Great Insurance Values.com brought to you by Lakhani Insurance Agency, Inc.

f Great Insurance Values.com brought to you by Lakhani Insurance Agency, Inc.

Lakhani Insurance Agency, Inc.

Individuals, Families & Groups
Life Insurance
Health Insurance
Group Insurance
Dental Insurance
Medicare Supplement
Disability Income
Long-Term Care
Retirement Accounts

Business Owners, Self-Employed
General Liability
Commercial / Business Ins.
Commercial Auto Insurance
Commercial Property
Umbrella Insurance
Employment Practices
Lessor's Risk
Workers Comp

Medical & Dental Professionals
Medical Malpractice

Garage Liability
Auto Dealers
Auto Repair / Body Shops

Professional Liability
Engineers
Attorneys

Surety Bonds
Auto Dealer Bond
Construction Bond
Contract Bond
Performance Bond
Subdivision Bond
Contractor License Bond
Insurance Brokers Bond
License & Permit Bond
Mortgage Broker Bond
Payment Bond
Probate Bond
Sales Tax Bond
Miscellaneous Bonds

Performance Bond

There are several categories of contract bonds (construction bonds, payment bonds, performance bonds, or subdivision bonds) all of which are three-party agreements between the contractor, owner as oblige, and the surety.

Name:	(required)
Email:	(required)
Phone:
Preferred contact:	phone email

Business Name:
Business Address:
Owner's Name:
Percentage of Ownership:
Years in Business:
Years Experience in Field:

Entity Requesting Bond:
Bond Amount:

How is your credit?
Do you own real estate?	yes no
Annual Receipts / Sales:	(estimated)

Has the applicant, stockholder or indemnitor ever:

been cancelled by a surety?	yes no
had a bond claim?	yes no
declared bankruptcy?	yes no
had or have prior or pending tax liens?	yes no
had or have prior or pending lawsuits?	yes no
been convicted of a felony?	yes no