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
Website: www.nscb.nv.gov
Nevada State Contractors Board Revised 2/16
Application for Permanent Raise In Limit Page 1 of 3
APPLICATION FOR PERMANENT RAISE IN LIMIT
General Instructions
1. Please type or print in ink when completing this form.
2. Make sure the application is properly signed by a principal.
3. Read all instructions carefully. The Board desires to provide courteous and timely service to all applicants.
To maximize its efficiency and the level of service, the Board will process complete applications only. A complete
application includes all applicable supporting documents and fees. The Board will not act as your agent in
gathering information or supporting documents necessary for the consideration of this application. Incomplete
applications will be returned to you.
4. Complete each section, answer all questions, and attach any required supporting documentation.
5. Include required fee of $250.00.
SECTION 1 BUSINESS NAME; LICENSE NUMBER
Business Name: Use the legal business name as it appears on your license. If there has been a change in your
legal business name, a separate change of name application is required.
License Number: This form can be used for more than one license only if the licenses are held by the same
business entity.
Legal Business Name: ______________________________________________________________________
(Use Name as Set Forth on the License)
License Number (s): _____________________
SECTION 2 MONETARY LIMIT REQUESTED
The Monetary Limit is the maximum contract a licensed contractor may undertake on one or more construction
contracts on a single construction site or subdivision site for a single client. It is determined by consideration of the
factors set forth in NRS 624.260, 624.262, 624.263, and 624.265. Please note: Staff reference these statutes to
assess your financial responsibility with regard to the monetary limit you are requesting.
State the specific Monetary Limit desired (value ranges are not acceptable): $____________
FOR OFFICE USE ONLY DO NOT WRITE IN THIS SPACE
Date Received: ____________ Amount: ___________ Receipt #: ___________ File No.: ________________
Withdrawn Date: _______________ Reason: ______________ Application No.:___________
Approved: ____________ Denied: _________________
Transaction Closed: Date: __________________ Entered by: ____________
Nevada State Contractors Board
Application for Permanent Raise in Limit Revised 9/14
Page 2 of 3
SECTION 3 – FINANCIAL RESPONSIBILITY REQUIREMENTS
NOTE: A financial statement IS REQUIRED regardless of the size/amount of the monetary limit.
1.
FINANCIAL STATEMENT REQUIREMENTS: Your financial statement will need to be prepared based on
the Monetary Limit you are requesting. It is important that you read through the specific requirements below,
and seek the assistance of a Certified Public Accountant (CPA) when necessary. All financial statements
must meet the following criteria:
o
Financial statements must be for the applying entity. Sole proprietors and each general
partner of a general partnership must submit personal statements.
o
All statements must be in U.S. dollars.
o
Business statements must include a classified balance sheet.
o
It is highly recommended that personal statements include a supplemental schedule disclosing
working capital.
MONETARY LIMITS OF $250,000 OR MORE:
o
A financial statement that is prepared and reviewed or audited by an independent
certified public accountant, current within 1 year from the date the application is received.
MONETARY LIMITS OF $50,000 OR MORE, BUT LESS THAN $250,000:
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
MONETARY LIMITS OF MORE THAN $10,000, BUT LESS THAN $50,000:
o
A compiled financial statement prepared by an independent CPA, current within 6
months from the date the application is received; or
MONETARY LIMITS OF $10,000 OR LESS:
Self-prepared or compiled statements must be current to within 6 months from the date the application is
received.
o
A current financial statement prepared by an independent CPA; or
o
A current financial statement submitted using the Board’s form online. If you are not familiar with
the financial terms, documents, or general small business requirements, please visit the Nevada
Business Development Center online at:
http://nsbdc.org/ or call (800) 240-7094. This site
contains important information for small business owners and allows you to request individual
counseling services, which may be helpful in completing the requested information within this
licensing application.
SECTION 4 - GENERAL QUESTIONS
Answer all questions and attach any supplemental information required. Your answer to each question
applies to the licensee, as well as all individuals, officers, associates, members, or managers.
1. Are there any pending bankruptcy proceedings under your individual name, a corporate name, or any other
business entity name in which you have an interest?
No Yes If yes, attach a copy of the creditor list and plan of reorganization.
2. Are there now any unpaid past due bills for either materials, services rendered, or labor?
No Yes If yes, attach a detailed explanation.
3. Have you, or any of you, or any business entities of which you were a member, partner, officer, director, or
associate received any notice of liens, suits, judgments, or claims (including tax claims) which remain
unsatisfied?
No Yes If yes, attach a detailed explanation.
4. Are there any liens or stop notices for labor or materials filed on any of your work anywhere?
No Yes If yes, attach a detailed explanation.
Nevada State Contractors Board
Application for Permanent Raise in Limit Revised 9/14
Page 3 of 3
SECTION 5 - AFFIDAVIT AND AUTHORIZED SIGNATURE
I am authorized to sign this Affidavit and Release Authorization on behalf of the licensee described and identified in
this application.
To the best of the licensee’s / applicant’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 / applicant’s
knowledge, the information contained in the application and its supporting documents are truthful, correct, and
complete; and, discloses all material facts regarding the applicant and associated individuals necessary to properly
evaluate the applicant’s qualification for licensure.
The licensee / applicant will ensure that any information subsequently submitted to the Board in conjunction with this
application or its supporting documents meets the same standard as set forth above.
The licensee / applicant 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 / applicant 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.
Signature Requirements: A principal of the applying company must sign this application.
By: _________________________________ Title: _________________
(Signature)
_________________________________ Date: _________________
(Print Name)