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2. The undersigned affirms that he is familiar with the Ordinances and regulations of the City of Wheat Ridge relative to building and construction within the City and shall at all times perform in compliance with the same as a contractor under the class of license hereby applied for:
4. Municipal Contractors MUST provide the following four (4) items:

   1) Certificate of Insurance for PUBLIC LIABILITY of $250,000/person, $1,000,000/accident & $50,000/property damage. 

   2) Certificate of Insurance for STATUTORY WORKMAN'S COMPENSATION 

   3) $10,000 LICENSE & PERMIT BOND. Work done under each permit issued with this license bond requires a two year warranty period. 

   4) Corporation I LLC EIN (Employer Identification#) or Lawful Presence Affidavit (notarized with copy of authorized identification).

6. Municipal Contractor:*

   1. Class A - $250 - water main, sewer main, storm drain, water & sewer service lines, including excavation, pipe placement, backfilling.
   2. Class B - $200 - paving, excavation, test holes, drilling, boring., grading, leveling, graveling, sidewalk, concrete curb & gutter.
   3. Class C - $175 - water & sewer service lines, including excavation, pipe placement, backfilling .
8. Contractors Licensed as "Class A" may also perform "Class C"
12. New or Renewal*

    1. New License
    2. Renewal of License
14. Check If*

    1. Business is a Corporation or LLC
    2. Not a Corporation or LLC
15. EIN (Emloyer ID#)*

    (if there is no EIN put N/A)

17. If not a Corporation or LLC, Lawful Presence Affidavit (notarized) & authorized identification must be submitted with application.
19. Business Name *
20. Business Phone Number*
22. Business Email*
24. Address *
26. Address
28. City*
29. State*
30. Zip*
32. Names of Owner(s)*
34. Upload Documents Here*

    Insurance or Bond

36. Upload Documents Here*

    Insurance or Bond

38. Upload Documents Here

    Insurance or Bond

40. Contact Name*
41. Contact Phone Number*
43. Contact Email*
47. Issuing Officials Signature

    For office use only

48. Date
Leave This Blank:


50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

* indicates a required field