NEVADA STATE CONTRACTORS BOARD
5390 KIETZKE LANE, SUITE 102, RENO, NEVADA, 89511 (775) 688-1141 FAX (775) 688-1271, INVESTIGATIONS (775) 688-1150
2310 CORPORATE CIRCLE, SUITE 200, HENDERSON, NEVADA, 89074 (702) 486-1100 FAX (702) 486-1190, INVESTIGATIONS (702) 486-1110
www.nscb.nv.gov
Nevada State Contractors Board (Rev 3/21)
Application for Single Project Limit Increase Page 1 of 3
APPLICATION FOR SINGLE PROJECT LIMIT INCREASE
IMPORTANT INFORMATION
I
n accordance with NAC 624.670, a licensee may apply to increase the established monetary limit for a single project
only. This application must be received by the Nevada State Contractors Board at least 5 working days
before the date you intend to submit the bid, not including the bid date.
T
he application must be approved by the Board before the submission of a bid by the contractor for the
project
.
A
licensee cannot submit more than five (5) applications for a single project increase during any twelve (12)
month period.
The Board has the authority to establish conditions for the approval of the application, such as requiring a
payment and performance bond, or any other condition the Board finds necessary to protect the public
interest.
GENERAL INSTRUCTIONS
1. Please type, or print in ink when completing this form, and make sure the application is properly signed.
2. A
ttach the required financial statement.
3. I
nclude required fee of $75.00
SECTION 1 BUSINESS NAME, LICENSE NUMBER
B
usiness Name (as listed on license):______________________________________________________________
Li
cense No: _____________________
Phone No.: (_____)________________ Fax No.: (_____)________________
Email Address: _______________________________________________________
FOR OFFICE USE ONLY DO NOT WRITE IN THIS SPACE
Date Received: ___________ Amount Paid: ___________ Receipt: _____________
Withdrawn Date:__________ Reason: _______________ File No.:______________
Approved: _______________ Denied: _______________ Application No.:____________________
Checklist Approval Updated: _______________________
Transaction Closed Date: _________________ Entered By: _______________
Nevada State Contractors Board (Rev 3/21)
Application for Single Project Limit Increase Page 2 of 3
SECTION 2 FINANCIAL STATEMENT REQUIREMENTS
1. Financial Statement Requirements: You must submit a current financial statement (statement) with this application
t
hat meets the following criteria.
Financial statements must be for the applying entity. Sole proprietorships and each general partner of a general
partnership must submit their personal statement.
All statements must be in U.S. dollars.
Business statements must include a classified balance sheet.
Personal statements that have been prepared by a Certified Public Accountant must include a supplemental
schedule disclosing working capital and net worth.
For Requested Monetary Limits of $10,000 or less you must provide one of the following:
o A current financial statement prepared by an independent certified public accountant; or
o A current financial statement submitted on a form prescribed by the Board (available on the Board’s websit
e
w
ww.nscb.nv.gov
, click on contractor forms); or
o A current financial statement (Balance Sheet) prepared using accounting software in accordance with
generally accepted accounting principles and accompanied by an affidavit that verifies the accuracy of the
f
inancial statement.
To prevent a delay in the processing of your application, if you are unfamiliar with preparing your own
financial statement, you are encouraged to seek the advice of an Accountant.
Note: Self-prepared or compiled statements must be current to within six months from the date t
he
app
lication is received.
For Requested Monetary Limits more than $10,000 but less than $50,000 you must provide one of the
following:
o A compiled financial statement prepared by an independent certified public accountant, current within 6
months from the date the application is received; or
o A reviewed or audited financial statement, prepared by an independent certified public accountant, current
within one (1) year from the date the application is received.
For Requested Monetary Limits of $50,000 or more but less than $250,000 you must provide one of the
following:
o A compiled financial statement with full disclosures, prepared by an independent certified public accountant,
current within 6 months from the date the application is received; or
o A reviewed or audited financial statement, prepared by an independent certified public accountant, current
within one (1) year from the date the application is received.
For Requested Monetary Limits of $250,000 or more: you must provide a financial statement that is prepared and
reviewed or audited by an independent certified public accountant, current within one (1) year from the date the
application is received.
SECTION 3 PROJECT INFORMATION
P
roject Name: _______________________________________________________________________________
I
ntended Bid Date: __________________ Limit Requested: __________________________
P
roject Address: _______________________________________ ______________________________________
(Street Address) (City, State, Zip)
Detailed Description of Work: __________________________________________________________
____________________________________________________________________
____________________________________________________________________
Nevada State Contractors Board (Rev 3/21)
Application for Single Project Limit Increase Page 3 of 3
OWNER OF PROJECT
Name: _______________________________________
Address: ______________________________________
(Mailing Address)
_______________________________________
(City, State, Zip)
Phone No: (________)_________________________
CONTRACTOR TO WHOM YOU ARE BIDDING
(if different than the owner)
Company Name: ___________________________
NV License #: _________________________
Contact Person: ________________________
Phone No: (________)_________________ __
The owner and/or general contractor to whom you are bidding will receive a copy of the Board’s decision.
SECTION 4 - AFFIDAVIT AND AUTHORIZED SIGNATURE
T
o the best of the licensee’s knowledge, the information contained in the application and its supporting documents are
free of fraud, misrepresentation, or omission of material fact. To the best of the licensee’s knowledge, the information
contained in the application and its supporting documents are truthful, correct, and complete.
The licensee will ensure that any information subsequently submitted to the Board in conjunction with this application or
its supporting documents meet the same standard as set forth above.
T
he licensee understands that this application will be classified as a public record and will be available for inspection by
the public, except with regard to the release of information classified as confidential pursuant to NRS 624.110.
The licensee understands that the Nevada State Contractors Board has the authority to conduct appropriate background
investigations for the purpose of verifying all statements and facts represented in this application and supporting
documentation.
S
ignature Requirements: A principal of the applying company must sign this application.
Sole Proprietorship Must PERSONALLY sign this application.
General Partnership A PARTNER must sign this application.
Limited Partnership A GENERAL PARTNER must sign this application.
Corporation - An OFFICER of the corporation must sign this application.
Limited Liability Company - A MEMBER OR MANAGER must sign this application.
B
y: _________________________________ Title: _________________
(Signature)
_________________________________ Date: _________________
(Print Name)