ST. LOUIS COUNTY DEPARTMENT OF PUBLIC WORKS MECHANICAL LICENSING – FINANCIAL REGISTRATION FOLLOW THESE INSTRUCTIONS OR THE BOND WILL NOT BE APPROVED 1. Be sure the appropriate bond conforms to that of the St. Louis County Dept. of Public Works. 2. Include the registrant name, “dba” company name, address with zip code, on page 1. 3. Bond must be signed by principal (mechanical contractor’s responsible officer) a. If applicant is a corporation, the corporate seal should be impressed; (Or if there is none, so stated) b. If other than individual’s own name is used, state if corporation or sole proprietorship 4. Underneath all signatures, type or legibly print the names, and their job titles. 5. The signature of the principal of the company/corporation/partnership must be notarized. 6. Bond must be signed by the surety company’s attorney-in-fact and the signature notarized. 7. The surety company’s Power of Attorney letter must be attached to the bond. 8. An original Bond Continuation Certificate must be provided annually to ensure bond is continued. 9. The date of the Acknowledgement of Surety, and the date of the Power of Attorney must be the same date as the effective date of the bond.
This is the “obligee information and the mailing address:
(CERTIFICATE HOLDER)
ST. LOUIS COUNTY DEPARTMENT OF PUBLIC WORKS ATTENTION: MECHANICAL LICENSING 41 S. CENTRAL AVE. CLAYTON, MO 63105
Certificate of Insurance must conform to the following: • Registrants must carry a minimum of five hundred thousand dollars liability insurance for bodily injury and property damage. • Certificate must name St. Louis County as the “certificate holder”. • Certificate must include the registered contractor’s name, “dba” company name, address with zip code.
Questions? Call the Mechanical Licensing Clerk @ (314) 615-7096
2-page bond form follows