2. The undersigned affirms that he is familiar with the Ordinances and regulations of the City of Wheat Ridge relative to building and construction within the City and shall at all times perform in compliance with the same as a contractor under the class of license hereby applied for:
4. Municipal Contractors must provide the following four (4) items:
   1) Certificate of Insurance for STATUTORY WORKMAN'S COMPENSATION 2) Certificate of Insurance for PUBLIC LIABILITY of $250,000/person, $1,000,000/accident & $50,000/property damage. 3) $10,000 LICENSE & PERMIT BOND. Work done under each permit issued with this license bond requires a two year warranty period. 4) Corporation I LLC EIN (Employer Identification#) or Lawful Presence Affidavit (notarized with copy of authorized identification.
6. Municipal Contractor:

   1. Class A - $200 water main, sewer main, storm drain, water & sewer service lines, including excavation, pipe placement, backfilling.
   2. Class B - $150 paving, excavation, test holes, drilling, boring., grading, leveling, graveling, sidewalk, concrete curb & gutter.
   3. Class C - $125 water & sewer service lines, including excavation, pipe placement, backfilling .
10. Contractors Licensed as "Class A" may also perform "Class C"
12. Check If

    1. Business is a Corporation or LLC
13. EIN (Emloyer ID#)
15. If not a Corporation or LLC, Lawful Presence Affidavit (notarized) & authorized identification must be submitted with application.
17. Business Name of Applicant
18. Business Email
20. Address1
22. Address2
24. City
25. State
26. Zip
28. Names of Owner(s)
30. Refrence 1
31. Phone Number 1
33. Refrence 2
34. Phone Number 2
36. Refrence 3
37. Phone Number 3
39. Applicant has been in business for how many years?
40. Upload documents here
42. List persons authorized to apply for permits under this license.
44. Applicant's Name
45. Title
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47. 1. Receive an email copy of this form.
48. Email address

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49. Submit

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