$12,500 CALIFORNIA CONTRACTOR’S BOND APPLICATION
1 YEAR ............ $125
2 YEARS .......... $200
3 YEARS .......... $275
4 YEARS ........... $342
5 YEARS ........... $392
Prices expire 12/31/2010.
COMPLETE EXACTLY AS IT APPEARS ON LICENSE BOARD RECORDS:
PLEASE F ILL IN COMPLETELY · TYPE OR PRINT CLEARLY
Phone: Home ( )
Work ( )
Fax ( )
License Class (e.g., B, C-10):
App Fee No./License No.:
Check if License No. Pending
Date Bond to Take Effect: / /
Check ONLY if you want the bond returned to you for filing with CSLB. Otherwise, we will file it for you.
Bond issuance subject to underwriter approval. Prices do not apply to Roofing, Swimming Pool or Disciplinary bonds.
INDEMNIFICATION AGREEMENT (Please read carefully and sign below.)
I/We the undersigned hereby declare that the above information is true and correct. I/We apply to the Surety for a Bond as shown above. I/We
agree individually and as a firm to fully indemnify and hold Surety harmless from and against any claims or demands or legal expense of any
kind or nature which arise by reason of the execution of any bond issued pursuant to this application. At any time Surety/Agent may demand
from the undersigned a monetary sum to secure any actual or contingent liability or claim pertaining to the bond. I/We further understand that
the bond applied for is a credit relationship and hereby authorize Surety or its authorized agents to gather such credit information it considers
necessary and appropriate for purposes of evaluating whether such credit should be granted or continued. Each of the undersigned, jointly and
severally, agree to be bound by the terms of the foregoing Indemnity Agreement, as fully as though each of the undersigned were the sole
applicant named herein. First year premium fully earned upon issuance. I agree to pay a $10.00 service fee if my check is returned by the bank.