Construction Bonding & Management Services of Washington, Inc.
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Bid Bond Order
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Your Email Address: (required for processing)

1) Company Name

2) Phone (w/area code) 3) Fax (w/area code)

4) Bid Date 5) Bid Time 6) Bid Location

7) Owner's Name 8) Phone (w/area code)

9) Address of Owner

10) City 11) State 12) Zip

13) Job Title

14) Project/Contract No.

15) Estimated Contract Amount 16) Job Location

17) Summary of Work
18) Total % Subcontracted 19) Major Sub No. 1 20) % 21) Bonded?
22) Major Sub No. 2 23) % 24) Bonded?
25) Major Sub No. 3 26) % 27) Bonded?

28) Warranty Period29) Completion Time30) Liquidated Damages per day

31) Aprroximate Start Date 32) Work on Hand

Bond Requirements: 33) Special Bid Bond Form? YesNo
(If "yes", please provide)
34) Percent of Bid Bond Required: %
35) Percent of Performance Bond Required? %
36) Percent of Payment Bond Required? %

37) Ordered By

38) Phone (w/area code) 39) Date and Time

40) Delivery Instructions: Mail Overnight Pick Up

Bid Results: 41) Engineer's Estimate
42) 1- 43) Bid Amount
44) 2- 45) Bid Amount
46) 3- 47) Bid Amount

The following statement must be acknowledged by an owner or officer.

I acknowledge that all information is complete and correct. I understand that false information may constitute misrepresentation or fraud. I authorize you to investigate the credit, character, capacity and capital of our company and its employees and owners.

.48) Name 49) Date 50) Title

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