i3 Surety Application

Welcome to the i3 Surety Program providing contract, fiduciary and miscellaneous license, permit and customs bonds in all Common Law provinces. Bonds are available at the federal, provincial, and local levels as well as to public and private institutions and enterprises.

Please complete all mandatory fields and attach relevant documentation to expedite the process.

Please click on "submit" once you have completed the form. You will receive a timely response by email and/or telephone from an experienced Surety underwriter.

You are welcome to include an introductory letter/email or to contact the Surety department directly by phone to discuss your submission.



Bond Information

Bond Type:
*
Miscellaneous Application Type:
*
Bond Amount:
*


Broker Information

Name of Broker:
*
Broker's Phone Number:
*
Broker's Email:
*
Broker's Address:
*


Principal Information

Applicant is Individual/Corporation:
*

Applicant 1 Details

Applicant Name: * Applicant Email: *
Phone: * Address: *
Address (2): City: *
Province/State: * Postal/Zip Code: *

Applicant 2 Details

Applicant Name: Applicant Email:
Phone: Address:
Address (2): City:
Province/State: Postal/Zip Code:

Applicant 3 Details

Applicant Name: Applicant Email:
Phone: Address:
Address (2): City:
Province/State: Postal/Zip Code:
Corporation Name:
*
Corporate Email:
*
Organization Date:
*
Website:
Jurisdiction:
*
President:
*
CFO:
*
Secretary:
*
Key Contact:
*
Key Contact Position:
*

Major Shareholders

Name Share %
Major Shareholder 1 * *
Major Shareholder 2
Major Shareholder 3
Major Shareholder 4

Corporate Address Information

Phone:
*
Address:
*
Address (2):
City:
*
Province/State:
*
Postal / Zip Code:
*


Obligee Information

Name of Obligee:
*
Phone:
Email:
Address:
Address (2):
City:
Province/State:
Postal / Zip Code:


Operations

1. Describe the nature of the Applicant's business:
*
2. How long engaged in that business:
*
3. Is the applicant or any of the undersigned in engaged in any other business ventures?
*
If Yes, please specify details:
*
4. Has any Company refused to issue or continue a bond for the Applicant?
*
If Yes, please specify details:
*
5. Are there any Surety bonds currently in place for the Applicant with another Surety Company?
*
If Yes, please specify details:
*
6. Has the Applicant or its owner ever failed in Business or compromised with creditors?
*
If Yes, please specify details:
*
7. Are there any lawsuits, judgments or liens pending against the applicant or any of the Undersigned?
*
If Yes, please specify details:
*
8. Does the applicant or any of the undersigned presently act as guarantor for any other company or individual?
*
If Yes, please specify details:
*


Bank Information

Name of Bank: *
Street: * City: *
Province/State: * Phone: *


Creditor Information


Largest Creditor Information

Name of Creditor:
Street: City:
Province/State: Phone:

Second Largest Creditor Information

Name of Creditor:
Street: City:
Province/State: Phone:


Additional Information

Attach a copy of the Applicant’s latest Year End Financial Statements with Comparatives (Maximum of 10mb per file)
Upload File:
 


Review and Submit

 
Fiduciary Application Type:
*
Bond Amount:
*


Broker Information

Name of Broker:
*
Broker's Phone Number:
*
Broker's Email:
*
Broker's Address:
*


Principal Information


Applicant 1 Details

Applicant Name: * Applicant Email: *
Phone: * Address: *
Address (2): City: *
Province/State: * Postal/Zip Code: *

Applicant 2 Details

Applicant Name: Applicant Email:
Phone: Address:
Address (2): City:
Province/State: Postal/Zip Code:

Applicant 3 Details

Applicant Name: Applicant Email:
Phone: Address:
Address (2): City:
Province/State: Postal/Zip Code:


Operations

Applicant's Occupation (if retired, previous occupation):
*
Name of Employer:
Employed Since:
Relationship of applicant to deceased, infant, or mentally incompetent (as the case may be):
*
Is the estate subject to dispute, or litigation either now or anticipated in the future?
*
If Yes, please specify details:
*
Are you or is any corporation, co-partnership or other concern in which you have an interest indebted to the estate?
*
If yes, what is the amount ($):
*
Nature of said indebtedness and how is same secured:
*

Declined or Cancelled Bond

Has applicant ever had this or any other bond declined or cancelled?
*
Date Cancelled or Declined:
*
Bonding Company:
*
Details of Cancellation or Decline:
*

Solicitor for the estate

Name of solicitor for the estate:
Address of solicitor for the estate:


