bid bonds - cmgia.com · bid bonds submission requirements 1) request for bid bonds. (forms...

State National Insurance Company Administered by:

CONTRACTOR MANAGING GENERAL INSURANCE AGENCY, INC.

IF YOU HAVE ANY QUESTIONS, PLEASE FEEL FREE TO CALL AT ANY TIME! 20335 VENTURA BLVD., SUITE 426, WOODLAND HILLS, CA 91364

PHONE: 866-363-2642 FAX: 866-234-0415

CMGIA-SNIC-SUR-003-05/12

Bid Bonds

Submission Requirements

1) Request for Bid Bonds.

(Forms attached for your convenience, please return only with a Bid Bond Request Keep these as your originals)

2) Cost Breakdown (Form Attached – to be submitted with specific job/bond request)

3) Contractors Questionnaire (Form Attached, please fill out completely, sign and return)

4) Business Bank Reference Letter (Form Attached. Please forward directly to your banker to

complete and return to our office) – OR current business bank, investment and line of credit statements.

5) CPA Prepared Business Financial Statements for the past three (3) years and a Current Interim

Business Financial Statement (If you need a CPA, please feel free to contact me for a referral)

6) Personal Bank & Investment Statements

7) Personal Financial Statement for each owner (Form Attached if needed - It should be concurrent with business year end – Please complete and sign where indicated)

8) Current Work on Hand Schedule (Form Attached)

9) Blanket Credit Authorization Letter (Form Attached)

10) Resume of all key personnel/owners (Form Attached if needed)

11) Copy of Contractors State License

12) Proof of General Liability and Workers Compensation Insurance




PHONE: 866-363-2642 FAX: 866-234-0415


Bid Bond Request

PRINCIPAL INFORMATION

Principal: ___________________________________________________________________ (Name as it is to appear on bond. Individual/Firm’s legal name)

Address: Telephone: ______________________ Fax: ______________________ Contact Person: _______________________ Fed X # ______________________

OBLIGEE INFORMATION

Obligee: ____________________ _______________________________________________ Address: Contact Person: _____________________ Telephone: ______________________

BOND INFORMATION

Bid Date: Time: Place: Estimated Bid Amount: $ Bid Bond % Job Description: Project # Engineers Estimate: $________________ Limited Warranty Liquidated Damages: $ _____________per _____________________ Start Date: Completion Date: Subcontractor: YES /NO Percentage Subbed: __________%

PLEASE ENCLOSE THE FOLLOWING DOCUMENTS

The face sheet of the bid specs Special Bond Forms The bid spec page(s) that refers to the surety and/or bond

OFFICE USE ONLY

Date Received: _______________________________________ Date Needed: ______________________________ Delivery Instruction:

____1. Regular Mail ____2. Client pick up ____3. Fed Ex (____Overnight ____Standard) ____4. Other

Send To: _____________________________________________________________________________________________

________________________________________________________________________________________________________




Contractor Questionnaire

COMPANY INFORMATION

Principal: Fed X # ______________________ Business Address: City, State, Zip: County: Telephone: ______________________ Fax: ______________________ Ownership: Year Business Started: _____________ Year and State of Corporation (If applicable) Is there a Buy/Sell Agreement in Effect?What Continuity provisions do you have in place for the continuation of the company?

Has there been any change in ownership in the past two Years? Company Specialty: List ALL Affiliated Companies: List all Owners (PROVIDE RESUMES):

Name, Home Address & Phone % of

Ownership Age

Title / Responsibility

Individual SS # Marital Status

Spouse’s Legal Name & SS#

What is your geographic area of operation:

Are Bonds required from subcontractors or suppliers?If Yes, over what amount? $

Do you presently own the equipment necessary to complete your work? If Not, will you be: What is the largest single contract amount $ ______________, and largest total program $ ____________ your company will require this year? List all Key Operating Personnel (PROVIDE RESUMES):

Name Position / Responsibility Age Time in Position Time in Industry

Has your company had any disputes or ever failed to complete a job on schedule? Has your company, or any of its principals ever petitioned for bankruptcy, failed in business, or defaulted on a contract, been in receivership, been liened by a taxing authority or caused a Surety to suffer a loss? Is there litigation, law suits, or claims pending on completed or uncompleted work?

If you answer “YES” to any of these questions, please attach a detailed explanation. Has your company ever been bonded? If YES, with what Surety? Reason for changing Surety Company: Have you in the past, or do you plan to use more than one Surety at a time? Is collateral currently posted with any other Surety to secure bonds on behalf of your firm? What was your largest BONDED job: $ __________ Largest Work program (Bonded & Unbonded): $

Sole Proprietor Partnership Corporation

Yes No

Yes No

Yes No

Buying Leasing Renting

Yes No

Yes No

Yes NoYes No

Yes NoYes No

Yes No

Yes NoYes No

Yes NoYes No

Yes No

Cash Accrual Percentage Completion Completion Contract


PHONE: 866-363-2642 FAX: 866-234-0415

CMGIA-SNIC-008-05/12

List the Five Largest Contracts completed within the past FIVE Years:

Obligee, Address, City, State, Zip Phone/Fax/Contact

Person Contract Amount

Project Name & Description Date

Completed

List THREE Prime Suppliers:

Supplier Name / Contact City / State Phone # Fax #

FINANCIAL BANKING – INSURANCE DATA

Date of Fiscal Year End: On what Basis are Business Financial Statements Prepared?

