SURETY BOND APPLICATION

[// GUIDANCE: This Surety Bond Application is used by contractors, businesses, and individuals to apply for surety bonds from a surety company. The surety will underwrite the application based on the applicant's financial strength, experience, character, and capacity. Approval of this application does not obligate the surety to issue any bond - each bond is subject to separate underwriting approval. All applicants with 10% or more ownership typically must sign the General Indemnity Agreement.]

SURETY BOND APPLICATION

Date of Application: [DATE]

Surety/Agent Name: [SURETY OR AGENT NAME]

Application Type:
☐ New Account Application
☐ Renewal Application
☐ Specific Bond Request
☐ Increase in Bonding Capacity

SECTION 1: APPLICANT INFORMATION

1.1 Business Information

Legal Business Name: ________________________________

DBA/Trade Name (if any): ________________________________

Type of Entity:
☐ Sole Proprietorship
☐ General Partnership
☐ Limited Partnership
☐ Limited Liability Company (LLC)
☐ Corporation (C-Corp)
☐ S Corporation
☐ Joint Venture
☐ Other: ________________________________

State of Organization: ________________________________

Date of Formation/Incorporation: ________________________________

Federal Tax ID (EIN): ________________________________

DUNS Number (if applicable): ________________________________

NAICS Code(s): ________________________________

1.2 Contact Information

Principal Business Address:
Street: ________________________________
City: _________________ State: _____ Zip: _________

Mailing Address (if different):
Street: ________________________________
City: _________________ State: _____ Zip: _________

Primary Phone: ________________________________

Fax: ________________________________

Email: ________________________________

Website: ________________________________

1.3 Business Description

Primary Type of Work Performed:
________________________________
________________________________

Typical Project Size Range: $____________ to $____________

Geographic Area of Operations:
________________________________

Years in Business Under Current Name: _______

Years of Experience in Industry (including predecessors): _______

SECTION 2: OWNERSHIP AND MANAGEMENT

2.1 Owners, Partners, Members, and Officers

List all individuals and entities with 10% or more ownership interest. All such parties must sign the General Indemnity Agreement.

2.2 Principal/Key Personnel

2.3 Related Entities/Affiliates

List any parent companies, subsidiaries, or affiliated entities:

SECTION 3: BOND REQUEST INFORMATION

3.1 Type of Bond(s) Requested

☐ Contract Surety Bonds:
☐ Bid Bond
☐ Performance Bond
☐ Payment Bond
☐ Maintenance/Warranty Bond
☐ Supply Bond

☐ Commercial Surety Bonds:
☐ License and Permit Bond
☐ Court Bond (Fiduciary, Appeal, etc.)
☐ Public Official Bond
☐ Fidelity Bond
☐ Other: ________________________________

3.2 Bonding Capacity Requested

Single Project Limit Requested: $________________________________

Aggregate Bonding Program Requested: $________________________________

3.3 Specific Bond Request (if applicable)

Project Name: ________________________________

Project Owner (Obligee): ________________________________

Project Location: ________________________________

Contract Amount: $________________________________

Bond Amount Requested: $________________________________

Estimated Start Date: ________________________________

Estimated Completion Date: ________________________________

Bid Date (if Bid Bond): ________________________________

SECTION 4: FINANCIAL INFORMATION

4.1 Financial Statements

Please provide the following financial documentation:

☐ Fiscal Year-End Financial Statements for the past [3] years
☐ Audited (Preferred)
☐ Reviewed
☐ Compiled
☐ In-House Prepared

☐ Interim Financial Statement dated within [90] days

☐ Personal Financial Statements for all owners with 10%+ ownership

☐ Corporate/Business Tax Returns for the past [3] years

☐ Personal Tax Returns for all owners with 10%+ ownership (past [3] years)

4.2 Key Financial Data (Current)

4.3 Banking Information

Primary Bank Name: ________________________________

Bank Address: ________________________________

Account Number (last 4 digits): ________________________________

Bank Contact Name: ________________________________

Bank Phone: ________________________________

Line of Credit (if any): $____________ Available: $____________

SECTION 5: WORK IN PROGRESS AND BACKLOG

5.1 Current Projects (Work in Progress)

Total Work in Progress: $________________

5.2 Pending/Anticipated Work

SECTION 6: BONDING AND INSURANCE HISTORY

6.1 Current/Prior Surety Information

Current Surety Company: ________________________________

Current Agent/Broker: ________________________________

Phone: ________________________________

Years with Current Surety: _______

Current Single Project Limit: $________________

Current Aggregate Limit: $________________

Reason for Change (if applicable): ________________________________

6.2 Prior Surety Companies (past 5 years)

6.3 Bond Claims History

Has any surety ever made a claim payment on a bond issued for Applicant or any affiliate?

