CITY OF SANDUSKY
DEPARTMENT OF ENGINEERING SERVICES
Please complete the following information form and return this completed page with your fee. It may be mailed to the
address below (please mark Attention: Engineering Services/Licensing on the envelope) or you may visit our office in the
City Building during the hours of 7:00 a.m. – 5:00 p.m., Monday through Friday.
The City of Sandusky requires all contractors to license with the Department of Engineering Services. Contractor
registrations are valid for the calendar year in which it is issued and shall be renewed annually thereafter. License
renewals are excepted for the next year starting December 1 of each year.
Name (Contact Person)
City, State Zip
Mobile Phone Email
Social Security Number or Tax ID (optional)
Indicate which trades this registration covers:
Excavation and/or Sewer Builder Sidewalk Contractor House Moving Contractor
License fee - $25 per trade is required at the time of licensing.
This applicant agrees to conform to all ordinances of the
City of Sandusky relating to the trade(s) listed above.
The following items must be submitted with your application:
1. All Contractors shall provide evidence of public liability insurance in an amount not less than two hundred fifty
thousand dollars ($250,000) for injuries, including accidental death to any person, and subject to the same limit for
each person, in an amount not less than five hundred thousand dollars ($500,000) on account of one accident,
and property damage insurance in an amount of not less than one hundred thousand dollars ($100,000) or
combined single limits coverage of not less than three hundred thousand dollars ($300,000) with the City of
Sandusky named as co-insured.
2. Excavating, Sewer Builders and House Moving Contractors shall provide a surety bond in the amount of six
thousand dollars ($6000) issued by a surety company authorized to do business in this State conditioned that the
person, firm or corporation shall guarantee proper execution and completion in accordance with the applicable City
specifications and/or regulations of the work authorized by any permit issued under the license or licenses and
shall completely restore to its original condition and to the full satisfaction of the City Manager any street, alley,
public grounds, pavement, sidewalk, sewer or any other structure or service which may have been opened or
disturbed by the person, firm or corporations and shall in all things strictly comply with the conditions and
provisions of the City of Sandusky Ordinances and with the provisions of any permit issued pursuant thereto.
Insurance information and bond must accompany each license request. If this information is being sent in
separately by your insurance company check here: Licenses will not be valid until this information has been
Method of Payment: Cash Credit Card
Check – list check # ______________ Make checks payable to City of Sandusky
Mail or bring to: Department of Engineering Services, Licensing
222 Meigs Street
Sandusky, Ohio 44870
Telephone 419-627-5940, Fax 419-627-5814, firstname.lastname@example.org
Created: 10/20/04, Rev. 04/12/04, 08/11/04, 10/20/04, 11/05, 03/06\\Fs-engineer\GEN\Building Division\Engineering forms\Engineering Contractor
LICENSEE SURETY BOND
KNOW ALL MEN BY THESE PRESENTS, That we as Principal,
and as Surety, are held and firmly bound unto the City of Sandusky,
Ohio, in the sum of Six Thousand Dollars ($6,000.00) for the payment of which, well and truly to be made we do hereby
jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns, firmly by these
THE CONDITION of this obligation is such, that whereas the said Principle did on the day of
20___, apply for a license to conduct, carry on or engage in the business of
pursuant provisions of Section(s) 114.09, 1317.01-1317.99 of the Code of Ordinances of the City of Sandusky, Ohio for
the year 20 , that in consideration of the issuance of said license, said Principal shall well, truly and faithfully comply
with all the terms and conditions as set forth in said Section(s) and more particularly guarantee proper execution and
completion in accordance with the applicable City specifications and/or regulations of the work authorized by any permit
issued under the license or licenses and will completely restore to its original condition and to the full satisfaction of the
City Manager, any street, alley, public grounds, pavement, sidewalk, sewer, or any other structure or service which may
have been opened or disturbed by the person, firm or corporation and will in all things strictly comply with the conditions
and provisions of any permit issued pursuant hereto.
NOW, if the said Principal shall well and truly execute and complete all of the work authorized by any permit
issued under said license, all at above set forth, then after the expiration of one year after the expiration date of said
license this obligation shall be void, otherwise to remain in full force and virtue in law.
WITNESS our signatures this day of , 20 .
Signed in the presence of: