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JYS Group Inc. 531 W. 9th St. Hinsdale IL 60521 Phone 630/887-7580 Fax 630/887-7665 jysgroup yahoo. com PERFORMANCE PAYMENT BOND REQUEST Today s Date Contractor Contractor s Street address Obligee Who Your Contract Will Be With Address Obligee Contact Name phone e-mail Job Description Invite/Contract Job Location City Contract Amount Percentage Subcontracted BOND FORM REQUIRED CHECK ONE Obligee Supplied By Contractor Surety Requirments State None None Use Surety T-Listed FED 24/25 AM BEST Rated Letter Size ie A VI Contract Date 2nd Bidder 3rd Bidder Bid Spread Has Work Started Yes No Percent Complete Submit General Supplemental Special Conditions and Copy of Contract with each bond request Bond Requirements Amount or Percentage Performance percentage Time Allowed to Complete Length of Warranty Payment Start Date Estimated Completion Date Liquidated Damages/Penalty Work on Hand Estimate Cost to Complete Uncompleted Contracts Non-Bonded Bonded Total. JYS Group Inc* 531 W* 9th St* Hinsdale IL 60521 Phone 630/887-7580 Fax 630/887-7665 jysgroup yahoo. com PERFORMANCE PAYMENT BOND REQUEST Today s Date Contractor Contractor s Street address Obligee Who Your Contract Will Be With Address Obligee Contact Name phone e-mail Job Description Invite/Contract Job Location City Contract Amount Percentage Subcontracted BOND FORM REQUIRED CHECK ONE Obligee Supplied By Contractor Surety Requirments State None None Use Surety T-Listed FED 24/25 AM BEST Rated Letter Size ie A VI Contract Date 2nd Bidder 3rd Bidder Bid Spread Has Work Started Yes No Percent Complete Submit General Supplemental Special Conditions and Copy of Contract with each bond request Bond Requirements Amount or Percentage Performance percentage Time Allowed to Complete Length of Warranty Payment Start Date Estimated Completion Date Liquidated Damages/Penalty Work on Hand Estimate Cost to Complete Uncompleted Contracts Non-Bonded Bonded Total.

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