HAMPTON ROADS BONDING

1080 Laskin Road, Suite 204

Virginia Beach, Virginia 23451

Phone (757) 491-1100/Fax (757) 491-3134

Performance & Payment Bond Request Form


FROM:________________________________ DATE:________________________________

CONTRACTOR: ______________________________________________________________

OBLIGEE: ___________________________________________________________________

_____________________________________________________________________________

JOB TITLE & LOCATION: ______________________________________________________

_____________________________________________________________________________

  WORK DESCRIPTION: _________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________


CONTRACT DATE: __________________  CONTRACT AMOUNT: $ __________________
SPECIFICATION #: _____________________  COMPLETION TIME: ___________________

LIQUIDATED DAMAGES:  ______________  PERCENT TO BE SUBBED:  _________________


UNCOMPLETED WORK ON HAND/BACKLOG:______________________________________


REMARKS: _____________________________________________________________________

_______________________________________________________________________________

BID RESULTS
CONTRACTOR                             BID AMOUNT
1)__________________________$__________________________
2)__________________________$__________________________
3)__________________________$__________________________
4)__________________________$__________________________


IMPORTANT:

1)       Performance & Payment Bond Requests Should Be Accompanied With The Contract (Only Pages That Apply To Info Above) & Any Special Bond Forms.

2)       Bid Results Are Required.

3)       If The Bond Is Not Required In A Timely Manner, Please Call To Make Sure We Received The Request.

4)       Please Check The Bond For Accuracy and conformance To Specifications, prior To Use.

5)       If Your Estimate Escalates More Than 10% Above The Stated Amount, Please Call Prior To The Bid, As We Are Required To Notify The Surety.

6)       Please Check With Us On Premium Estimates For Jobs With Unusual Time Frames Or Conditions.

7)       It Is Recommended That Prime Contractors Require Bonds On Any Substantial Subcontractors.

8)      Confirmation Of Financing Will Be Required For All Private Work Prior To Bond Approval