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New California Contractor's License Bond

See Information on California Contractor's License Bonding Requirements - Here

Contractor License Bond Amount: $12,500

PLEASE CONFIRM:
I have never had a previous contractor's license
or
I did have a previous contractor's license Do Not Use This Application.

1 yr coverage - $ 116.00
2 yrs coverage - $195.00
Note: Roofers and swimming pool contractors are subject to higher premiums than listed.
Please complete the application below and we will e-mail you full details.

Contractor's License Number
Contractor License Class
Roofer/Swimming Pool Contractor
If you have a license number with the Contractor's State License Board enter it above.

If you are applying for a new license and do not have a license number you must enter your Application Fee Number.

California contractor license surety bond
Name to appear on bond
This name must match the name that is or will be on your contractor's license.
Business Tax ID#
Name of person who will sign for this bond

If the name appearing on the surety bond is an individual, then the name is the same.

Same as name appearing on license surety bond.
California contractor license bond
Please Indicate:   Marital Status
Own Residential Real Estate? Yes No
Net Worth
Social Security Number
Number of Years in Business?
Number of Years Licensed?

Requested effective date / /
County

Leave this blank if you wish your license surety bond to become effective the same day it is issued.
You may request to have your bond become effective at any date in the future, or up to 30 days in the past.

Home Address

Address Line 1
Address Line 2
City	State
Zip code	Phone No.

Business Mailing Address Same as home address.
South Coast Surety will mail the bond to this address.

Address Line 1
Address Line 2
City
State
Zip code

Business phone number			Your fax number

Area	Phone Number	Extension	Area	Phone Number

Your e-mail address*

Payment Information
We recommend that you enter your credit card information now
because it helps us to get your bond mailed to you quickly. *
We will not bill you until the bond is in the mail to you.
You may leave it blank and we will e-mail you within two working
days with a premium quote and information on how to pay by check.
We accept: Visa or MasterCard.*
*There is a 6% fee added for all on line transactions.

Credit Card Number	3 Digit Security Code
Expiration Date	/
Name appearing on credit card

Credit Card Billing Address

Same as mailing address.

Address Line 1
Address Line 2
City
State
Zip code

If RME / RMO (BOND OF QUALIFYING INDIVIDUAL License Surety Bond)
COMPLETE THE FOLLOWING:
Name of Firm on License
Company Address
City / State/ Zip
Company Phone
Company Fax

Referred By

Comments/Requests:

Premiums for On-Line Applications are fully earned upon approval
and payment
No Credit Check Will Be Done For First Time Contractors

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New California Contractor's License Bond

Contractor License Bond Amount: $12,500