Year 2016 Contractor License Packet



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NEW CASTLE COUNTY Year 2016 Contractor License Packet FOR PERMIT CONTRACTOR ENDORSEMENT HOLDERS DEPARTMENT OF LAND USE 87 READS WAY, NEW CASTLE, DE 19720 PHONE: 302-395-5420 WWW.NCCDELU.ORG Building Contractors: Completed license packets will be accepted by mail or may be delivered in person to the address stated below. NCC is unable to accept email submissions as an original signed/sealed bond is required. Renewals: All renewal license packets must be submitted by December 31, 2015. Failure to do so may cause a delay in the issuance of your permits and related services. An incomplete submission of license materials will be returned prior to processing, however monies will be held in your escrow account with New Castle County until a complete submission is received and processed. New Castle County Department of Land Use License Processing 87 Reads Way, New Castle, DE 19720 Utility Contractors: All new license holders must deliver in person a complete license submission and provide proof of identity. Renewals for Utility Contractors may be submitted by mail or delivered in person. NCC no longer requires utility license holders licensed with NCC in the previous year to renew in person. Please be advised that each license holder must possess a valid State of Delaware, Division of Professional Regulation Master Plumber or Master HVACR license prior to submitting for a New Castle County contractor license. This packet contains the following: 2016 License Instruction Sheet for Building Contractors Page 2 2016 License Instruction Sheet for Utility Contractors Page 3 License, Bonding, Insurance and Code Information Sheet Page 4 Identification of Authorized Agents Form Page 5 2016 Statutory Compliance Bond Form Pages 6 & 7 Building Contractor License Application Pages 8 & 9 Utility Contractor License Application Pages 10 & 11 This information and all forms are available on the New Castle County Land Use website at: www.nccdelu.org All renewal license packets MUST BE SUBMITTED BY DECEMBER 31, 2015. Failure to do so may cause a delay in the issuance of your permits and related services. Code Book Notice: New Castle County adopted the 2015 International Codes with amendments in March of this year. All permit-endorsed contractors are required to obtain the 2015 International Code(s) that are applicable to their trade at time of license application or present documentation that they have previously obtained a copy. Notification to Contractors: New Castle County will now issue all notices, bulletins, and announcements via email blasts and webpage postings. Please provide a valid email address on your application to receive the notices. Without a valid email address, it will be the contractor s responsibility to periodically review the Land Use website for information at www.nccdelu.org.

2016 Application Instructions for Building Contractor License with Permit Contractor Endorsement Done Required Forms 1. 2016 Building Contractor Application Pages 8 & 9 2. Copy of State of Delaware Business License for the Year 2016 or later 3. Current Certificate of Liability Insurance The certificate holder must read: NCC Department of Land Use License Processing 87 Reads Way New Castle, Delaware 19720 4. 2016 Statutory Compliance Bond Pages 6 & 7 5. Identification of Authorized Agents Form for Year 2016 Page 5 6. New Home Builders Warranty 7. Fee Includes License Fee and 2015 Code Book Purchase, if applicable Special Instructions IMPORTANT: Remember to sign back of application. ALL sections must be completed in full. Partial completion will result in submission return. A temporary license for Contractor Resident or Non-resident or an official receipt from the State of Delaware for a Contractor Resident or Non-resident license will be accepted. A copy of the official license must be submitted upon receipt. If applying for a multiple-year license with permit endorsement, a multiple-year license from the State of Delaware must also be submitted. This license is obtained from the State of Delaware, Division of Revenue Office 302-577-8778. The applicant shall provide to New Castle County proof that said person maintains insurance coverage for bodily injury and property damage liability in the following amounts: A. Bodily Injury Liability with a minimum limit of two hundred fifty thousand dollars ($250,000.00) for all damages arising out of personal injuries to or death of one person in any one occurrence, and, subject to that limit for each person, an aggregate limit of five hundred thousand dollars ($500,000.00) for all damages arising out of personal injury to or death of two or more persons in any one occurrence. B. Property Damage Liability with a minimum limit of two hundred fifty thousand dollars ($250,000.00) for all damages arising out of injury to, destruction of, or loss of use of property in any one occurrence. The original sealed bond must be submitted with the license submission. Please make sure the bond is the original sealed bond and is properly signed and the principal name on the bond matches the business name on your license application. Many bond companies and agents have the NCC 2016 bond form available on their computer database. You may submit the form generated by your bond company or agent, but it must exactly match the wording on the enclosed bond form. Note: New Castle County will no longer accept continuation certificates. This optional form identifies all representatives who are authorized to act on behalf of a licensed contractor and is required to be updated every year. This verification is required for New Castle County Land Use services, such as a building permit application, final inspection checklist signature, and certificate of occupancy. For New Home Builders Only - This classification requires a letter from an approved Warranty Company stating they will warrant every new home built under a contractor s license. A list of approved Warranty Companies can be obtained at the Department of Land Use. Cash or check payable to: New Castle County. License fees are identified on the application and also in the information sheet on page 4 of this packet. Note: New Castle County adopted the 2015 International Codes in 2015. All contractors will be required to purchase the appropriate code book(s). Refer to page 4 in this packet for more details. Page 2

Done 2016 Application Instructions for Utility Contractor License with Permit Contractor Endorsement Required Forms 1. 2016 Utility Contractor Application Pages 10 & 11 Special Instructions IMPORTANT: Both the License Holder and the Business Principal are to sign back of application. ALL sections must be completed in full. Partial completion will result in submission return. 2. Copy of State of Delaware Business License for the Year 2016 or later 3. Current Certificate of Liability Insurance The certificate holder must read: NCC Department of Land Use License Processing 87 Reads Way New Castle, Delaware 19720 4. 2016 Statutory Compliance Bond Pages 6 & 7 5. Identification of Authorized Agents Form for Year 2016 Page 5 6. For HVACR and Plumbing Contractors State of Delaware Trade License* *must be full size wall license listing any/all restrictions A temporary license for Contractor Resident or Non-resident or an official receipt from the State of Delaware for a Contractor Resident or Nonresident license will be accepted. A copy of the official license must be submitted upon receipt. If applying for a multiple-year license with permit endorsement, a multiple-year license from the State of Delaware must also be submitted. This license is obtained from the State of Delaware, Division of Revenue Office at 302-577-8778. The applicant shall provide to New Castle County proof that said person maintains insurance coverage for bodily injury and property damage liability in the following amounts: A. Bodily Injury Liability with a minimum limit of two hundred fifty thousand dollars ($250,000.00) for all damages arising out of personal injuries to or death of one person in any one occurrence, and, subject to that limit for each person, an aggregate limit of five hundred thousand dollars ($500,000.00) for all damages arising out of personal injury to or death of two or more persons in any one occurrence. B. Property Damage Liability with a minimum limit of two hundred fifty thousand dollars ($250,000.00) for all damages arising out of injury to, destruction of, or loss of use of property in any one occurrence. The original sealed bond must be submitted with the license submission. Please make sure the bond is the original sealed bond and is properly signed and the principal name on the bond matches the business name on your utility license application. Many bond companies and agents have the NCC 2016 bond form available on their computer database. You may submit the form generated by your bond company or agent, but it must exactly match the wording on the enclosed bond form. Note: New Castle County will no longer accept continuation certificates. This optional form identifies all representatives who are authorized to act on behalf of a licensed contractor and is required to be updated every year. This verification is required for New Castle County Land Use services, such as a building permit application, final inspection checklist signature, and certificate of occupancy. These classifications require a copy of the License Holder s current State of Delaware Trade License (wall size) issued by the State of Delaware Division of Professional Regulations 302-739-4522. This requirement for mechanical contractors replaces the previous testing completed under NCC. All contractors performing HVACR and Plumbing work must possess State trade license. 7. Decorative Appliance Contractors (Gas and/or Solid Fuel) This classification requires a copy of the License Holder s current certificate for either Gas and/or Solid Fuel, issued by the N.F.I., National Fireplace Institute 703-524-8030. This is required annually. 8. Outside Utility Contractors New applicants must provide a copy of the current Qualification Letter from the New Castle County Special Services Department 302-395-5742. Not required for renewals. 9. Sewer and Drain Cleaners Applicants must provide a copy of their current Equipment Approval Letter from the New Castle County Special Services Department Sewer Maintenance Section 302-395-5834. 10. Fee Includes License Fee and 2015 Code Book Purchase Cash or check payable to: New Castle County. License fees are identified on the application and also in the information sheet on page 4 of this packet. Note: New Castle County adopted the 2015 International Codes in 2015. All contractors will be required to purchase the appropriate code book(s). Refer to page 4 in this packet for more details. Page 3

2016 LICENSE, BONDING and CODE BOOK INFORMATION SHEET Building Contractor License with Permit Endorsement - Commercial and Residential License Category Maximum Project Valuation Required Surety Bond Additional Category Options/Info Class U Unlimited Value $200,000.00 -Home Builder 1 -Manf./Mod. Homes 2 License Fees 1 year expires 2016 $400.00 Class A $200,000.00 $150,000.00 -Home Builder 1 2 year expires 2017 -Manf./Mod. Homes 2 $800.00 Class B $100,000.00 $50,000.00 Class C $ 50,000.00 $25,000.00 -Manf./Mod. Homes 2 3 year expires 2018 $1200.00 Utility Contractor License with Permit Endorsement 3 License Category (as defined by State of DE license held) Required Surety Bond HVACR License 3 $25,000.00 (this selection includes any and all restricted license categories defined by the Sate of Delaware, Division of Professional Regulation) Decorative Appliance License $10,000.00 Master Plumber License 3 $10,000.00 Additional Category Options/Info Includes all Mechanical work Includes Gas and/or Solid Fuel categories Includes Sewer & Drain and Outside Utility work License Fees 1 year expires 2016 $400.00 2 year expires 2017 $800.00 Sewer & Drain Cleaner $10,000.00 3 year expires 2018 Outside Utility Contractor $50,000.00 $1200.00 1 2 3 New Home Builders All New Home Builders must, at a minimum, be licensed as a Class A building contractor. All New Home Builders must provide proof of membership with a New Castle County approved warranty company. A list of the approved warranty companies is available at the Department of Land Use. New HUD Approved Manufactured Home Dealers and Modular Home Dealers All New HUD Approved Manufactured Home and Modular Home Dealers must, at a minimum, be licensed as a Class B building contractor and provide proof of membership with an approved warranty company. HVACR and Plumbing Contractors now require a State of Delaware, Division of Professional Regulation License for their trades. This requirement replaces previous testing completed by NCC. HVACR Contractors may not obtain an NCC license without a State license. Required Code Book by License Category 4 Building Contractors Required Code Book Cost Class A,B,C,U 2015 International Building Code (IBC) $95.00 Building Contractors may purchase the IBC or IRC, depending on their scope of work. 2015 International Residential Code (IRC) $95.00 Utility Contractors Required Code Book Cost Forced Hot Air, Hydronic, Hood, Decorative Appliance, A/C and Refrigeration license holders Plumber, Sewer & Drain Cleaner and Outside Utility license holders *Utility contractors with both mechanical and plumbing licenses may purchase a 3-code bundle 2015 International Mechanical Code Bundle* includes both the Mechanical Code (IMC) and the Fuel Gas Code (IFGC) 2015 International Plumbing Code Bundle* includes both the Plumbing Code (IPC) and the Fuel Gas Code (IFGC) 2015 International Mechanical and Plumbing Code Bundle includes the Mechanical Code (IMC), the Plumbing Code (IPC), and the Fuel Gas Code (IFGC) $140.00 $140.00 $210.00 The code books may be mailed for an additional shipping fee or picked up in person at the Government Center $10.00 4 Additional Code Book Categories A complete list of code books adopted and/or enforced and available for purchase by New Castle County is available online and at the Land Use Customer Service Desk. Page 4

