Jack Wolfe Insurance

Bid Bond Request

Your Company Name

Your Name

Your Email

Exact Name & Address of Obligee

Bid Date

Bid Time

Estimated Contract Price

Bid Guarantee (Please Check) 5% 20% Other Percentage

DOD DFARS Clause Statement Required?

Exact Job Title

Job Number

Completion Time

Estimated Start Date

Liquidated Damages $

Any Warranties Exceeding 2 Years?

Any Hazardous Material?

If Yes, Percent of Job

If Yes, Type Material

Percent or Dollar Amount

Labor

Material

Equipment

Major SubContractors

Overhead & Profit

Total

Agency Recipient:

Additional Comments

Submit Information

TO INSURE THE PROPER EXECUTION OF YOUR BID BOND PLEASE FILL OUT THIS FORM COMPLETELY AND ACCURATELY. IF THIS FORM IS NOT COMPLETED PROPERLY WE CANNOT ASSURE YOU THAT YOUR BID BOND WILL BE IN COMPLIANCE WITH THE OWNERS REQUIREMENTS.

IMPORTANT!

BY checking the following box I understand it represents my signature and the above is correct

Yes

If you do not receive a confirmation email that we received your request within 24 hours call 808-261-7922. Without that confirmation email we did not receive your request.