Letter of Intent

Request Types

Instructions

Reminder

Please note that we will need at least 7-10 days for processing. If needed sooner, please indicate on your request form.

Local Number, Line of Business Number, Legal Entity Name

Please use the following downloads to correctly fill in your Local Number, Line of Business Number, and Legal Entity Name.

Local Number
Line of Business Number
Legal Entity Name

Help

For assistance, feel free to email RSNew@usi.com, or call 844-265-0017.

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Letter of Intent/Consent of Surety

Division Number (4 digits)

Local Number (4 digits) (For a guide, click on the "Local Number" link in the instructions to the left.)

Line of Business Number (3 digits) (For a guide, click on the "Line of Business Number" link in the instructions to the left.)

Principal Name (Legal Entity Name) (For a guide, click on the "Legal Entity Name" link in the instructions to the left.)

Obligee / Beneficiary Information

Obligee Name

Street Address

Obligee City

State

Zip Code

All Bond Requests

Exact Bid / Job Title (Per Bid Specs or Final Contract Document)

Contract Term: with initial effective and expiration dates

No. of Extension Options and Years

Is Special Bond Form required? If so, enter the page numbers from the document.

Estimated Start Date (Date Services Begin)

Letter of Intent / Consent of Surety

Bid Proposal Date

Estimated Annual Cost/Sales (A bond cannot be provided without an amount.)

Performance Bond Amount If Awarded Contract (Example: 100% of annual costs or 100% term of contract)

Contact Information

Requestor Name

Phone Number

Street Address

City

State

Zip Code

Mailing Address, If Different Than Above

Contact Name

Overnight Shipping Address, if different than above. Must be field office of Republic, not obligee.

Form Submission Details

If you have attachment(s) to upload, you can upload them here:

Special Instructions

Is the due date of your request within 7 days of request submittal?

Yes

Are you a Republic employee? (Only Republic employees may submit this form.)

Yes