NEW CASTLE COUNTY 2016 Identification of Authorized Agents DEPARTMENT OF LAND USE SUBMISSION DATE 87 READS WAY, NEW CASTLE, DE 19720 REPLACES FORM DATED: PHONE: 302-395-5400 WWW.NCCDELU.ORG THIS FORM ADDS ADDITIONAL AGENTS The form identifies all representatives that are authorized to act on behalf of a licensed contractor. All names and signatures of authorized individuals must be completed prior to the notarized signature of the Principal / License Holder. Business Name: NCC License ID: License Holder (applicable for utility contractors): As a principal/license holder of the above named company, I hereby authorize the following individuals to perform the New Castle County Land Use services listed: Apply For and Obtain Building Permits Accept Certificates of Occupancy Sign Final Inspection Checklists Sign Lines and Grades Utility License Holders also authorize the individual to: Apply and Obtain Utility Permits on behalf of the license holder. It is understood that this authorization is not a loan of license and the license holder is responsible for supervising and having direct involvement with all work done pursuant to permits signed by the authorized individual [Sec.6.03.003]. Print Name of Authorized Agent Signature of Authorized Agent It is understood that all authorizations are in good standing until amended in writing and received by the Department of Land Use. Principal / License Holder Signature* Printed Name Date SUBSCRIBED AND SWORN TO before me this day of,20. Notary Public My commission expires on Seal or stamp must be affixed *Only the License Holder may assign authorized agents for utility companies, not the business principal. Page 5

New Castle County Department of Land Use Statutory Compliance Bond 2016 License Period Surety: (Address) Bond No. Penal Sum: Effective Date: (dated 1/1/2016 or later) Principal: Expiration Date: January 1, 2017 (Company Name and Address) License Period: January 1, 2016 to January 1, 2017 KNOW ALL PERSONS BY THESE PRESENTS, that Principal and Surety are held firmly bound unto New Castle County, a political subdivision of the State of Delaware, in the penal and full amount of this bond, for the payment of such sum shall well and truly be made, we bind ourselves and our heirs, executors, administrators, successors and assigns, jointly and severally, firmly by these presents. WHEREAS, the above bound Principal has made application to New Castle County for a contractor license with permit contractor endorsement in the following category(s): Class U Building Contractor $200,000 HVACR Contractor $25,000 Class A Building Contractor $150,000 (this selection includes any/all restricted categories Class B Building Contractor $ 50,000 under the Master HVACR contractor license) Class C Building Contractor $ 25,000 Master Plumber Contractor $10,000 Outside Utility Contractor $ 50,000 Sewer and Drain Cleaner $10,000 Third Party Inspector $ Decorative Appliance Contractor $10,000 NOW THEREFORE, in consideration of the contractor license with permit contractor endorsement now or hereafter being granted or continued, Principal and Surety shall: I. Comply with all provisions of the New Castle County Building Code and all applicable federal and State of Delaware laws and regulations affecting or relating to the business or occupation that the contractor license with permit contractor endorsement is issued the same as if such requirements and provisions were fully set forth in this bond and by reference such requirements and provisions are made a part hereof. II. Faithfully correct any and all violations of the New Castle County Building Code and all laws, ordinances, and regulations affecting or relating to the business or occupation that the contractor license with permit contractor endorsement is issued discovered within three years from the date of the issuance of the certificate of occupancy or the certificate of completion subject to tolling and accrual provisions of 10 Del. C. 8106. III. Indemnify and hold harmless New Castle County, its officers, employees, agents, and representatives from any and all liability, loss, damage, or expense of any kind whatsoever that New Castle County, its officers, employees, agents and representatives may sustain or that may be recovered from it or them by reason of the issuance of a contractor license with permit contractor endorsement or from claims related or connected to the execution of work performed by Principal, its, his or her agents and employees, or any subcontractor or any other person under Principal's supervision, direction or control. Revised 11/01/15

