Scheers Specializing in Bonds Since 1963
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Contractor Questionnaire

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(a red asterisk * denotes a required field)

1. Name of Firm: *
2. Address: *
3. City: *
4. State: *
5. Zip: *
6. Phone: *
7. Fax:
8. Fiscal Year End: *
9. Contracting Specialty: *
10. Contact Person: *
11. Title: *
12. Year Business Started: *
 
13. Type of Business * Corp.   Part.    Prop.    Sub. S. Corp.
14. State of Incorporation: *
15. Area of Operation: *
 
16. List the corporate officers, partners or proprietors of your firm:
Name: D.O.B. Position % Owned Name of Spouse
 
17. Will the above individuals and spouses personally indemnify Surety? Yes     No
18. If no, please explain:
19. Is there a buy/sell agreement among the owners of the business? Yes     No
20. Is this agreement funded by life insurance? Yes     No
21. Corp. Indemnity? Yes     No
22. Cross/Corp. Indemnity? Yes     No
23. How many people does your firm employ?
24. How many work crews?
25. Has your firm or any of its principals ever petitioned for bankruptcy, failed in business or defaulted so as to cause a loss to a Surety? Yes     No
26. If yes, please explain:
 
 
27. What is the largest job you expect to do during the next year?
28. What is the largest uncompleted work program expected during the next year?
29. What is your expected annual volume next year?
30. What trades do you normally undertake with your own forces?
31. SIC Code:
32. Do you lease equipment? Yes     No
33. Type of Lease?
34. What are the terms of the lease?
 
35. Name of your CPA:
36. Address:
37. City:
38. State:
39. Zip:
40. Phone:
41. Contact Person:
42. On what basis are taxes paid? Cash   Completed Job   Accrual   % of Completion
43. On what basis are financial statements prepared? Cash   Completed Job   Accrual   % of Completion
44. On what level of assurance are financial statements prepared? CPA Audit  Review   Compilation
45. How often are financial statements prepared? Annually  Semi-annually   Quarterly   Monthly
46. Do you have a full time accountant on staff? Yes     No
47. Years of experience:
48. Are job cost records kept? Yes     No
49. How often reviewed?
50. How aften updated?
51. Do they show job detail? Yes     No
52. Frequency?
 
53. Name of your Bank:
54. Address:
55. City:
56. State:
57. Zip:
58. Phone:
59. Contact Person:
60. Amount of line of credit?
61. Expiration Date:
62. What is the interest rate?
63. UCC Filing? Yes     No
64. How is credit secured?
65. Is your firm union? Yes     No
66. What is your firm's Dun and Bradstreet Number?
67. D&B Rating:
68. Pay Record:
69. Remarks:
 
70. Previous Bonding Companies
Name: Reason for Leaving:
 
71. List five of your largest contracts:
A.
Job Name: Contract Price:
Gross Profit: Completion Date:
Owner: Design Professional:
Bonded: Yes    No    
 
B.
Job Name: Contract Price:
Gross Profit: Completion Date:
Owner: Design Professional:
Bonded: Yes    No    
 
C.
Job Name: Contract Price:
Gross Profit: Completion Date:
Owner: Design Professional:
Bonded: Yes    No    
 
D.
Job Name: Contract Price:
Gross Profit: Completion Date:
Owner: Design Professional:
Bonded: Yes    No    
 
E.
Job Name: Contract Price:
Gross Profit: Completion Date:
Owner: Design Professional:
Bonded: Yes    No    
 
72. List five of your major suppliers:
A.
Name: Telephone:
Address: Contact:
Job:    
 
B.
Name: Telephone:
Address: Contact:
Job:    
 
C.
Name: Telephone:
Address: Contact:
Job:    
 
D.
Name: Telephone:
Address: Contact:
Job:    
 
E.
Name: Telephone:
Address: Contact:
Job:    
 
73. List three architects you have done business with:
A.
Name: Telephone:
Address: Contact:
Job:    
 
B.
Name: Telephone:
Address: Contact:
Job:    
 
C.
Name: Telephone:
Address: Contact:
Job:    
 
74. List key personnel, foreman, or supervisors:
Name: Position: D.O.B. Yrs. of Exper. Previous Employer
 
75. List key personnel, foreman, or supervisors:
Name: Beneficiary: Amount: Cash Value: Insurance Company:
 
76. List other insurance coverage in effect:
Limits in '000's' B1 PD Carrier Expir. Date
A. General Liability $
B. General Liability $
C. General Liability $
D. General Liability $
 
77. List any subsidiaries and affiliates of the contracting firm:
  Firm Name: Ownership: Type of Business: NANDA Code:
A.
B.
C.
D.
E.
 
Remarks:
 
Completed by:
Title:
Date:
 
 
 
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601 Oakmont Lane, Suite 400 • Westmont, IL 60559 • Phone 630.468.5600 • Toll Free 888.236.9514 • Fax 630.468.5697