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2. Contractor's Registration Application

   LICENSE EXPIRES 12 MONTHS FROM THE DATE ISSUED

4. Date*
   Date
5. Company Name*
6. Contractor License*

   1. General
   2. Sub-Contractor
7. Contractor Type
9. Address*
10. City, State*
11. Zip Code*
13. Email Address*
14. Contact Number*
16. Upload | Certificate of Insurance*
17. Upload | $10K Surety Bond*
19. ELECTRICIANS | Upload | Electrician License
20. ROOFERS | Upload | IL Roofers License
22. NOTE: APPLICATIONS WILL NOT BE PROCESSED UNTIL RECEIPT OF THE FOLLOWING:

    1.  Certificate of Insurance for the minimum coverage of $1,000,000 Property Damage and $500,000 Bodily Injury naming the Village as certificate holder. If applicable, certificate must also show adequate Workman's Compensation coverage.

    2.  A Licensing and Permit Bond (L & P Bond) in the amount of $10,000 that covers all aspects of the work you will be doing in the Village.

    3.  The annual fee for sub-contractor's registration is $100. The annual fee for a general contractor's registration is $200. Contractors performing multiple disciplines will be considered a general contractor.

    4.  Roofing, Fire Sprinkler, Lawn Irrigation, and Private Alarm contractors must submit their State of Illinois license/registration. Electrical contractors must submit their Electrical Contractor license issued by the licensing authority.

    5. A $50 processing fee will be applied towards any contractor license fee refund request.

24. CERTIFICATION:*

    1. I am familiar with the provisions of the Building Regulations and Codes of the Village of Ricthon Park and agree to comply with all requirements.
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit Submit and Print

* indicates a required field