CITY OF VERMILION BUILDING DEPARTMENT

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Jemimah Gibbs
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CITY OF VERMILION BUILDING DEPARTMENT 5511 LIBERTY AVENUE VERMILION, OHIO 44089 (440) 204-2410 FAX (440) 204-2411 TO : ALL GENERAL, SPECIALTY and SUBCONTRACTORS REF: 2017 REGISTRATION REQUIREMENTS

1 CITY OF VERMILION BUILDING DEPARTMENT 5511 LIBERTY AVENUE VERMILION, OHIO (440) FAX (440) TO : ALL GENERAL, SPECIALTY and SUBCONTRACTORS REF: 2017 REGISTRATION REQUIREMENTS [Ordinance ] Your registration as a contractor in the City of Vermilion expires December 31 st each calendar year. You must register EVERY YEAR prior to beginning work! Enclosed are your registration application forms. The following items are required each year by the Contractor Registration Board: Application for Registration: Fill in the form COMPLETELY. Incomplete applications will not be processed! Please provide a self-addressed, stamped envelope. Upon approval of registration, a certificate will be mailed. If registering as Electric, HVAC, Plumbing or Fire Suppression contractor, a copy of your current, valid STATE LICENSE is required. NOTE: If your company registers in multiple trades, you need separate application forms and payments for each, however, the Bond, Insurance, Workers Comp, RITA and other City documents can be used for all. Payments can be combined into one. Licensing Bond: ORIGINAL bond in the amount of $25,000 on the City s form. Bond form must be SIGNED by the contractor/applicant and have the insurance company s embossed, digitized or sticker seal affixed. All bonds expire on December 31, no exceptions. No substitute, riders or continuation certificates accepted! Certificate of Liability Insurance: Certificate must be at least $500,000 and list the City of Vermilion as certificate holder. Workers Compensation Certificate: Copy of your certificate or a notarized affidavit on the City form stating a valid reason for exemption. Regional Income Tax Agency [R.I.T.A.] Form Copy of Registration in another City: If this is your first time registering with the City, you must provide a copy of a current registration in another City. Fee payment: Credit cards, cash or checks (made out to The City of Vermilion) are accepted. TYPE FEE DISCOUNT* *RENEWALS between General $150 $125* November 15, January 15, 2018 Subs & Specialty $100 $ 75* will receive the discount Overpayments refunded only upon receipt of written request accompanied by a self-addressed, stamped envelope. PLEASE DIRECT ALL CORRESPONDENCE AND INQUIRIES TO: Robert Kurtz Bridget Triana Robert Kurtz Bridget Triana CHIEF BUILDING OFFICIAL ADMINISTRATIVE CLERK

3 APPLICATION FOR CONTRACTOR'S REGISTRATION CITY OF VERMILION --- BUILDING DEPARTMENT 5511 LIBERTY AVENUE, VERMILION, OHIO PHONE: FAX: REGISTRATION EXPIRES DECEMBER 31 OF EACH YEAR TYPE OF REGISTRATION: COMPANY OWNER S NAME: DOING BUSINESS AS: ADDRESS: STREET CITY ZIP PHONE NUMBER: FAX NUMBER: ADDRESS: CELL NUMBER: YEARS EXPERIENCE IN TRADE: YEARS IN BUSINESS: DO YOU HOLD REGISTRATION(S) IN OTHER MUNICIPALTIES? Y N IF YES, PLEASE ATTACH COPIES. DO YOU HOLD A STATE LICENSE? Y N IF YES, PLEASE ATTACH COPIES. PROJECT STATUS: NOT STARTED IN PROGRESS COMPLETED ADDRESS OF PROJECT: SIGNATURE OF APPLICANT: DATE: OFFICE USE ONLY EXAM FEE: $25.00 CASH CHECK# EXAM RESULTS: PASSING SCORE: % FAILED: REGISTRATION: NEW RENEWAL REGISTRATION FEE: $ APPROVED BY: CASH CHECK # CLERK INITIALS: CITY OF VERMILION APPLICATION BUIl.DING DEPARTMENT LICENSING BOND 5511 LIBERTY AVENUE CERTIFICATE OF INSURANCE VERMILION, OHIO WORKER S COMPENSATION (PHONE) RITA FORM (FAX) OTHER CITY REGISTRATIONS

4 STATE LICENSE # EXPIRES LICENSING BOND KNOW ALL MEN BY THESE PRESENTS: That we, as principal whose address is and as Surety are held and firmly bound unto the City of Vermilion, Ohio, in the sum of Twenty-five Thousand Dollars ($25,000.00) for payment of which, well and truly to be made, we find ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. Signed by our duly authorized representatives on the day of, 20. The conditions of the above bond are such that whereas the Principal has been duly registered for the period from to December 31, 2018 as a/an contractor in the City of Vermilion, Ohio, in accordance with the Ordinance and regulations of the City, providing for the registration and regulation of such type of contractor and builder, now therefore: If the Principal shall faithfully observe all the duties and discharges all of the obligations incurred by him during said registration period under the Ordinances and regulations of the City of Vermilion, Ohio applying to this type of contractor, and all lawful orders of the City Building Inspector and Zoning Inspector issued under the Ordinances and regulations, then this bond shall be void, otherwise the same shall be and remain in full force and effect. The undersigned agrees that this bond shall be for the benefit of any party injured by the Principal s failure to comply with the Ordinance and regulations of the City applying to this type of contractor and the lawful orders of the Building Inspector and Zoning Inspector of the City, as well as for the benefit of the City of Vermilion, Ohio, as oblige herein, and either or both may bring an action on this bond. In witness whereof this bond has been signed by our duly authorized representatives on the day of, 20. CITY OF VERMILION Building Department 5511 Liberty Avenue Vermilion, Ohio PRINCIPAL SIGNATURE (FAX) SURETY SIGNATURE NOTE: RIDERS AND CONTINUATION CERTIFICATES ARE NOT ACCEPTED

CONTRACTOR REGISTRATION REQUIREMENTS

CONTRACTOR REGISTRATION REQUIREMENTS Any person, firm or corporation doing business as a contractor in the County of Rock Island shall register annually with the Zoning & Building Department. For registration