Classification of Year-End Financial Statements:How often are Financial Statements Prepared?Please provide the name, address and phone number of your Accountant: Are any of your Accounts Receivable or retentions assigned, pledged, hypothecated, sold or discounted (other than for your present bank line of credit and bonded contracts) or do you plan to do this in the future? If YES, please explain: Bank Name: Contact: Address: Phone # City, State, Zip: Do you have an established Line of Credit? How much is currently available: $ Expiration Date: This Line is: General Liability Carrier: Hazardous Liability Insurance Carrier (if applicable): Worker’s Compensation Insurance Carrier:

Provide a Current Certificate of Insurance The undersigned hereby represents that the herein statements are true and authorizes any bank, creditor or other reference to verify correctness of items in the above statement to the surety. Dated this ________Day of ______________, 20___

___________________________________________________________________________ (Name of Company)

By: _______________________________________________________________________

(Signature & Title)

Yes No Amount$

Unsecured Secured Type of Security:

CPA Audit Reviewed Compilation

Annually SemiAnnually Quarterly

Yes No

Cash Accrual Percentage Completion Completed Contract




PHONE: 866-363-2642 FAX: 866-234-0415

CMGIA-SNIC-SUR-001- 05/12

Job Cost Breakdown

Company Name Page of

Project Description

INCOME AND EXPENSES

INCOME

Contract Revenue $ 100 %

EXPENSES

Contractor’s Labor $ %

Materials / Supplier $ %

$ %

$ %

$ %

$ %

$ %

Total from Attached Sheets $ %

Sub-Contractor Labor $ %

$ %

$ %

$ %

$ %

Total from Attached Sheets $ %

OVERHEAD $ %

Total Expense $ < >

Profit $ Name / Title

Signature Date




PHONE: 866-363-2642 FAX: 866-234-0415


Business Bank Reference Date ____________

(Bank Name)

(Bank Address)

Phone #: ____ ‐_____-_____ Fax #: ____‐ _____-_____ Depositor: Account #’s: (1) (2) (3)

TO BE FILLED OUT AND SIGNED BY A BANK REPRESENTATIVE

TO BANK REPRESENTATIVE: The above depositor has given your name as his banking reference in regard to his bonding application. In addition to the following information, any comments would be most helpful in determination of his bonding eligibility. Please use actual dollar amount.

1. Length of time with bank:

2. Total Current Cash Balance: $

3. Total average account balance for the past six (6) months:

4. Exact amount and terms of existing loans (if any):

5. Amount of established line of credit (if any):

6. Amount of Line of credit used (if any):

7. How is the Line of credit secured?:

8. Line of credit date of expiration:

9. Loans?

10. High:

11. How handles:

Comments

By: Date:

Title:

Thank you for taking the time to complete this information. You can be assured any information given to our company will be held in the strictest confidence.




Personal Financial Statement

To induce COMPANY to become surety for the Undersigned, or to accept the Undersigned as Indemnitor, the Undersigned submits the following Personal Financial Statement.

NOTE: This form to be used ONLY as a Personal Financial Statement. NOT TO BE USED AS A BUSINESS STATEMENT

Personal Financial Statement of ____________ ___________________________________ S.S. # (Name)

____________________________________________________________________________________________________________

(Street Address, City, State, Zip)

__________ ___________________ Home Phone No. ‐ - Bus. Phone No. ‐ - . (Name of Wife/Husband)

As of _________________________________, 20______ (Date)

Current Assets Current Liabilities

Cash on Hand (not in bank)…………………………..

Notes Payable to (Names and Addresses):

Cash in following banks (Names & Addresses)

..……………………………………………………………

……………………………………………………………..

…………………………………………………………… ……………………………………………………………...

…………………………………………………………… Sales Contracts & Chattel Mtgs (Schedule 6) ………..

……………………………………………………………

Stocks and Bonds (Schedule 1) …………………….. Accounts Payable ……………………………………….

Accounts Receivable (Schedule 2) ………………….

Notes Receivable (Schedule 3) ……………………...

Current Portion of Long Term Debt ……………………

Other Current Liabilities (Schedule 6)

Other Current Assets (Itemize) : ……………………………………………………………

…………………………………………………………….

……………………………………………………………

…………………………………………………………….

……………………………………………………………

Current Year’s Income Taxes Unpaid …………………

……………………………………………………………

Prior Year’s Income Taxes Unpaid …………………….

Real Estate Taxes Unpaid ……………………………...

Total Current Assets Total Current Liabilities

Fixed Assets

Long Term Liabilities

Real Estate (Schedule 4) Real Estate (Schedule 4)

Residence ………………………………………. Residence …………………………………………

Other …………………………………………….. Other ……………………………………………….

