Bonds Southeast, Inc.
Bonds Southeast, Inc.
Contract & Commercial Surety Bonds
1030 17th Avenue South
Nashville, TN 37212
(615) 321-9700
Toll Free: 1-877-992-6637
Fax: (615) 321-9702
Application for Contractor Bond
CONTRACT BOND SUBMISSION

Our obligation as Surety is to analyze the financial strength, credit, character and experience of a contractor (Principal). The bond we issue to the owner of the project (Obligee) represents our faith that the Principal is qualified to complete the project as specified, on time, and pay all of the bills relating the project. The information requested below is necessary for this process. The completeness of a submission is a direct reflection on how we view your account. We may ask for further information, but only when necessary. Although we prefer the enclosed forms, we are happy to accept other forms if they contain the same information.

Surety rates are determined according to the type of work you do, your experience, credit history, financial strength, and the state the job is in. Once your account is underwritten, we will quote they premium rate.

REQUIRED INFORMATION
  1. Contractor Surety Questionnaire. Complete, sign and date.
  2. Company Financial Statements: Past three-year fiscal year end, current six-month interim if applicable. Suggested quality standards and explanations are included on our enclosed Financial Statement Requirement sheet.
  3. Personal Financial Statements Please supply a personal financial statement for each owner or indemnitor. The statement should be concurrent with the company’s most current fiscal year end.
  4. Resumes on Owners and Key Personnel Regardless of financial information, an organization is only good as its people. The more we know about key people, the better we can understand your company. Please supply a Resume on each owner and/or your key personnel.
  5. Bond Request (If you have a specific bond need, please complete this form. Notice that additional information is required for a final bond, as outlined in the “Final Bond Section”.
  6. Bank Reference Letter: Please take this format to you banker, and ask that the information requested be typed on bank letterhead and sent to our office.
  7. Work in Progress Report Please complete both the uncompleted and completed job section. Information should be current within 30 days.
Today's Date
Name of Firm
Federal ID Number
Contact Name
Business Address Street
CIty
State Zip
Physical Address Street
CIty
State Zip
Phone Number ( )
Fax Number ( )
Firm History
What kind of work do you do?
Area of Operation
Year Business Started
If Incorporated (State) (Year)
Type of Business
Fiscal Year End
Ownership/Management
(Provide the information below on all Owners, Partners or Corporate Officers of your firm.)
Person #1

Name
Title
% Owned
Date of Birth
- - Social Security Number
Name of Spouse
Person #2

Name
Title
% Owned
Date of Birth
- - Social Security Number
Name of Spouse
Person #3

Name
Title
% Owned
Date of Birth
- - Social Security Number
Name of Spouse
Subsidiaries and Affiliates
Name of Firm
Relationship to Applicant
Type of Business
Is the firm union?
 
Has the firm, any owner, or officer been adjudged bankruptcy in the last ten years?
If YES, please list specifics in the comment box below.
Is the firm or any of its owners or officers currently involved in any litigation?
If YES, please list specifics in the comment box below.
Has any owner or officer been convicted of a felony?
If YES, please list specifics in the comment box below.
Is there a buy/sell agreement among the owners of the business?
If YES, please email us a copy
If there is a buy/sell agreement, is it funded by life insurance?
Comments
Previous Bonding Companies
Company #1

Name
( ) Phone Number
Reason for Leaving
Company #2

Name
( ) Phone Number
Reason for Leaving
Have you ever had a bond request denied?
If YES, please list specifics in the comment box below.
Comments
Financial Data
Do you have a full-time accountant on staff?
 
