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 Years*Overall 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 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 InformationOwner/Obligee 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 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.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 diffferent 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
