Contract Applications

Bid Bond Request
Performance & Payment Bond
Express Prequalification

Bid Bond Request

Final Bond Request

Other Bidders and Prices
Work on Hand

Express Application

Contractor Data

Partnership (S) Corporation (C) Corporation Sole Proprietorship LLC LLP
YES NO
YES NO
YES NO
YES NO

Owner Data / Indemnitors

(Provide information below on owners with > 10% ownership; use additional sheet if necessary)
YES NO
YES NO
Own Rent
$
Own Rent
$

Western National may obtain a credit report about the Applicant including its Owner(s) and Owners' spouses in order to confirm the information provided in this application and obtain information about Applicant's credit history. For new applicants, complete and sign the General Indemnity Agreement.


Financial Data & Experience Information

(Complete for Projects Over $200,000)
$
$
$
$
$
$
YES NO
$

Bond Request Data

If no bond is needed at this time, but only prequalification for future bonding, check here
Choose and Complete
Bid Bond
$
%
OR
$
 

Please Submit:
  • Invitation to Bid
  • Nonstandard Bond Forms
  • Contract Agreements (If Available)
Performance and Payments Bond
$
$
$

Please Submit:
  • Copy of Contract or Notice of Award
  • Nonstandard Bond Forms

*This application is NOT INTENDED for use in connection with Subdivision or Site Improvement, Completion, Environmental, Hazardous Materials, Design, Design Build, Consulting, Projects Performed In or Under Water, Computer Programming, Systems Integration, Training or Projects of a Unique Nature.


Any person who knowingly and with intent to defraud any insurance company or person files an application containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime under applicable law. The applicants and indemnitors certify the truth of all statements in the application and authorize the Company to verify this information and to obtain additional information from any source including obtaining a credit report.


Complete the remaining form for Single Bonds & Aggregate Bonded Programs up to $1,250,000

 

Financial Data

Please submit the following:
Company Financial Requirements

Provide the company's most recent fiscal year-end financial statements along with the most recent corporate tax return. If the latest fiscal year financial statement is more than 6 months old, then also provide a current interim financial statement. An aging of accounts receivable schedule may be requested if the amount is relevant.


Current WOH Schedule

Provide a current schedule of uncompleted projects as of the same date as the most recent fiscal year-end financial statement.


Personal Financial Statements

Provide a copy of each owner's personal financial statement and most recent personal tax return. The personal financial statements must be current as of the last six months.


Bank / Credit Reference Form

Please complete Western National’s Bank/Credit Reference Form or supply copies of corporate bank line of credit details with supporting documents and applicant’s business and personal bank statements.


Experience Data

List three largest completed projects
$
$
$
$
$
$

Operations Data

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Indemnity Agreement

  • For projects and work programs < $400,000, please complete the Western National short-form indemnity agreement.
  • Western National’s standard General Agreement of Indemnity is required for contractors with single or aggregate bond needs > $ 400,000
    (Provided by CBI once line is approved)