Revised January You must submit with the application the following documentation:

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1 Charlie A. Dooley County Executive Sheryl L. Hodges, D.E., P.E., L.P.G. Director MECHANICAL LICENSING Guidelines for completing the Application for Contractor License Contractor License Categories: Mechanical, Sheet Metal, Sprinklerfitter and HVAC Servicer-Installer Revised January 2011 Requirements to Obtaining your Contractor License: You must submit with the application the following documentation: Documentation must be issued during the preceding ten (10) years, submitting three (3) copies per year, for a three (3) year period, of mechanical permits obtained, invoices/receipts to customers, and material/supply orders, verifying that your company has actually been engaged in the mechanical industry, accordingly. 1. Mechanical permit obtained; if the permit does not specify the entity or person performing the mechanical work, then additional documentation will be required to verify that the applicant actually performed the mechanical work and operated as a business at the time of each job. 2. Invoice to customer, evidence for each job shall include, but not be limited to, the applicant s (company) name listed on the invoice, proof of payment by the owner or general contractor. 3. Material / Supply Order, evidence that the applicant (company) purchased sufficient mechanical materials and supplies for the work performed. 4. Affidavit; that your company performed the mechanical work within at least a four year period. 5. Licensed Mechanical Contractors Bond; must use the appropriate bond form attached with the application. 6. General Liability Insurance Form; applicant must carry a minimum of five hundred thousand dollars liability insurance for bodily injury and property damage. 7. A Local Business License 8. State and/or Federal Tax Identification 9. Certificate of Good Standing from the Secretary of State

2 MECHANICAL LICENSING Guidelines for completing the Application for Contractor License Instructions to complete the application for Contractor License: 1. Select only one license category and check the appropriate box. 2. Provide company/corporation name, location, and telephone number. 3. Provide name, birth date, Social Security number, address, and telephone number of the designated director-supervisor. 4. I. If you have a license for at least three (3) years under the St. Louis County Plumbing Code as a Master Pipefitter, Master Plumber, or Master Sprinklerfitter: Check the box next to Option I. Submit the required documentation, listed in Option I, with the Contractor License application. II. If you have a degree in civil or mechanical engineering from an accredited college: Check the box next to Option II. Submit the required documentation, listed in Option II, with the Contractor License application. III. If you have a minimum of three (3) years experience directing and supervising at least one (1) journeyman: Check the box next to Option III. Submit the required documentation, listed in Option III, with the Contractor License application. Note: For a Residential HVAC sole proprietor, documentation should be three (3) years of contracts and bills to your customers, invoices and/or bills of material from your suppliers and mechanical permits obtained. 5. Submit proof of liability insurance and a current surety bond with the Contractor License application. (Refer to the insurance and bond information attached to the Contractor License application) 6. Sign and date the Contractor License application. 7. Mail application with a $100 check payable to St. Louis County Treasurer to the Clayton central office: St. Louis County Department of Public Works Attention: Mechanical Licensing 41 South Central Avenue 6 th Floor Clayton, MO or Deliver to the above address Monday through Friday 8:00AM 4:30PM For assistance with mechanical licensing please call the Mechanical Licensing Clerk (314)

3 ST. LOUIS COUNTY DEPARTMENT OF PUBLIC WORKS Rev: Jan 2011 BOARD OF EXAMINERS FOR MECHANICAL LICENSING 41. So. Central, 6 th Floor Clayton, Missouri ST. LOUIS COUNTY, MISSOURI APPLICATION FOR CONTRACTOR LICENSE FEE $ (make check payable to: St. Louis County Treasurer) PLEASE CHECK ONE LICENSE CATEGORY FOR WHICH YOU ARE APPLYING: (see reverse side for definitions) Mechanical Contractor Sheet Metal Contractor Sprinklerfitter Contractor HVAC Servicer-Installer Contractor Company Name: Phone#( ) Address City State Zip Complete name and supplemental information below on owner, if sole proprietor, or individual employed by the company who is experienced in directing and supervising at least one (1) journeyman working in the category of license requested as further described below: Name Birth Date - - Social Security No. / / Res Phone #( ) Residence Address City State Zip Please check one: (If HVAC sole proprietor, check box III and see HVAC definition) I) An individual licensed under the St. Louis County Plumbing Code as a Master Pipefitter, Master Plumber, or Master Sprinklerfitter for at least three(3) years and a minimum of one(1) year of verifiable training or experience directing and supervising at least one (1) journeyman. My License # is: Staff Verification Required documentation for this option also includes: a notarized letter from an officer of the company confirming at least one(1) year directing and supervising journeyman level work associated with the specific category of license requested; OR II) An individual with a degree in civil or mechanical engineering from an accredited college and a minimum of one(1) year of verifiable training or experience directing and supervising at least one (1) journeyman. Required documentation for this option includes: a notarized letter from an officer of the company confirming at least one(1) year of directing and supervising journeyman level work associated with the specific category of license requested; and a copy of the diploma in civil or mechanical engineering from an accredited college; OR III) An individual with a minimum of three (3) years of verifiable training or experience directing and supervising at least one (1) journeyman. Required documentation for this option includes: a notarized letter from an officer of the company confirming at least three(3) years of directing and supervising journeyman level work associated with the specific category of license requested. SEE REVERSE SIDE FOR COMPLETION OF APPLICATION FORM Page 1 of 2