☐ No
☐ Yes - Provide details:
________________________________
________________________________

6.4 Insurance Information

General Liability Insurance:
Carrier: _________________ Limits: $_______________ Expires: __________

Workers' Compensation:
Carrier: _________________ Limits: $_______________ Expires: __________

Auto Liability:
Carrier: _________________ Limits: $_______________ Expires: __________

Umbrella/Excess:
Carrier: _________________ Limits: $_______________ Expires: __________

Builder's Risk (if applicable):
Carrier: _________________ Limits: $_______________ Expires: __________

SECTION 7: LEGAL AND REGULATORY HISTORY

7.1 Bankruptcy and Insolvency

Has Applicant or any owner, officer, or affiliate ever:

(a) Filed for bankruptcy protection?
☐ No ☐ Yes - Date: _______ Type: _______ Status: _______

(b) Had a judgment entered against them?
☐ No ☐ Yes - Provide details: ________________________________

(c) Been party to a foreclosure or deed in lieu?
☐ No ☐ Yes - Provide details: ________________________________

7.2 Litigation

Is Applicant or any owner currently involved in any litigation or arbitration?
☐ No ☐ Yes - Provide details: ________________________________

Has Applicant been involved in any construction disputes, claims, or lawsuits in the past 5 years?
☐ No ☐ Yes - Provide details: ________________________________

7.3 Licensing and Regulatory

List all contractor licenses held:

Has any license ever been revoked, suspended, or subject to disciplinary action?
☐ No ☐ Yes - Provide details: ________________________________

7.4 Criminal History

Has any owner, officer, or key employee ever been convicted of a felony or crime involving dishonesty?
☐ No ☐ Yes - Provide details: ________________________________

SECTION 8: REFERENCES

8.1 Bank Reference

Name: ________________________________
Address: ________________________________
Contact: ________________________________
Phone: ________________________________

8.2 Trade/Supplier References

8.3 Owner/Architect References

8.4 CPA/Accountant

Name: ________________________________
Firm: ________________________________
Phone: ________________________________
Email: ________________________________

8.5 Attorney

Name: ________________________________
Firm: ________________________________
Phone: ________________________________
Email: ________________________________

SECTION 9: CERTIFICATIONS AND AUTHORIZATIONS

9.1 Certification

The undersigned, being duly authorized, certifies that:

(a) All information provided in this Application is true, complete, and accurate to the best of the undersigned's knowledge and belief;

(b) The undersigned understands that the Surety will rely on this information in determining whether to issue surety bonds;

(c) The undersigned agrees to promptly notify the Surety of any material changes in the information provided;

(d) The undersigned understands that approval of this Application does not obligate the Surety to issue any specific bond;

(e) The undersigned agrees that any bond issued will be subject to the terms of a General Indemnity Agreement; and

(f) The undersigned acknowledges that misrepresentation or omission of material facts may result in denial or cancellation of bonds and may constitute fraud.

9.2 Authorization to Obtain Information

The undersigned authorizes the Surety, its agents, and assigns to:

(a) Obtain credit reports and financial information from credit reporting agencies;

(b) Contact banks, trade references, and other parties listed herein;

(c) Obtain copies of financial statements, tax returns, and other documents;

(d) Investigate the background and creditworthiness of Applicant and its principals;

(e) Share information with reinsurers and other parties as necessary for underwriting; and

(f) Retain this Application and all information obtained regardless of whether any bond is issued.

9.3 Consent to Electronic Communications

☐ Applicant consents to receive communications regarding this Application and any bonds issued via electronic means at the email address provided above.

SECTION 10: SIGNATURES

IMPORTANT: All owners, partners, and members with 10% or more ownership must sign below. Spouses of individual owners may also be required to sign the General Indemnity Agreement.

APPLICANT (Entity):

[APPLICANT LEGAL NAME]

By: _____________________________________
Name: ___________________________________
Title: ___________________________________
Date: ____________________________________

INDIVIDUAL OWNER/PRINCIPAL #1:

_____________________________________
Print Name: _____________________________
Title: ___________________________________
Date: ____________________________________
SSN (last 4): _________
Date of Birth: ___________

INDIVIDUAL OWNER/PRINCIPAL #2:

_____________________________________
Print Name: _____________________________
Title: ___________________________________
Date: ____________________________________
SSN (last 4): _________
Date of Birth: ___________

INDIVIDUAL OWNER/PRINCIPAL #3:

_____________________________________
Print Name: _____________________________
Title: ___________________________________
Date: ____________________________________
SSN (last 4): _________
Date of Birth: ___________

REQUIRED ATTACHMENTS CHECKLIST

☐ Fiscal Year-End Financial Statements (past 3 years)
☐ Interim Financial Statement (within 90 days)
☐ Corporate/Business Tax Returns (past 3 years)
☐ Personal Financial Statements (all owners 10%+)
☐ Personal Tax Returns (all owners 10%+, past 3 years)
☐ Work-in-Progress Schedule
☐ Organizational Documents (Articles, Operating Agreement, Bylaws)
☐ Copies of Contractor Licenses
☐ Copy of Bank Line of Credit Agreement
☐ Insurance Certificates (GL, WC, Auto, Umbrella)
☐ Resume/Experience of Key Personnel
☐ Contract Documents (for specific bond requests)
☐ Signed General Indemnity Agreement

FOR SURETY/AGENT USE ONLY

Date Received: _______________

Agent/Producer: _______________

Underwriter Assigned: _______________

Credit Report Ordered: ☐ Yes ☐ No Date: _______________

Financial Analysis Complete: ☐ Yes ☐ No Date: _______________

Decision:
☐ Approved - Single Limit: $__________ Aggregate: $__________
☐ Declined - Reason: ________________________________
☐ Additional Information Required: ________________________________

Underwriter Signature: ___________________ Date: _______________

[// GUIDANCE: Surety companies underwrite bond applications based on the "Three C's": Character, Capacity, and Capital. The applicant's financial strength (working capital, net worth), experience, and track record are key factors. All owners with 10% or more ownership must sign the General Indemnity Agreement, which provides personal indemnification to the surety. Spouses may also be required to sign to prevent asset transfers.]

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