Laserfiche WebLink
FOR CONTRACT BONDS UP TO $750,000 SINGLE JOB <br />AND $750,000 BONDED AGGREGATE <br />WESTBEND <br />Rapid Bond Account Application <br />FOR A FIRST-TIME RAPID BOND REQUEST <br />PROJECT DWNEPJOSLIGEE --- _ <br />Name Abraham Gordillo ❑Public ❑Private ❑Federal <br />Address 68146 U.S. 31 City/State/Zip Lakeville IN '46536 <br />BOND FORM --Liz AIA Form ® West Bend Form I ❑ Obligee -Supplied Form (please send copy for review) <br />COMPLETE SECTION A OR B <br />A ❑ Isrl� (BOND <br />Bid Date 7121/25 Estimated Bid Amount $ 4'1-7 Gt ZS , 00 Project Location (State) <br />Estimated Contract Price (� 2� "I ZS Bid Bond Percentage :5% <br />PLEASE NOTE: Subsequent approval from West Bend is required for more than a 10% increase in the estimated bid amount I <br />_ If low bidder, bid results will be required on public jobs <br />Start Date 10/1125 Estimated Completion Date 11/21/25 <br />Maintenance/Warranty (Years) '2 Project Number 125-021 B <br />Project Description '.TPO Roof Replacement - Milkweed Commons Project <br />Optional: Name of Corporate Officer Signing Bond 'Abraham Gordillo Title President <br />g 4PERFORMANCE AND/OR PAYMENT BOND []SUBCONT'RACT QSUPPLY BOND <br />Please send in a copy of the contract for review. <br />Start Date ;8/30/25 Estimated Completion Date ,11121/25 <br />Contract Amount 400,000.00 ; Maintenance/Warranty (Years) `2 <br />Project Location (State) Date of Contract 7/22/25 Project Number ;125-021 B <br />Project Description TPO Roof Replacement - Milkweed Commons Project <br />For PUBLIC jobs only (State, City, School, etc.): Next two lowest bidders 2. $ 3. $ <br />If difference between 1st and 2nd bid is more than 10%, please attach explanation. <br />Optional: Name of Architect/Engineer :Bill Lamie <br />Optional: Name of Corporate Officer Signing Bond Abraham Gordillo Title President <br />UMCr <br />NS <br />NEITHER THE CONTRACT NOR BOND AMOUNT SHALL EXCEED $750,000. <br />EXCLUDED BONDS: BONDS RUNNING TO AN INDIVIDUAL OR TO GUARANTEE WORK PERFORMED AT A PERSONAL RESIDENCE, <br />MAINTENANCE BONDS, SUBDIVISION OR COMPLETION BONDS, HAZARDOUS MATERIALS OR WASTE HAULING, FINANCIAL <br />GUARANTEES, TIMBER/LOGGING CONTRACTS, AND PROJECTS THAT EXCEED 12 MONTHS IN COMPLETION TIME. <br />ALSO EXCLUDED ARE MULTI -YEAR CONTRACTS, OR THOSE WITH THE POTENTIAL FOR ANY ANNUALLY RENEWABLE TERMS. <br />irrilkILOSURE NOTICE: COWACT INFORMATION rFOR <br />PERSONAL G1�EDIT INFORMATION f_ <br />TRAMS UNION <br />2 BALDWIN PLACE <br />PO BOX 1000 <br />CHESTER, PA 19022 <br />800.885.4213 <br />IER REPORTING AGENCIES PROVlp1Ne: <br />BUSINESS CREDIT INFORMATION <br />EXPERIAN <br />PO BOX 2002 <br />ALLEN, TX 75013 <br />888.397.3742 <br />NB 0070 0125 Page 2 of 5 <br />1900 S 18th Avenue I West Bend, WI 53095 1 Phone: (800) 236-5010 1 Fax: (877) 674-2663 1 ww.thesilvedining.com <br />