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The following is required for your City of Arvada Municipal General Contractor’s License: If all forms are not completely filled out or correct, your application packet will be returned. Please allow up to 1 week for processing. 1. Online Application – Go to arvadapermits.org and login with your current login for renewals. For new licenses, click on Apply for Contractor License under the heading “Contractor”. 2. Affidavit form – completed during the online application process. a. Based on your company type, please fill out either the top portion or the bottom portion only, NOT both. 3. $20,000 Bond Form a. All blank lines must be filled out. The amount of the bond MUST be $20,000.00. b. The expiration date must be ONE year from the date of the bond issuance. c. The bonding company seal is REQUIRED as well as the power of attorney. d. An authorized signer from your company must sign on the principal line in addition to the bonding company agent’s signature. e. Original Bonds must be on a City of Arvada Bond form. See below. Continuations can be on any form. 4. Certificate of Insurance a. Insurance must be on an acceptable form established by the Risk Management division of the City of Arvada. See example below. b. General aggregate limit shall be unlimited or at least $2,000,000.00; The limit for each occurrence shall be not less than $1,000,000.00. c. The City of Arvada must be included as additionally insured. d. Auto liability is not required unless a City Bid Project is being done (If required $1,000,000.00 is the minimum) e. Typed or printed name and signature of an authorized insurance agent is required; also date of issuance of certificate. 5. Statutory Workmen’s Compensation (If you do not carry workmen’s compensation you must fill out a certificate of exemption form). Please send requests for this form to [EMAIL REDACTED] The Engineering Code of Standards and Specifications must be easily accessed on the job site at all times. Please refer to our website at Code Any questions, please call (720)898-7640 or email [EMAIL REDACTED] Revised 01/2024 PUBLIC WORKS DEPARTMENT - ENGINEERING PHONE: [PHONE REDACTED] 8101 RALSTON ROAD ARVADA, COLORADO 80002 ---PAGE BREAK--- Welcome to eTRAKiT for the City of Arvada This site provides access to citizens and contractors to search for information on permits, developments and contractors licensed with the City, pay outstanding fees, schedule inspections, apply and renew contractor licensing and apply for permits. Not all applications are available at this time for online application; please check back if you do not see the application available for online submittal. Please visit www.arvada.org/permithelp for detailed instructions on using eTRAKiT. NOW AVAILABLE: Contractor licensing and Renewals. To apply for a new license, click "New Apply for Contractor License” to get started. For renewals, log in using your AEC and follow the renewal instructions. More information on Inspections and Building Guidelines available here Building - Permits. To review information about the development process please go to • Apply for Contractor License • Search Contractors • Pay Fees • Apply • Pay Fees • Search • Pay Fees • Search Permit • Fee Estimator Permits Projects Contractor Contact Inspections Properties • Search • Schedule • Cancel • Scheduled • Contact Us ---PAGE BREAK--- MUNICIPAL GENERAL CONTRACTOR'S LICENSE BOND NO. City of Arvada - Engineering Division 8101 Ralston Road Arvada, CO 80002 (720) 898-7640 THIS AGREEMENT made on this day of is by and between referred to as "Principal") and a Corporation, whose home office is located in (hereinafter referred to as "Surety"). RECITALS The Parties hereto recite and declare that: 1. They are held and firmly bound to the City of Arvada, State of Colorado (hereinafter referred to as "Arvada"), in the sum of TWENTY THOUSAND AND NO/100 DOLLARS ($20,000.00), in lawful money of the United States of America for the payment whereof principal and surety bind themselves, their heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by this Agreement. 2. Principal has been duly licensed as a Municipal General Contractor and is thereby entitled to perform work on general public improvements for which the Principal is qualified. 3. Principal desires to deposit this bond in lieu of separate bonds for each general public improvement (hereinafter referred to as the "Work") on which Principal works. TERMS AND CONDITIONS This obligation shall remain in full force and effect for a period of one year, unless renewed by continuation certificate signed by those authorized to validate and bind the company in the first instance with respect to suretyship, bonds, undertakings, recognizance and obligatory instruments and under the seal of said Surety. This bond will have a two year warranty period from the date on which the last public improvement was completed and accepted by Arvada. The condition of this obligation is that if: Principal, or its heirs, executors, administrators, successors, and assigns shall, for the period of this bond, properly comply with Arvada's requirements and City Code provisions; replace any and all defects arising in the Work, whether resulting from defective materials or defective workmanship; and indemnify and hold harmless Arvada against suits or claims for damages or losses which may be brought against Arvada, or any of its officials and employees, because of the Work performed under the Principal's license, then the above obligation is null and void; otherwise it will remain in full force and effect. This obligation may be canceled upon thirty (30) days written notice delivered by the Surety to Arvada relieving the Surety from any obligation for public improvements performed after the expiration of the thirty (30) day cancellation period. No Right of Action shall accrue on this bond to or for the use of or benefit to any person or corporation other than the City of Arvada. IN WITNESS THEREOF, said Principal and said Surety have executed these presents this day of (SEAL) Principal –Signature of Authorized Signer Title of Authorized Signer Surety Attorney-in-Fact 05/21 ---PAGE BREAK--- AFFIDAVIT FOR LAWFUL PRESENCE VERIFICATION Because of Colorado House Bill 06S-1023 (C.R.S. 24-76.5-103), this affidavit is MANDATORY and must be submitted along with a copy of one of the accepted forms of identification to prove lawful presence in the United States. Colorado law now requires that the City of Arvada verify all natural persons 18 years or older or sole proprietors who are applying for a public benefit are lawfully present in the United States prior to receiving the public benefit. A public benefit includes the application or a renewal of a grant, loan, contract, and professional or commercial licenses provided by an agency of the state or local government. FOR CORPORATIONS/PARTNERSHIPS/COMPANIES ETC. ONLY The applicant, for whom I am authorized to sign, is NOT a “natural person” or “sole proprietorship,” but a corporation, partnership, company or other similar entity. HB 06S-1023 is not applicable. I understand this sworn statement is required because the applicant has applied for a “Public Benefit.” I further acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the laws of Colorado. Printed Name and Title of Signature of Applicant’s Date Applicant’s Representative Representative Name of Business OR FOR “NATURAL PERSONS” OR SOLE PROPRIETORS ONLY I am a “natural person” or a “sole proprietorship,” NOT a corporation, partnership, company or other similar entity and MUST complete this affidavit and submit it with the required documentation. 1. I, swear or affirm under penalty of perjury under the laws of the State of Colorado that (check one): I am a United States citizen; or I am a Permanent Resident of the United States; or I am lawfully present in the United States pursuant to Federal law. 2. I understand this sworn statement is required by law because I have applied for a “Public Benefit.” 3. I understand state law requires me to provide proof that I am lawfully present in the United States prior to receipt of this public benefit. 4. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the laws of Colorado. 5. I have attached a copy of one of the acceptable documents provided by the state of Colorado and I presented it to the agency as proof of identification that I am at least 18 years of age and I am lawfully in the United States. Applicant’s Printed Name Applicant’s Signature Date Name of Business (If applicable) Revised 08/01/07 ---PAGE BREAK--- ACCEPTED FORMS OF IDENTIFICATION TO PROVE LAWFUL PRESENCE IN THE UNITED STATES: A valid Colorado driver license (includes only a current driver license; or valid Colorado identification card, or U.S. military card or military dependent's identification card, or U.S. Coast Guard Merchant Mariner Card, or Native American Tribal Document. Certificate verifying naturalized status issued by an authorized agency of the United States bearing Applicant's intact photograph impressed with the raised embossed seal of the issuing agency; Certificate verifying United States citizenship issued by an authorized agency of the United States bearing Applicant's intact photograph impressed with the raised embossed seal of the issuing agency; Valid driver license or ID card bearing applicant's photograph issued by a lawful presence state. All states are lawful presence states including the District of Columbia with the exception of: Hawaii, Illinois, Maryland, Nebraska, New Mexico, Utah, and Washington. If on the face of the license or ID card presented it says that it is an enhanced driver license or ID card, and then it is to be accepted as a lawful presence document. Valid immigration documents demonstrating Lawful Presence and verified through the Systematic Alien Verification for Entitlements, administered by the United States Citizenship and Immigration Services of the Department of Homeland Security. Valid immigration documents are as follows: • Unexpired Foreign Passport bearing an unexpired "Processed for I-551" stamp or with an attached unexpired "Temporary 1-551" visa. • Unexpired Foreign Passport accompanied by an "1-94" indicating a specific future "until" date, • "1-94" with refugee or asylum status. • Unexpired "Resident Alien" card, "Permanent Resident" card, "Temporary Resident" card, or "Employment Authorization" card. Waiver Process If you cannot produce any documentation necessary to prove lawful presence, you may request a waiver, (Form DR 4678). The waiver is available for individuals who: • Due to chronic health or medical condition, lack sufficient mobility to appear in person to apply for a Colorado Driver license or Colorado identification card, or • Due to lack of a permanent physical address in Colorado, do not qualify for a Colorado driver license or Colorado identification card, or • May lack sufficient documentation to receive a Colorado driver license or Colorado identification card. The waiver and all supporting documentation must be presented by you or a representative at a participating Colorado driver's license office, not at the City Department where you are requesting the benefit. Arvada cannot approve the benefit until the waiver process has been completed. ---PAGE BREAK--- ACORDTM PRODUCER INSURED ABC COMPANY 123 Street Denver, CO 80202 COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. NAIC # INSURERS AFFORDING COVERAGE INSURE^ A: INSURER B: INSURER C: INSURERD: INSURER E: LIMITS EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED PREMISES fEa occurrence) $300,000 MED EXP (Any one person) $10,000 PERSONAL & ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 PRODUCTS - COMP/OP AGG $2,000,000' COMBINED SINGLE LIMIT (Ea accident) 11,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EACH OCCURRENCE $ AGGREGATE $ $ $ $ v WC STATU- OTH- X TORY LIMITS ER E.L. EACH ACCIDENT $100,000 E.L DISEASE - EA EMPLOYEE $100.000 E.L DISEASE - POLICY LIMIT i500,000 10/01/04 10/01/05 10/01/04 10/01/05 10/01/04 10/01/05 POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION DATE (MM/DD/YY) . POLICY NUMBER TYPE OF INSURANCE GENERAL LIABILITY INSR ADD'L LTR INS RE A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE X OCCUR GEN'L AGGREGATE LIMIT APPLIES PER; POLICY PRO- JECT LOC X AUTOMOBILE LIABILITY X ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS B X HIRED AUTOS X NON-OWNED AUTOS GARAGE LIABILITY ANY AUTO EXCESS/UMBRELLA LIABILITY OCCUR CLAIMS MADE DEDUCTIBLE RETENTION $ c WORKERS COMPENSATION ANO EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUT1VE OFFICER/MEMBER EXCLUDED? IF yes, describe under SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Re: Contractors License The City of Arvada is named as an additional insured per written agreement with respects to the general liability per endorsement (CG 20-26-07-98 or -CG .20-12-07-04).. Endorsement attached CERTIFICATE HOLDER CITY OF ARVADA ENGINEERING DIVISION 8101 RALSTON ROAD ARVADA, CO 80002 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30* DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08)1 of3 #S233092/M225441 © ACORD CORPORATION 1988