Administration or Administration with Will Annexed Bonds

Name in full of deceased:
Place of death:
Date of death:
In which Court and County (or Registry in British Columbia) are letters of administration being applied for:
Did the deceased die Testate or Intestate:
If Testate attach copy of will (Max of 10mb):
*
Provide details of how any trust is to be administered:
If the estate includes a Business or Farm among the assets, state its name, its nature and whether it will be continued or wound up immediately.
It is expected that realization and distribution of the estate will be closed out within:
(Months)
If over 24 months, please explain why not earlier:*

Beneficiaries Entitled to the Estate

Beneficiary 1

Name:
Age:
Relationship to Deceased:
Address:

Beneficiary 2

Name:
Age:
Relationship to Deceased:
Address:

Beneficiary 3

Name:
Age:
Relationship to Deceased:
Address:

Beneficiary 4

Name:
Age:
Relationship to Deceased:
Address:

If any minors or other legally incompetents, advise by letter what legal disposition will be made of their shares in the estate:


Property Guardianship (Committee) Bonds

Name of incompetent:
*
Age of incompetent:
*
Where does incompetent reside now:
*
To what court is application being made:
*
How often will a passing of the accounts take place:
(Months) *
If less frequent than 24 months, explain why:
*


Guardianship Bonds

Name of Father:
 
Is the Father deceased?
Date of Father's death:
*
Place of Father's death:
*

Name of Mother:
 
Is the Mother deceased?
Date of Mother's death:
*
Place of Mother's death:
*

Names and ages of the infants in respect of whom letters of guardianship are being applied for:
With whom and where do they reside:
State manner in which estate devolves upon infants whether by:
If by will, deed or other document, attach copy (Max of 10mb):
*
Nature of assets devolving to infants:
Amount of assets devolving to infants ($):
To what court is application for letters of guardianship being made:
When will guardianship be ended:
I am enclosing a copy of the proposed court order in connection with this application for guardianship/committee bond.
Proposed Court Order Attachment (Max of 10mb):
*
If No, explain why not:*

Statement of Assets and Liabilities of Applicant

Assets

R.R.S.P.’s (all types) ($):
Deposits in Banks, Trust Cos. etc. (inc. Dep. Cert., CS Bonds) ($):
Marketable Stocks, Bonds and Mutual Funds (present market value) ($):
Accounts and notes receivable ($):
Inventory ($):
Real Estate Type:
Real Estate Location:
In whose name(s) is it registered:

Liabilities

Credit Card ($):
Accounts Payable/Unpaid Bills ($):
Current Bank or Credit Institution Loans ($):
Long Term Bank or Credit Institution Loans ($):
Mortgages:
Other Loans and Notes payable:
All other debts and liabilities consisting of:

References

Reference 1

Name:
Occupation:
Daytime Phone No.:
Address:

Reference 2

Name:
Occupation:
Daytime Phone No.:
Address:

Reference 3

Name:
Occupation:
Daytime Phone No.:
Address:


Review and Submit


 


Company Information

Legal Name of Company:
*
Company Email Address:
*
Date Business Established:
*
Company Website:

Company Address Information

Phone Number:
*
Address:
*
Address (2):
City:
*
Province/State:
*
Postal / Zip Code:
*


Broker Information

Name of Broker:
*
Broker's Phone Number:
*
Broker's Email:
*
Broker's Address:
*


List of all Owners


Owner 1 Information

Individual/Company: * Owner Since: *
Share %: *
Address: * Address (2):
City: * Province/State: *
Postal/Zip Code: *

Owner 2 Information

Individual/Company: Owner Since:
Share %:
Address: Address (2):
City: Province/State:
Postal/Zip Code:

Owner 3 Information

Individual/Company: Owner Since:
Share %:
Address: Address (2):
City: Province/State:
Postal/Zip Code:

Owner 4 Information

Individual/Company: Owner Since:
Share %:
Address: Address (2):
City: Province/State:
Postal/Zip Code:


Key Personnel (Engineers, Estimators, Project Managers, etc.)


Key Personnel 1 Information

Name: * Age: *
Position: * Since: *
Previous Employer: Previous Position:

Key Personnel 2 Information

Name: Age:
Position: Since:
Previous Employer: Previous Position:

Key Personnel 3 Information

Name: Age:
Position: Since:
Previous Employer: Previous Position:

Key Personnel 4 Information

Name: Age:
Position: Since:
Previous Employer: Previous Position:


