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2. All mechanical contractors must be licensed by the City of St. Anthony Village. Please complete this application and attach the following required documents:

   $25,000 Bond at the State of Minnesota or Bond Number
   A certificate of public liability insurance in the amount of $100,000 per person and $300,000 per accident for death or bodily injury, and $50,000 for property damage
   Proof of worker's compensation insurance
   
   

   
   

4. Company Name*
6. Address
8. City
9. State
10. Zip Code
12. Phone Number
14. Email Address
16. Federal Tax Identification #
17. MN Tax Identification #
19. Documents required

    Please upload the following documents:

    • $25,000 Bond at the State of Minnesota or Bond Number
    • Certificate of public liability insurance
    • Proof of worker's compensation insurance
21. Upload State of Minnesota Bond
22. Bond Number
24. Upload Certificate of Public Liability Insurance*
26. Upload proof of worker's compensation insurance*
Leave This Blank:


28. 1. Receive an email copy of this form.
29. Email address

    This field is not part of the form submission.

30. Submit

* indicates a required field