Statutory Compliance Bond 2016 License Period Page 2 IV. Pay all penalties, fees, and charges that are imposed by New Castle County pursuant to the New Castle County Code if Principal fails to pay such charges within thirty (30) days after they are due. PROVIDED, HOWEVER, that this bond is subject to the following conditions and provisions: 1. If Principal fails to correct any code violations after being noticed and having the opportunity to contest such violations pursuant to the applicable violation, enforcement, and penalty provisions enumerated in the New Castle County Building Code, then Surety shall remedy the default within sixty (60) days of notification by New Castle County. 2. The aggregate penalty of this bond shall not exceed the penal sum stated in this bond. 3. Any claim under this bond shall be instituted before the expiration of three years from the date the certificate of occupancy or certificate of use is issued subject to tolling and accrual provisions of 10 Del. C. 8106. 4. This bond applies to work permitted during the License Period only. 5. Surety may cancel this bond by giving forty-five (45) days advanced notice in writing to the Principal and the New Castle County Code Official at: Office of the Code Official New Castle County Department of Land Use 87 Reads Way New Castle, DE 19720 Surety's liability shall cease upon effective date of cancellation, except with respect to losses, claims or obligations associated with work permitted during the License Period before the effective date of cancellation. 6. This bond may not be continued in whole or in part past the Expiration Date. IN WITNESS THEREOF, Principal and Surety hereby sign and seal this Bond: Principal (SIGNATURE) (Must be listed as principal of company on license application) Surety (SEAL) (Agent must attach proof of authority to act as Attorney-in-fact for Surety.) By: By: Signature Signature (Seal) Print Name Title Print Name Title Date: Date: Claim Contact Information (include address and phone number): Revised 11/01/15

New Castle County Department of Land Use 2016 Building Contractor License Application for Permit Endorsement Holders Company Information Business Name Business Address Street Address New Applicant Renewal Application NCC License ID (if renewal) City State Zip Code Business Phone E-mail Address Ext. Business Fax Mobile Phone Business Owner or Principal Name Office Contact(s) Phone Number State of DE Business License # Federal Tax ID # License with Permit Contractor Endorsement Application Information Select the category for which you choose to be licensed. Refer to packet attachments for full details and/or requirements. Category and License Fees Check the appropriate box License Periods Expiration date selected must match State of DE Business License Class U Unlimited project valuation Class A $200,000 maximum project valuation Class B $100,000 maximum project valuation Class C $50,000 maximum project valuation 2015 Code Book Purchase (see page 4 of packet for details) 1 year expires 2016 $400 $400 $400 $400 2 year expires 2017 $800 $800 $800 $800 3 year expires 2018 $1200 $1200 $1200 $1200 2015 Int l Building Code $95.00 2015 Int l Residential Code $95.00 Shipping fee for code book $10.00 Quick Review of License Requirements (check all the appropriate boxes prior to submission) Application front and back of application completed and signed Year 2016 or later State of Delaware Business License for contractors Current Certificate of Liability Insurance 2016 Compliance Bond back must be signed by owner and have a seal Authorized Agent Form optional form for those acting on licensed contractor s behalf New Home Builder Warranty Letter for new home building contractors only Fee (license and code book fees) check issued to NCC Office Use Only Review & Approval Contact ID: Packet Processed Initials & Date: Trade License #s: Initials & Date: Code Books Verf d: Int l Building Code Int l Residential Code ***PLEASE COMPLETE REVERSE SIDE OF APPLICATION*** Page 8

CONTINUED 2016 BUILDING CONTRACTOR LICENSE APPLICATION COMPANY INFORMATION COMPLETE BUSINESS OR- INDIVIDUAL SECTION AND SIGN AT BOTTOM Business / Entity If you are applying on behalf of a business or entity seeking to become licensed please provide the following information (additional sheets may be attached): 1. The name(s), business address(s), and social security number(s) of the principal(s) and officer(s) of the business seeking to be licensed (i.e. President, Vice-President, Secretary, Treasurer, etc.): 2. The names and addresses of any prior or current construction business under which the named principal(s) operate or have operated as principal during the last five years: 3. Has the business seeking to become licensed ever had a previous registration or license to engage in a specified business denied, suspended or revoked? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. 4. Have any of the principals of the business been convicted of a crime or offense relating to fraudulent or dishonest conduct or behavior in Delaware or in any other state within the past five years? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. Individual If you are applying to become licensed in your individual capacity, please provide the following information: 1. Have you ever had a previous registration or license to engage in a specified business denied, suspended or revoked? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. 2. Have you been convicted of a crime or offense relating to fraudulent or dishonest conduct or behavior in Delaware or in any other state within the past five years? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. Signature I understand that the information contained in this application is of a continuing nature and I will notify the Department of Land Use, in writing, as to any change with respect to any of the information given on this application. I do solemnly declare and affirm under the penalties of perjury that I have researched the information sought by the questions in this application and that the matters set forth in the foregoing application are true and correct. Signature of Business Owner / Principal Date Page 9