How often are financial statements prepared?
On what basis are financial statements prepared?
On what basis are taxes paid?
Are taxes current?
If NO, please list specifics in the comment box below.
Comments
Your Bank
Name of Bank
Contact Name
Address Street
CIty
State Zip
Do you have an established line of credit?
If YES, please list specifics in the comment box below.
Comments
Type of Cost Accounting Used
Work Profile
What percentage of the firm's work is for
What trades do you normally undertake with your own forces?
What is your expected dollar volume next year? $
What is the largest uncompleted work program expected during the next year? $
What has been your largest completed job?
What is the largest amount of uncompleted work on hand at one time in the past three years?
Has the firm had major disputes or ever failed to complete a job on schedule?
If YES, please list specifics in the comment box below.
Are there any liens, judgments, lawsuits, or claims pending on completed or uncompleted work?
If YES, please list specifics in the comment box below.
Comments
Largest Contracts Completed
Job #1

Name
Owner Contact Name
( ) Contact Phone Number
$ Contract Price
Completion Date
Bonded?
Gross Profit
Job #2

Name
Owner Contact Name
( ) Contact Phone Number
$ Contract Price
Completion Date
Bonded?
Gross Profit
Job #3

Name
Owner Contact Name
( ) Contact Phone Number
$ Contract Price
Completion Date
Bonded?
Gross Profit
List 3 Subcontractors (or Contractors if you're a Subcontractor) You Do Business With
Name #1

Name
Address Contact Name
( ) Contact Phone Number
Job
Name #2

Name
Address Contact Name
( ) Contact Phone Number
Job
Name #3

Name
Address Contact Name
( ) Contact Phone Number
Job
List 3 Major Suppliers You Do Business With
Supplier #1

Name
Address Contact Name
( ) Contact Phone Number
Job
Supplier #2

Name
Address Contact Name
( ) Contact Phone Number
Job
Supplier #3

Name
Address Contact Name
( ) Contact Phone Number
Job
This application consists of this instrument, the financial statement, and all indemnity, security, and trust agreements signed by the applicant with regard to the bond or bonds hereby requested, such financial statement and agreements being incorporated herein by reference. In addition to routine verification of information pertinent to the bond applied for, if the application is by an individual primarily for personal purposes, or, if the application is for a bond primarily for the benefit of a corporation and the said application be also executed for the officers of the Corporation in a personal not a corporate capacity thereby acting as a CO-guarantor thereof, Surety may have an investigative consumer report made including information bearing on the character, general reputation, personal characteristics or mode of living of said individuals(s), and, upon written request of said individual(s) will disclose in writing the nature and scope of the investigation requested, if such investigative consumer report is in fact secured.

In addition to the information contained in this application as well as the terms and conditions thereof, applicant acknowledges that he has been advised that surety may, as additional collateral, require life insurance on the principal or key employees with surety named as beneficiary. In case of death, said collateral shall be used to indemnity surety against loss or expenses. If said collateral shall be required, applicant agrees to provide same at issuance of bond or if unable to so provide, applicant agrees that surety may secure same at applicants expense.

The representations contained in this instrument and in the financial statement are warranted by the applicant to be true. Such representations are made as material inducements to be relied upon by Surety in issuing the bond or bonds hereby requested.
Submitted By
Any person who, with intent to defraud or knowing that he is facilitating a fraud against an insurer, submits and application or files a claim containing a false or deceptive statement is guilty of insurance fraud.
Information Required For Preparation of General Indemnity Agreement

“THIS IS NOT AN INDEMNITY AGREEMENT”
Legal Name of Company

(As it will appear on all contracts)
Sole Proprietor's Name

(If proprietor)
Corporation President

(If corporation)
Corporation Secretary (If corporation)
Partner's Name (If partnership)
Partner's Name (If partnership)
PRINCIPAL(S)
Individual Indemnitor #1

Name
Address
- - Social Security Number
( ) Home Phone Number
Indemnitor #1 Spouse

Name
Address
- - Social Security Number
( ) Home Phone Number
Individual Indemnitor #2

Name
Address
- - Social Security Number
( ) Home Phone Number
Indemnitor #2 Spouse

Name
Address
- - Social Security Number
( ) Home Phone Number
 
Recipient Email