Step 1 of 4 25% 1 confirm your bond informationAre you an insurance agent completing this application on behalf of a client? ** Yes No Agency Name* Agent Name* Agent's Email Address* Agent's Phone Number* Note: If you are currently registered as an agent with BondsExpress.com we will mail a commission check to you within one month of your surety bond purchase. If an updated E&O policy and/or business license is needed, one of our agents will contact you right away. Thank you for your continued partnership.What type of bond do you require?* Bid Bond Bondability Letter Multi-Year/Service Performance & Payment Bond Stand Alone Maintenance Supply Subcontractor Performance & Payment Name of Business* This is the name that will appear on the bond.Address of Business* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Phone Number:* Email Address:* Business Started:* Construction Specialty Largest Contract Completed in Last 3 YearsOverall Contract Price, Not ProfitScope of work for Largest Job: What was the contract for? ie: Replacing a roof, laying foundation, etc.Are there any delinquent taxes/payables, open liens, lawsuits, or judgments against the Company/Affiliate or an Owner/Spouse?* Yes No Has Company/Affiliate or any Owner/Spouse ever declared bankruptcy, failed to complete a contract, or caused a surety loss?* Yes No Have you ever been bonded in the past? If yes by whom?* Yes No If Yes to Any, Explain: Is there a specific bond amount you would like to be approved for?* Yes No Enter desired approval amount:Please Note: For Quote Requests above $500,000 a copy of your Business Financials is required.Attach Business Financials here:Max. file size: 50 MB.Should include your Balance Sheet + Profit & Loss Statements for the last 2 years. If you do not have these on hand, we will follow up after you have submitted your application to acquire any necessary documents.2 Enter owner informationName of Owner* First Middle Last Owner's Personal Address* Street Address Address Line 2 City State Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Social Security Number* Are you a citizen/permanent resident of the United States* Yes No Are you married?SelectYesNoSpouse's Social Security Number Name* First Middle Last Suffix Number of OwnersNumber of Owners1 Owner2 Owners3 Owners4 Owners5 Owners6 Owners7 Owners8+ Owners9 Owners10+ OwnersPercentage of Ownership Above listed owner's percentage of ownershipAdditional Owner& spouse's Information*Name, Address, Social Security Number, and % of Ownership for each additional owner. If additional owner has a spouse, enter Name and Social Security Number. 3 Project InformationObligee Name* The obligee is the company or entity requiring this bond, generally this is who the work is being done for.Obligee Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Project Description* Is the physical job location the same address as the obligee?* Yes No Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Type of Bond Form being required AIA Form Obligee Form Not Specified/Surety's Form Liquidated Damages* an amount of money your company will owe if it breaches a contract. Most commonly listed as "$X per day"Maintenance Period* The period following project completion during which your company is required to return to correct or fix any defects or problems that arise.Anticipated Start Date of Project* Expected length of project* 4 Project Information ContinuedBid Bond % or Flat Amount Most bid bonds are required to be either 5% or 10% of the Contract Amount. In rarer cases, the amount may be a set number or a different percentage.Bid Due Date* This is the final date a bid may be submitted for the contract.Please Attach Copy of Contract or Project Specs Drop files here or Select files Max. file size: 50 MB. If you are unable to attach the file we will reach out after this has been submitted requesting the documents via email.Contract Amount for this job*How was this project secured?* Check Bond Negotiated Was the bond that secured this project from our company?* Yes No If the bid bond was written by a different company, who was it and why did the surety company not issue the bond once the bid was won?* Next 2 Lowest Bid Amounts* 5 Work ExperiencePlease provide the 3 largest completed contracts in the last 5 years.Largest Completed Contract:*Please include the name of the company you were contracted to, their contact information (including email/phone number), the Contract Price and Profit, and a brief description of the projectSecond-Largest Completed Contract:*Please include the name of the company you were contracted to, their contact information (including email/phone number), the Contract Price and Profit, and a brief description of the projectThird Largest Completed Contract:*Please include the name of the company you were contracted to, their contact information (including email/phone number), the Contract Price and Profit, and a brief description of the project Disclaimer* I agree.I certify that my answers are true and complete to the best of my knowledge. I also understand and agree that my credit will need to be reviewed as a conditional of approval through a soft pull.If this application leads to a bond, I understand that false or misleading information in my application may result in a bond not being provided. I understand that an additional indemnity will be required for the release of any approved bond and agree that a signature of all owners and spouses will be provided.CAPTCHA
