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BOND OR BID BOND REQUEST FORM

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If submitted by mistake use the "Back" button on your browser to return to your form

   

BIDDING / PERFORMING CONTRACTOR'S INFORMATION

Name   Address, City, State, Zip
   

OBLIGEE'S INFORMATION

Name   Address, City, State, Zip
   
JOB DETAILS
Job Description, Job Number, Contract / Solicitation #
Estimated Time of Job % of Performance Bond % Being Subcontracted
Penalties % of Labor & Mat Pmt Bond Current Work on Hand
Maintenance Period % of Retainage Estimated Job Start Date
       

AS PERTAINS TO BID BOND - Skip if Not Applicable

Bid Date    Bid Time    Estimated Bid Amount    % of Bid Bond    Specific Form Needed? *Yes  No
   

AS PERTAINS TO FINAL BOND

Contract Date    Contract Price       Check if Bid or Negotiated Job      Specific Form Needed? *Yes  No

2nd Bidder Price        3rd Bidder Price
 
DELIVERY INSTRUCTIONS
Fed Ex    Airborne    UPS    First Class Mail       If Fed Ex, Airborne, UPS  -  Account # ?
Send to Name / Attn    Use Same as above Bidding / Performing Contractors Address....or enter address below:
   Address
   City, State, Zip   
Contact Phone    Contact Email     Do you want an emailed copy? Yes  No
 
JOB COST BREAKDOWN
Labor   
Material   
Subcontractors   
Overhead   
Profit   
Miscellaneous   
  TOTAL  
 
MAJOR SUPPLIERS
Name     Dollar Amount    Name of Surety (if bondable)
Name     Dollar Amount    Name of Surety (if bondable)
Name     Dollar Amount    Name of Surety (if bondable)
Name     Dollar Amount    Name of Surety (if bondable)
Name     Dollar Amount    Name of Surety (if bondable)
Name     Dollar Amount    Name of Surety (if bondable)
 

 * If Specific Bond or Bid Bond Form is needed, please scan / email form to robb@thompsongusic.com  or  fax to 877-271-8898

 

If this is a rush item please call our office 412-271-8888 or Robb Direct 440-639-9989 to ensure your submission was received.
Receipt time cannot be guaranteed via internet submissions.

Questions, Contact Robb Gusic via email: robb@thompsongusic.com / phone 440-639-9989, or Main Office: 412-271-8888

 
Copyright 2000 [Thompson-Gusic Insurance Group, Inc.].  ALL RIGHTS RESERVED
Revised: February 26, 2013 .