ABC County Planning

Powered By SBS Portals

Kankakee County Contractor Registration Program
Contractor Registration Form

Company Name

Contact Person
Business Address. Street
City
State
Zip Code
Phone Number
Fax Number
Cell Number
Email

Check Your Trades

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

  

Trades Requiring State Licenses/Registrations

  

State Registration#

  

State Registration#

The Illinois Department of Public Health regulates the following trades and the licensing fee is waived. A Certificate of Insurance meeting the Kankakee County Contractor Registration Ordinance requirements must be submitted along with your completed application and copies of your state license and/or registration.

  
State License#

  
State Registration#
State License#

The applicant hereby states that he/she agrees to comply with all applicable ordinances, codes and regulations of Kankakee County. The applicant further states that he/she is authorized to sign this application on the behalf of the contractor or subcontractor listed above.

Position in Business
Signature of Owner or Authorized Agent
Date (mm-dd-yyyy)
Along with this completed application: (please submit the following documents showing Kankakee County as the holder)
  • Bond-$10,000 License and Permit Surety Bond issued by a State of Illinois approved & authorized insurer. The original signed bond must be on file for your registration to be completed.
  • Insurance-Certificate of Insurance that includes 10 days prior written notice of cancellation provision, $1,000,000 General Liability, $50,000 Property Damage and $100,000 Workers’ Compensation. All insurance policies must be issued by a company or companies approved and authorized to provide insurance in the State of Illinois and such insurance shall provide coverage in the State of Illinois.
    IF YOU HAVE NO EMPLOYEES, please request a “No Employee Affidavit”. The “No Employee Affidavit” must be submitted to waive the Workers’ Comp requirement.
  • Fee-$100 payable to the Kankakee County Treasurer
Please return your completed application to the Kankakee County Planning Department at 189 E. Court St., Kankakee, IL. 60901
Contractor's Registration is valid one (1) year from date payment is received
Any questions: Contact the Contractor Registration Coordinator at (815) 936-5550 or Fax (815) 937-2974

FOR OFFICE USE ONLY
Reg. Paid Date (mm-dd-yyyy)
Registration Exp.
Liability Ins. Exp
Work Comp Waived
Work Comp Exp.
Surety Bond Exp
Form of Payment
Assigned Registration #


Enter the code here

     


Copyright © 2005 - 2024 SBS Portals. All Rights Reserved