Contract Rapid Express Application

RAPID EXPRESS APPLICATIONFor Single Bonds Less than $500,000 or Aggregate to $500,000

 

Company/Contractor Information

Type of BusinessPartnershipS-CorpC-CorpSole ProprietorshipLLCLLP

Date Business Started

 

 

Do owner have interests in other construction business?YesNo

Have you ever failed to complete a project for any reason?YesNo

Are you in litigation for any current or previous work?YesNo

Do you have any unfinished bonded work?YesNo

Attach an explanation for each answer to which you responded “YES”

Owner/Indemnitor Information

Owner 1

MarriedYesNo

 

 

Owner 2

MarriedYesNo

 

Applicants acknowledge that this application is a request for Surety Credit and each of the undersigned gives his/her permission for the Surety to order and use Personal Credit Reports in the determination of the amount of credit to extend, if any. The applicant(s) under penalty of law further certify that all information provided in this application is true and accurate.

MARYLAND STATE FRAUD WARNING

ANY PERSON WHO KNOWINGLY AND WILLFULLY PRESENTS A FALSE OR FRAUDULENT CLAIM FOR PAYMENT OF A LOSS OR BENEFIT OR WHO KNOWINGLY OR WILLFULLY PRESENTS FALSE INFORMATION IN AN APPLICATION FOR INSURANCE IS GUILTY OF CRIME AND MAY BE SUBJECT TO FINES AND CONFINEMENT IN PRISON. SECTION 27-805(b) OF THE ANNOTATED CODE OF MARYLAND.

Owner/Spouse Name(s)

Owner/Spouse Name(s)Date

Print Name

Owner/Spouse Name(s)

Owner/Spouse Name(s)Date

Print Name

Bond Request Information

 

 

Bid Date

Status of Outstanding Bid or Performance Bonds Issued by Instasurety

Bid secured byCheckBondNegotiated

 

Bid AwardedYesNo

 

Bid AwardedYesNo

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