BONDS-FORM

BOND PROPOSAL FORM
Business Name Address

Business nameAddress
Tel
Fax
Cell
Email
example@example.com
Residential Address
Tel
Please enter a valid phone number.
Cell
Name and Address of Applicant's Clients
Tel
Full description of contract and work to be carried out
Location of work sites
Total contract value
Commencement and completion dates of contract

MonthDayYear
Date
Date of establishment of Company

MonthDayYear
Date
8 Has any director or partner ever been bankrupt or compounded with his creditors
Has the Company ever experienced any difficulty in completing any contract?Yes

YesNo
If yes please give full details.
Please provide Statement of Account of the Company for the past three years.
Please provide full details of your experience in this type of contract (copies of completion certificates over the Part 3 years to be attached)
Type of bond required
Amount of Bond
Duration and effective date

MonthDayYear
Date
Name and Address of Applicant's Bankers
Please indicate if company has enough funds to start the project or will work with a loan State values
Have you ever proposed for or been under any bond? If yes, please state
Surety(ies)
Type of Bonds
Name of Projects
Has any proposal ever been refused?

YesNo
If yes please give reason
Have you ever had a contract terminated by your clients?

YesNo
If yes please give details
Is this bond the only security to be taken in respect of this contract?

YesNo
f no, please give name of any other surety and corresponding value(s) Corresponding value(s) of Bond(s)
Indicate all contracts currently at hand
21 Name applicants representative who will be signatory to the bond
22 What other contracts are currently tendered and not yet awarded Please state person/body for whom contract is to be undertaken and nature of work to be done
Please attach lists of:

(i) Equipment owned by you for use in connection with this project.

(ii) Equipment you intend purchasing for this contract showing

(a) Item (b) Description, size, capacity etc (c) Condition
24 Applicants free assets evidence of ownership to be provided
Please Note: Other things to be provided

(a) A copy of contract signed with applicant's client

(b) Audited accounts for the past three years

(c) Counter Indemnity

(d) Contractors All Risk Policy

(e) Names of Board of Directors of the Company

Please Note: Other things to be provided

Declaration: I/ We hereby confirm that the above statements represent the true position at the date shown in accordance with the information made available to me/us.
Signature of Applicant

Clear
Date

MonthDayYear
Date
FOR PHOENIX OFFICE USE:
Should be Empty:

BOND PROPOSAL FORM

Please provide Statement of Account of the Company for the past three years.

Have you ever proposed for or been under any bond? If yes, please state

FOR PHOENIX OFFICE USE: