Performance / Payment Bond Request

Please complete this Performance/Payment Bond Request Form and click the SUBMIT button at the bottom of the page and forward along a copy of the complete contract or purchase order and any provided bond forms. Bonds will be issued on the AIA312 form unless a specified form is provided. Please note that additional information may be required when the bid spread is greater than 10%, the Owner is a Private Owner, or at the request of the Surety. Bonds will be returned via the US Postal Service unless indicated otherwise.

Name of Contractor
Bond form to be used (please forward form if provided)
Project Owner
Name
Address
Telephone number
Contact person
Project
Name
City
State
Description of Project
Contract
Amount of contract
Contract date
Amount of performance bond
Payment bond
Number of original bonds requested
Mailing instructions
Architect or Engineer
Name
Address
Telephone number
Architect or Engineer's estimate
Dates
Anticpated start date
Estimated completion date
Penalty clause
per
If the contractor has started a job, a letter from the Obligee is mandatory, stating the percentage of satisfactory work completed and that to the best of the Obligee's knowledge, there are no problems or liens filed.
Does the contract specify a Maintenance Gurantee Period?
If yes, how long?
What are the terms of payment on this contract?
Retained percentage
Bid Bond Results. Please complete Bid Bond Results Form, if not previously submitted.
Work on hand (Estimated costs to complete all jobs)
Contact
Name
Title
Email address
Fax number
Phone number
Name and Title for Corporate Signature
Delivery Instructions
If overnight, enter carrier and account number
If other, please specify
Additonal comments
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