4 St. Louis County, Missouri Application for Contractor License Note: Proof of general liability insurance and a current surety bond must be submitted with this application. I understand that as the Contractor I must notify the Department of Public Works within ten (10) days if I no longer actively employ the above named director-supervisor. I hereby affirm the information provided on this application and all attachments to be true to the best of my knowledge and I hereby make application for the License indicated above. Officer of the Company Director-Supervisor (If Required) Printed Name: Signature: Title: Date: Printed Name: Signature: Title: Date: 1. Any misstatement or misrepresentation in said application will disqualify the applicant. 2. The applicant will be notified in writing of the action of the board following review of the application. 3. In the event an applicant fails to qualify for a license, the application fee deposited will not be refunded. If a new application is submitted, it must be accompanied by the fee specified by law. Definitions A Contractor is an individual or Entity who is licensed under this Section to engage in contracts and perform work on any or all of the following: Process Piping Systems, HVAC Duct Systems, Fire Suppression Systems, HVAC Piping Systems or HVAC Systems. (A) A Mechanical Contractor is an individual or Entity licensed to perform work under this Section who employs at least one Pipefitter Journeyman. (B) A Sheet Metal Contractor is an individual or Entity licensed to perform work under this Section who employs at least one Sheet Metal Journeyman. (C) A Sprinkler fitter Contractor is an individual or Entity licensed to perform work under this Section who employs at least one Sprinkler fitter Journeyman. (D) A HVAC Servicer-Installer Contractor is an individual or Entity licensed to perform work under this Section who employs at least one HVAC Servicer-Installer Journeyman. In the case of a sole proprietor, the journeyman may be himself. Also, an individual having a minimum of three (3)years verifiable experience as the owner, operator or supervisor of a company that performed residential work exempted from licensing by previous ordinances. A Contractor licensed under this Section who performs work under any of the foregoing categories may take out permits for and perform work that falls under one of the other categories provided such Contractor uses a Journeyman (or an Apprentice under the required supervision and inspection of such Journeyman) who is licensed to perform the specific work involved pursuant to the applicable provisions of this Section. Page 2 of 2

5 ST. LOUIS COUNTY DEPARTMENT OF PUBLIC WORKS MECHANICAL LICENSING CONTRACTOR BOND REQUIREMENTS FOLLOW THESE INSTRUCTIONS OR THE BOND WILL NOT BE APPROVED 1. Be sure the appropriate bond conforms to that of the St. Louis County Dept. of Public Works. 2. Include the registrant name, dba company name, address with zip code, on page St. Louis County, Mechanical Licensing Department has four (4) license categories. Please list the correct license category on the bond. Mechanical Contractor Sprinklerfitter Contractor Sheet Metal Contractor HVAC Servicer-Installer Contractor 4. Bond must be signed by principal (mechanical contractor s responsible officer) a. If applicant is a corporation, the corporate seal should be impressed; (Or if there is none, so stated) b. If other than individual s own name is used, state if corporation or sole proprietorship 5. Underneath all signatures, type or legibly print the names, and their job titles. 6. The signature of the principal of the company/corporation/partnership must be notarized. 7. Bond must be signed by the surety company s attorney-in-fact and the signature notarized. 8. The surety company s Power of Attorney letter must be attached to the bond. 9. An original Bond Continuation Certificate must be provided annually to ensure bond is continued. 10. The date of the Acknowledgement of Surety, and the date of the Power of Attorney must be the same date as the effective date of the bond. This is the obligee information and the mailing address: ST. LOUIS COUNTY DEPT OF PUBLIC WORKS (CERTIFICATE HOLDER) ATTENTION: MECHANICAL LICENSING 41 S. CENTRAL AVE. ST. LOUIS MO Certificate of Insurance must conform to the following: Owners or operators of amusement devices must carry a minimum of one million dollars per occurrence general liability insurance. All other registrants must carry a minimum of five hundred thousand dollars liability insurance for bodily injury and property damage. Certificate must name St. Louis County as the certificate holder. Certificate must include the company s registered name, dba company name, address with zip code. Questions? Call the Mechanical Licensing (314) page bond form follows

