Performance & Payment Request

Performance & Payment Request

Performance & Payment Bond Request Form [PDF]

Please Complete ALL Information and Send a Copy of your Contract and/or Award Letter.




COST BREAKDOWN FOR ENTIRE BID AMOUNT OR 100%

Sub Contractor Work

OR

Labor

OR

Materials

OR

Equipment

OR

Bonds

OR

Overhead

OR

Gross Profit

OR


Contract Date


Type of Bond Form (please provide bond form if you checked GC's or Other):

GC'sAIAGov Form 25Other

Percentage of Performance Bond:

50%100%Other


Percentage of Payment Bond:

50%100%Other




HAZARDOUS SUBSTANCE (If yes, please submit HAZMAT specifications)

DESIGN/EFFICIENCY GUARANTEES (If yes, please submit specifications)



CURRENT WORK ON HAND


PLEASE SPECIFY THE NUMBER OF ORIGINAL BONDS NEEDED