SAUL • METCHO LLC

INSURANCE • SURETY • RISK MANAGEMENT

PA Office; 250 Pierce Street, Suite 208; Kingston, PA 18704 BID BOND REQUEST FORM
Phone: 1.888.853.0549- Fax: 570.288.7837 www.nasbp.org/toolkit
Leesburg, VA114 Edwards Ferry Rd. N.E.; Leesburg, Virginia 20176
Phone: 703. 771.9897 - Fax: 703.771.0050

To:       Today’s Date:    /    /   

From:      

Contractor:      
Obligee (Bond Payable To):      
Address:      
Legal Project Name (including any identifying numbers):
     

Job Location:      

Scope of Work:
     

Bid Date and Time:    /    /          am/pm Estimated Bid: $     

o
Bid Bond Amount:     % $      Bid Opening Location:      
r
Estimated Start Date:      
Completion Time:       Penalties/Damages:      
Special Bid Bond Form? Yes (attach form) No Retainage:     %
Warranty Period:       Covered By Manufacturer? Yes No
Contractor’s Guarantee Period(s):       Work On Hand As Of:    /    /    $     
List Major Subcontractors Amount Sub Bond
      $      Yes No
      $      Yes No
      $      Yes No
      $      Yes No
Architect/Engineer:       Phone Number:      
Special Hazards:      
Comments and/or Additional Notes:
     

RESULTS
Low Bidder:       Bid Amount: $     
2nd Bidder:       Bid Amount: $     
rd
3 Bidder:       Bid Amount: $     
Do you expect to be awarded the contract? Yes No
Comments:
     

© Copyright 2007 NASBP. All Rights Reserved. www.nasbp.org Page 1 of 1

Version 1.0