Performance Bond • Payment Bond • Maintenance Bond • Supply
Bond • Construction Bond • Penalty Amount $400,000
Provide the information below on all owners.
Bernard Fleischer & Sons may obtain a credit report about the applicant
including its Owner(s) and Owner’s spouses in order to confirm the
information provided in this application and obtain information about Applicant’s
*This application is not intended for use in connection with Design-Build
contracts, Subdivision or Site Improvement over $100,000 Asbestos Abatement,
Completion, Hazardous Materials, or Multi-Year Contracts where term of
contract is over 5 years
For private jobs or subcontracts, please enclose a copy of the contract
and bond form for projects over $150,000.
For service type contracts, provide a copy of the contract.
Next three lowest bidders (If truly negotiated, check box)
Please provide the company's last 2 years fiscal year-end financial
statement or tax return. If the latest fiscal year financial statement
or tax return is more than 6 months old, then also provide a current interim
financial statement. (Upload Documents below)
Please provide the last 2 years fiscal year-end financial statement on
the business. If the fiscal year-end statement on the business is more
than 6 months old, then also provide us with a current interim financial
statement. (Upload Documents below)
Please provide a copy of each owner's latest personal financial statement.
If the personal financial statement is more than 6 months old then provide
us with a current statement. (Upload Documents Below)
List the three largest contracts completed in the last five years
List the two largest jobs you presently have underway, giving the following
Any person who knowingly and with intent to defraud any insurance company
or person files an application containing any materially false information
or conceals, for the purpose of misleading, information concerning any
fact material thereto commits a fraudulent insurance act, which is a crime
under applicable law.
The applicants and indemnitors certify the truth of all statements in
the application and authorize the Company to verify this information and
to obtain additional information from any source including obtaining a