Operations

1. Has the company, any prior company or any of the owners or their spouses or a company owned by any of them ever been placed in receivership or bankruptcy?
*
If Yes, please provide details:
*
2. Has the company, its owners or any of the related companies provided any guarantees for the indebtedness of any other party, outside Corporation or individuals?
*
If Yes, please provide details:
*
3. Does the company have one or more related companies? If yes, please attach with the list Names, Nature of Operations and Financial Statements.
*
4. Have there been any changes in the control, ownership, or management of the company in the past 3 years or are any such changes impending?
*
If Yes, please provide details:
*
5. Type of Contractor e.g. General Building Contractor, Paving, Electrical, etc. (If more than one type list all and give approximate percentage of annual sales applicable to each):
*
6. Are there any liens for labour or material filed against you by anyone? If Yes, please provide amount and details:
*
Amount ($):
*
Details:
*
7. Union or Non Union?
*
Do you pay Union scale wages?
*
8. Are there any judgments, suits or claims outstanding against your company its officers or any company of either?
*
If Yes, please provide details:
*
9. Are others disputing any work which you did or failed to do or any account which you presented to them?
*
If Yes, please provide details:
*
10. Are there any liens for labour or material filed by you against a third party?
*
If Yes, please provide details:
*
11. Is the company presently engaged in any dispute with suppliers or sub trades relative to their work or materials?
*
If Yes, please provide details:
*
12. Is there a formal Buy/Sell agreement?
*
Please attach a copy:
*
By what means is it funded?
*
13. State type of owner for whom you do work and list approximate percentage of your annual sales for each (Please enter at least one value):
Government (%): Utilities (%): General Contractors (%):
Private Residential (%): Institutions (%): Private Companies (%):
Developers (%): Others (%):
14. What is the maximum size contracts in each of the types of work you do, do you think your company is best qualified to handle
Type Amount ($)
15. What work program do you feel your organization is qualified to undertake:
Total program any one time:
*
During the next 12 months:
*


Geographic Area

In What Geographic area do you work?
*
Do you ever work outside of it?
*
If Yes, please provide details:
*


Largest amount of work

What was the largest amount of work on hand at any one time in the past 4 years?
Amount ($):
*
Year:
*
How many contracts it consisted?
*


Sublet Work

What percentage of your work is usually sublet to others?
Percentage (%):
*
Types of work undertaken with own forces:
*
Types of work usually sublet:
*
Do you obtain bonds from your subcontractors?
*
If Yes, please provide details:
*


Current Surety Details

Name of present or most recent surety:
Reason for changing surety:
Have you ever been refused a bond?
If Yes, please provide details:
*


Accounting Firm

Name of accounting firm:
*
Contact Person:
Phone #:
At what intervals are interim statements prepared? *
Monthly
Quarterly
Semi-annually
Annually



Bank Information

Name of bank:
*
Bank Address:
*
Phone #:
*
With bank since:
*
What is authorized line of credit? ($):
*
How much presently used? ($):
*

Key Man Life Insurance

Is there Key Man life insurance?
*

Key Person 1 Information

Key Person: * Amount ($): * Beneficiary: *

Key Person 2 Information

Key Person: Amount ($): Beneficiary:

List of insurance coverage in effect

Coverage Yes/No Limit ($) Insurance Company
Liability:
Environmental:
Errors & Omissions:
Fidelity:
Equipment:


Fixed-Price Contracts

For each type of construction you do, list the 4 largest Fixed-Price Contracts you have completed.

Fixed-Price Contracts 1 Information

Contract Price ($): * Type of Work: *
Location: * Owner/General: *
Gross Profit ($): * Date Completed: *
Surety:

Fixed-Price Contracts 2 Information

Contract Price ($): Type of Work:
Location: Owner/General:
Gross Profit ($): Date Completed:
Surety:

Fixed-Price Contracts 3 Information

Contract Price ($): Type of Work:
Location: Owner/General:
Gross Profit ($): Date Completed:
Surety:

Fixed-Price Contracts 4 Information

Contract Price ($): Type of Work:
Location: Owner/General:
Gross Profit ($): Date Completed:
Surety:


Largest Suppliers


Supplier 1 Information

Name of Company: Phone #:
Mailing Address: Address (2):
City: Province/State:
Postal/Zip Code:

Supplier 2 Information

Name of Company: Phone #:
Mailing Address: Address (2):
City: Province/State:
Postal/Zip Code:

Supplier 3 Information

Name of Company: Phone #:
Mailing Address: Address (2):
City: Province/State:
Postal/Zip Code:

Supplier 4 Information

Name of Company: Phone #:
Mailing Address: Address (2):
City: Province/State:
Postal/Zip Code:


Additional Information

Attached to this presentation should be:
a) Last three fiscal year end statements and any recent interim statement of the applicant and of all related companies
b) Personal financial statements of all shareholders and financial statements of their other companies whether active or not
c) Purpose and description of operations of each of the related or privately owned companies whether active or not
d) Current Uncompleted Work Schedule and Uncompleted Work Schedule as of latest financial year end
e) A copy of the complete Line of Credit Loan Agreement with your bank.
(Maximum of 10mb per file)

Upload File:
 


Review and Submit