6 LICENSE CATEGORY: ST. LOUIS COUNTY, MISSOURI LICENSED MECHANICAL CONTRACTORS BOND BOND NUMBER KNOW ALL MEN BY THESE PRESENTS, that we, of, State of (a corporation duly organized under the laws of the State of Missouri), hereinafter referred to as PRINCIPAL, and, a corporation duly organized under the laws of the State of, hereinafter referred to as SURETY, are held and firmly bound unto St. Louis County, Missouri, in the sum of TEN THOUSAND DOLLARS ($10,000.00) for the payment of which the PRINCIPAL binds itself, its heirs, executors, administrators, successors and assigns, and the SURETY binds itself, its successors and assigns, jointly and severally by these presents. WHEREAS, the Mechanical Code of St. Louis County, Missouri, Chapter 1108 SLCRO, 1974, as amended, requires an applicant for a mechanical permit to file with the Department of Public Works an indemnifying bond with good and sufficient sureties to St. Louis County, Missouri; and WHEREAS, the PRINCIPAL has made application to St. Louis County for registration of financial responsibility in accordance with the Mechanical Code of St. Louis County, Chapter 1108 SLCRO, 1974, as amended. NOW, THEREFORE, the condition of the foregoing obligation is such that if the PRINCIPAL is granted a registration of financial responsibility pursuant to the Mechanical Code of St. Louis County, Chapter 1108 SLCRO, 1974, as amended, and if PRINCIPAL shall faithfully: A) observe all ordinances, rules and regulations adopted for the public health and safety pertaining to mechanical work performed within St. Louis County, Missouri; and B) indemnify St. Louis County, Missouri, or any other governmental agency, or any person, firm or corporation for any damage or injury sustained through the negligence of such PRINCIPAL, its servants, agents or employees in performing mechanical work or for any damages or injury sustained due to such PRINCIPAL s failure to perform mechanical work in a careful and workmanlike manner in conformity with Chapter 1108 SLCRO, 1974, as amended; and C) pay to St. Louis County, Missouri, all fees due St. Louis County, Missouri, within thirty (30) days from due date; and D) indemnify any person, firm or corporation with whom said PRINCIPAL contracts to do work for damages sustained due to failure of PRINCIPAL to do the work contracted, then this obligation shall be void. Otherwise, this obligation shall remain in full force and effect and the same may be sued upon by St. Louis County, Missouri, or by any person, firm or corporation with whom the PRINCIPAL may hereafter contract to perform mechanical work for any damage sustained by St. Louis County or by any such person, firm or corporation on account of the failure of the PRINCIPAL to observe, perform or satisfy conditions A through D of the preceding paragraph. PRINCIPAL and SURETY are aware that ordinances, laws, rules, regulations and/or fees pertaining to mechanical work are subject to change. PRINCIPAL and SURETY agree to be bound by any such changes and hereby expressly waive notice of any such change. This bond shall take effect on, 20, and shall remain in full force and effect until conditions A through D of this bond have been fully and faithfully observed, performed, or satisfied, provided however that PRINCIPAL or SURETY may terminate this bond upon thirty (30) days written notice to the St. Louis County Director of Public Works as to obligations arising from mechanical work for which no permit has yet been issued by St. Louis County and for which the PRINCIPAL has not begun any mechanical work. This bond cannot be canceled or terminated as to any obligation arising from mechanical work once St. Louis County has issued a permit for such work. (page 1 of 2)

7 INSURANCE/BONDING COMPANY NAME BOND # (page 2 of 2) ACKNOWLEDGMENT OF PRINCIPAL (Firm / Corporation / Individual) PRINCIPAL: By: Registrant: (Name of Company/Contractor) (signature of company's responsible officer) (name and title typed or printed below) (signature of license holder) (name and title typed or printed below) STATE OF ) COUNTY OF ) SS On this day of, 20, before me personally appeared (name of company officer) the above signed officer who acknowledged himself/herself to be the (title) of (name of company) and that he/she as such officer being authorized to do so, executed the foregoing instrument for the purposes therein contained by signing the name of the (name of company) a (company/corporation/partnership) by himself/herself as such officer. In witness whereof, I hereunto set my hand and official seal. Notary Public My commission expires: ACKNOWLEDGMENT OF SURETY SURETY: STATE OF ) COUNTY OF ) SS By: (Attorney-in-Fact) On this day of, 20 before me personally appeared, who being sworn, stated that he/she is attorney-in-fact for surety,, and that he/she signed this instrument as attorney-in-fact for the foregoing surety. My commission expires: Notary Public APPROVED AS TO LEGAL FORM: St. Louis County Counselor