel and/or their Spouse(s) or Family Members:

Ever been connected with any other company or companies (including any subsidiary, parent, holding or affiliate company (or companies) in any way? 

Received notice of default (defined as a failure to perform or to make payment) on a contract? 

Received notice of a failure to pay suppliers, laborers or subcontractors? 

Ever filed bankruptcy?

Ever been convicted of a crime?

Had any prior or pending lawsuits, unpaid judgments or liens (including any tax liens)? 

Received or applied for bonding with any other surety company within the last two years (24 months)?

Been owed any money that is in dispute or in excess of 180 days?

Received any past due notices for prevailing wages, labor, union benefits, or supplier’s notices? *

Owned or held any corporate or personal assets in a trust or escrow account?

Pledged or restricted any business or personal asset for any purpose?

Section: ? / 6

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