New Castle County Department of Land Use 2016 Utility Contractor License Application for Permit Endorsement Holders Company Information Business Name Business Address Street Address New Applicant Renewal Application NCC License ID (if renewal) City State Zip Code Business Phone E-mail Address Ext. Business Fax Mobile Phone Business Owner or Principal Name Office Contact(s) Phone Number State of DE Business License # Federal Tax ID # License with Permit Contractor Endorsement Application Information Name (License Holder) Affiliation with Business Listed Above Street Address City State Zip Code Phone Number(s) License Information Refer to packet attachments for full details and/or requirements for license categories License Categories License Periods and Fees Check the appropriate box(es) 1 year Expires 2016 2 year Expires 2017 3 year Expires 2018 Master HVACR License* Master HVACR Restricted FHA License* Master HVACR Restricted Hydronic License* Master HVACR Restricted Hood License* STATE LICENSE REQUIREMENT *Selected license categories must match the License Holder s State of Delaware, Division of Professional Regulation License submitted with the application. Previous NCC testing categories will no longer be honored. Master HVACR Restricted Refrigeration License* License Fees (includes all selected categories) Master HVACR Restricted A/C License* Master HVACR Restricted Gas Piping License* Decorative Appliance Contractor Gas Solid Fuel Master Plumber (includes sewer/drain & utility)* Sewer & Drain Cleaner Outside Utility Contractor Code Books Required NCC now enforces the 2015 International Utility Codes and NCC Code requires Utility Contractors to obtain books. See page 4 of the packet for more details. 1 year expires 2016 $400.00 2 year expires 2017 $800.00 3 year expires 2018 $1200.00 2015 Int l Mechanical Code Bundle (includes IMC & IFGC) - $140.00 2015 Int l Plumbing Code Bundle (includes IPC & IFGC) - $140.00 2015 Int l Utility Code Bundle (includes IMC, IFGC, & IPC) - $210.00 Review & Approval Office Use Only Packet Processed Initials & Date: Contact ID: Trade License #s: Initials & Date: Verf d: IMC IPC Combo Proof of ID: DE Driver s Lic PLEASE COMPLETE REVERSE SIDE OF APPLICATION Page 10

Page 11 CONTINUED 2016 UTILITY CONTRACTOR LICENSE APPLICATION To Be Completed By License Holder 1. Have you ever had a previous registration or license to engage in a specified business denied, suspended or revoked? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. 2. Have you been convicted of a crime or offense relating to fraudulent or dishonest conduct or behavior in Delaware or in any other state within the past five years? Yes No If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. Signature I understand that the information contained in this application is of a continuing nature and I will notify the Department of Land Use, in writing, as to any change with respect to any of the information given on this application. I do solemnly declare and affirm under the penalties of perjury that the matters set forth in the foregoing application are true and correct. Signature of License Holder Date To Be Completed By Business / Entity Principal If you are applying on behalf of a business or entity where the company s principal is not the license holder, please provide the following information (additional sheets may be attached): 1. The name(s), business address(s), and social security number(s) of the principal(s) and officer(s) of the business seeking to be licensed (i.e. President, Vice-President, Secretary, Treasurer, etc.): 2. The names and addresses of any prior or current construction business under which the named principal(s) operate or have operated as principal during the last five years: 3. Has the business seeking to become licensed ever had a previous registration or license to engage in a specified business denied, suspended or revoked? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. 4. Have any of the principals of the business been convicted of a crime or offense relating to fraudulent or dishonest conduct or behavior in Delaware or in any other state within the past five years? If so, identify the license and/or registration, the locale, the circumstances surrounding each occurrence, and the date. Please attach additional sheets, if necessary. Signature I understand that the information contained in this application is of a continuing nature and I will notify the Department of Land Use, in writing, as to any change with respect to any of the information given on this application. I do solemnly declare and affirm under the penalties of perjury that I have researched the information sought by the questions in this application and that the matters set forth in the foregoing application are true and correct. Signature of Business Owner / Principal Date