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BID BOND REQUEST FORM
Date:
Name of Principal/Contractor:
Name of Owner/Obligee:
Owner's Contact No.:
H:
W:
C:
Owner's E-mail Address:
PROJECT INFORMATION:
Date and Time of Bid:
Start Date:
Completion Time/Date:
Estimated Bid or Contract Amount:
$
Contract Number:
Description of Project:
Location:
Project Breakdown:
Estimated Direct Labor Cost & Labor Burden: $
Estimated Subcontract Work:
$
Estimated Material/Supplies:
$
Estimated Amount of Equipment Cost:
$
Fees:
$
Warranties/Maintenance Guaranties:
$
Liquidated Damages:
$
Any Other Information:
$
NOTE: We require drawings / specifications and detailed cost breakdown (materials / labor).
BONDING REQUIREMENTS
Bid Bond (% or Amount):
(Attach Special Bond Form, if any)
Bond in favor of: (Obligee):
Performance and Payment Bond Amounts:
(Provide Contract and Special Bond Form, if any)
►
See reverse for "Payment of Bond & Penalty Fee" & "Collateral Requirements"
Authorized Representative:
Date:
(Print Name / Signature)
Approved By:
Date:
General Agent (Alpha Insurers)
Alpha Insurers Bldg., 123 Archbishop Flores St., Hagatna, GU 96910 Tel: (671) 472-8804/05, 477-8701/02 Fax: (671) 477-4683
www.alphainsurers.com | [email protected]
Dededo Branch: In A-One Shoe Store Bldg., Next to American Grocery Tel: (671) 637-8833/44 Fax: (671) 637-8855
General Agent for Chung Kuo Insurance Co., Ltd.
PAYMENT OF BOND & PENALTY FEE:
Upon signing this application form, the insured will automatically be subject to a
charge of the full bid bond premium amount as provided by Alpha, which shall be due
immediately upon issuance and release of bid bond and shall not be refundable for any
reason even if insured has decided not to bid on the project.
COLLATERAL REQUIREMENTS:
► 20% minimum collateral of project amount required; may be higher depending on
project amount.
► Cash, Cashier's check, Stand-by Letter of Credit, Property Mortgage (free of lien)
accepted for collateral.
► If mortgaging property as collateral, Alpha Insurers must obtain an appraisal report
and PTR (Preliminary Title Report) before Property can be mortgaged. Insured will
be responsible for the cost of the first appraisal report and PTR for property to be
mortgaged. Property must be free of lien and registered with land management.
X
Print Name / Signature
X
Date