Submission Requirements

For all submissions, personal credit history will be reviewed on applicant(s). Additional supporting information may be requested after our review of the above information.

If you need a bond not listed below, please contact our office and speak to an underwriter. We are not writing fidelity bonds at this time.

Quik-CIC 250K
• Complete the QUIK-CIC application and print. 
• Obtain signatures on page 2 of application.
• Attach copy of contract.
Attach original bond forms if Obligee's Form must be used. 
• Fax items No. 1-4 above to 405-568-3001 or send by email to barb.paske@amsafety.com.


Contract Bond
Bid
Maintenance/Defect
Performance
Payment/Statutory
Subdivision
Supply

Contractor Questionnaire
• Financial statement on the company for the three (3) most recent fiscal year ends, including accounts receivable aging reports
• Current company financial statement
• Tax Returns on the company for last three (3) years if S-Corp, LLC or Partnership.
• Current personal financial statement(s) on any owners with 10% or more interest in the company
• Current bank reference letter for all business and personal bank accounts
• Current Work-on-Hand report
• Copy of the contract or bid information for which you need the bond
• Copy of bank revolving line of credit agreement including all applicable terms and conditions

Oil and Gas Bond
Bureau of Indian Affairs- Property Lease
Bureau of Land Management- Property Lease
Oil & Gas Production, Plugging, Drilling
Reclamation (oil, gas & minerals)
Surface Damage
Oil & Gas Questionnaire
• Financial statement on the company for the three (3) most recent fiscal year ends
• Current personal financial statement(s) on any owners with 10% or more interest in the company
• Current bank reference letter for all business and personal bank accounts
Note: 100% collateral usually is required on mineral lease bonds that do not provide a cancellation clause on the bond.

Court Bonds
Administrator/Personal Representation
Guardianship
Probate
Receiver

Application for Court, Probate, Supersedeas
• Copy of the original complaint (petition) and of the judgment
• Schedule of ALL assets and liabilities of the Estate.
• Depending on the circumstances, financial statement on the principal(s)

Appeal
Injunction
Replevin
Supersedeas

Application for Court, Probate, Supersedeas
• 100% collateral in the form of cash or equivalent
• Copy of the original complaint (petition) and of the judgment
• Depending on the circumstances, financial statement on the principal(s)  

License and Permit Bonds
Adjustor
Mixed Beverage
Non-Resident Contract
Private School

• Application for License, Permit, Tax, Miscellaneous
• Current company financial statement (balance sheet)
• Current personal financial statement(s) on any owners with 10% or more interest in the company
• Current bank reference letter for all business and personal bank accounts
Note: Current personal financial statement (balance sheet) on the individual for Adjuster Bonds

Contractor License
Private Investigator
Process Server
Security Guard
Salesman
Auctioneer
Application for License, Permit, Tax, Miscellaneous 

Manufactured Home Dealer
Application for License, Permit, Tax, Miscellaneous
• Current company financial statement (balance sheet)
• Current personal financial statement(s) on any owners with 10% or more interest in the company
• Current bank reference letter for all business and personal bank accounts

Dealers; Wholesalers   
Application for License, Permit, Tax, Miscellaneous
• Current company financial statement (balance sheet)

Non-Profit Organization
Tag Agency

Application for License, Permit, Tax, Miscellaneous
• 100% collateral in the form of cash or equivalent  

Utility Bond
• Application for License, Permit, Tax, Miscellaneous
• Current company financial statement (balance sheet)
• Current personal financial statement(s) on any owners with 10% or more interest in the company
• Current bank reference letter for all business and personal bank accounts
Note: 100% collateral is normally required
 
 
 





About Us | Investor Relations | Press Room | Insurance Products | Producer Resources
Contact Us | Employee Login | Site Map | Terms and Conditions
Home


Copyright 2007 American Safety Insurance Services, Inc.