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 Site Improvement/Subdivision Bond Stand Alone Maintenance Supply Subcontractor Performance & Payment Please Note: In most cases, the applicant should be the Developer of the Site Improvement/Subdivision project.Name of Business* This is the name that will appear on the bond.Address of Business* Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Phone Number:* Email Address:* Have you submitted a bid/performance bond application with us in the last 2 years?* Yes No 2 Enter Principal InformationBusiness 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.Name of Owner* First Middle Last Owner's Personal Address* Street Address Address Line 2 City State Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Social Security Number* Are you a citizen/permanent resident of the United States* Yes No Personal Net Worth, Excluding Business*Are Any of Your Assets in Trust?*SelectYesNoAre 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 AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code Project Description* Is the physical job location the same address as the obligee?* Yes No Job Location Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State ZIP Code Subdivision/Site Name* Subdivision/Site Location* Tract or Parcel # Number of Units Contract Amount for this job*Type of Project* Commercial Residential Industrial Mixed Use Property Value* Total Debt on Property* Has Work Begun?* Yes No How much of the work has been completed and how much has been paid for? Type of Subdivision or Site Improvement Bond(s) needed* Grading Street Water Sewer and/or Storm Drain Monument Warranty or Maintenance Other Bond Amount Totals*Bond TypePerformance Amount $Payment or Labor & Material Amount $ Add RemovePlease enter the amount required for the bond selected above. If multiple bond types are chosen, please use the "+" button to the right of the entry line to add more sections.Contractor InformationPlease supply names of contractors and contract amounts for each bond requirement (if known).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* 3.1 Financing InformationName of Lender Total Amount of Construction Loan Name of Loan Officer Phone Number of Loan OfficerIs Set Aside Letter Available? 3 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.Please provide the following documentation:1. Corporate and Personal Financial Statements of Principal and all Owners 2. City or County Engineers Estimate 3. Resolution or Developers Agreement from City or County 4. Bond Forms 5. Partnership or LLC Agreement If these are not readily on-hand, you can skip this step and we will request it by email once the quote is submitted. Drop files here or Select files Max. file size: 50 MB. 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* 4 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