Cash Value of Life Insurance (Schedule 5) Borrowed on Life Insurance (Schedule 5) …………….

…………………………………………………………… Other Long Term Debt (Schedule 6)

Other Assets and Investments (Schedule 6) ……………………………………………………………...

……………………………………………………………

………………………………………………………………

……………………………………………………………

Total Long Term Liabilities

Total Fixed Assets Net Worth

Total Assets Total Liabilities and Net Worth

CONTINGENT LIABILITIES:

FOR ENDORSEMENTS OR GUARANTEES $ ____________________________FOR OTHER PURPOSES $ _______________________________

GIVE DETAILS: _____________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________


PHONE: 866-363-2642 FAX: 866-234-0415


SCHEDULES:

1. STOCKS AND BONDS

Name of Security

No.

Shares

If any Pledged, State to Whom & For

what Purpose

Dividends Paid Last

TWO Years

Market Value Book Value

Totals:

2. ACCOUNTS RECEIVABLE

Name & Address (Street & City) From Whom Due For What is it Due When Sold When Due Amount

Total:

3. NOTES RECEIVABLE

Name & Address (Street & City) From Whom

Due

For What Due How secured Date Maturity Amount

Total:

4. REAL ESTATE

Description / Address of

Property

Title in Name of Market Value Cost

Date

Acquired

Amount

Encumbrance

Monthly

Payments

Monthly

Income

Totals:

5. LIFE INSURANCE – CASH VALUE

Name of Company Policy Number Name of Insured Beneficiary Face Value Cash Value

Amount

Borrowed

6. DETAILS RELATIVE TO OTHER IMPORTANT ASSETS AND LIABILITIES

Authority is hereby granted to any individual, firm or corporation, and any financial institution to furnish Contractors Best Insurance Services Inc. upon its request with any information concerning the above statement or pertaining to the Undersigned’s financial standing, credit or manner of meeting obligations.

Signed & Sealed this ________________Day of _______________, 20_____

(Signature) (Typed or Printed Name)

(Company Name)



20335 VENTURA BLVD., SUITE 426, WOODLAND HILLS, CA 91364 PHONE # 866-363-2642 FAX # 866-234-0415 CMGIA-SNIC-SUR-010-05/12

Schedule of Contracts

(Include Bonded and Unbonded – if Cost Plus, indicate up-set Pricing)

Contractor Name: ____________________________________________________________________Date Prepared: _________________

1

Owner / Job Description

2

Starting

Date

3

Bonded

Yes No

4

Contract Price

Plus

Change Orders

5

Original Estimated

Cost Plus Cost of

Change Orders

6

Total Billed to

Date Incl.

Retainage

7

Total Costs

(Direct) to

Date

8 *

Total Revised

Estimated Cost

to Complete

9

Estimated

Completion

Date

Totals: $ $ $ $ $

*MUST BE A NEW ESTIMATE OF REMAINING COSTS AS OF THIS DATE. INCLUDING UNRECOVERABLE COSTS (NOT COLUMN 5 MINUS 7)

CONTRACTOS COMPLETED SINCE LAST FISCAL CLOSING STATEMENT OR LAST REPORT

Job Description Owner Final Contract Price Total Cost Gross Profit/Loss

Total Uncompleted Work $

Total Uncompleted Work

by Subcontractors

$

Subcontractors Bonded $

Subcontractors

Unbonded

$

Totals: $ $ $

State National Insurance Company administered by:



PHONE: 866-363-2642 FAX: 866-234-0415


Blanket Authorization Form

Authority is hereby granted to any individual, firm or corporation, and any financial institution to furnish State National Insurance Company administered by: Contractor Managing General Insurance Agency, Inc. upon its request, with any

information concerning or pertaining to the undersigned’s financial standing, credit or manner of meeting obligations. This authorization to remain in force until rescinded by the applicant in writing.

A copy of this agreement shall be considered the same as the original.

To become a part of and attached to the application for: (Name of Business) (Tax ID #) (Business Address, Street, City, State, Zip) (Principal) (Social Security #) (Home Address, Street, City, State, Zip) (Principal’s Signature) (Date)

(Name of Business) (Tax ID #) (Business Address, Street, City, State, Zip) (Principal) (Social Security #) (Home Address, Street, City, State, Zip) (Principal’s Signature) (Date)




Resume Name Date

Company

Work Experience:

Employment Dates Company / Institution Name City/State

Job Title

Details of Position, Awards, or Achievements

Work Experience:


Job Title


Work Experience:


Job Title


Work Experience:


Job Title



PHONE: 866-363-2642 FAX: 866-234-0415


Work Experience:


Job Title


Education:

Dates Attended Institution Name City/State

Degree/Major

Details of Awards or Achievements

Accreditations:

Professional Memberships:

Awards Received:

bid bonds - cmgia.com · bid bonds submission requirements 1) request for bid bonds. (forms...

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