Application for General Contractor License

1. Type or print legibly in black ink only.

2. Review the checklist attached.
3. Sign and date application.
4. Attach Proof of Insurance, A.M. Best rating, Affidavits and Payment.
5. Mail application, completed in its entirety to: City of Chicago, General Contractor License, P.O. Box 388249, Chicago, IL, 60638-
8249.
Note: Failure to provide all requested supporting documents will delay the processing of your application. Separate sheets may be
attached if additional space is needed to provide required information.
Description of work and services the applicant will provide:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Please check the appropriate License classification. (Only one):

□ Class A license: is subject to no limitation as to the value of any single contract project. License fee: $2,000
□ Class B license: is not entitled to engage in construction of any single contract project of value in excess of $10,000,000.
License fee: $1,000
□ Class C license: is not entitled to engage in construction of any single contract project of value in excess of $5,000,000.
License fee: $750
□ Class D license: is not entitled to engage in construction of any single contract project of value in excess of $2,000,000.
License fee: $500
□ Class E license: is not entitled to engage in construction of any single contract project of value in excess of $500,000.
License fee: $300
Check appropriate box for your type of business structure:
□ Individual/Sole Proprietor
□ Individual doing business under an assumed name
□ Partnership
□ Corporation
□ Limited Liability Company

(Section 1)
Applicant Information:
If the Applicant is a Corporation or Limited Liability Company:*
Corporation Name: ____________________________________________________________________________________________
Principal Office Address:______________________________________ City: ________________ St.: ____________ Zip: ________
Business Phone Number:_______________________________________
Emergency Phone Number: _________________________ E-mail Address (required): ___________________________
Local Office, if different than principal office: __________________________ City: __________________ St.: ______ Zip: ______
Taxpayer Identification Number: _________________________________________________________________________________
State of Incorporation: ___________________________
Date Incorporated: ______________________________
*Attach additional sheet(s) listing the name, residence address, residence telephone number, social security number and date of birth
of all corporate officers and registered agents; attach Certificate of Good Standing from Illinois Secretary of State; attach General
Contractor’s License Affidavit for each (1) officer, director, manager, managing member or member of any entity seeking or holding
a general contractor’s license; or (2) owns, directly or indirectly through one or more intermediate ownership entities, 25% or more of
the interest in the licensee or applicant. (Attach a copy of the assumed name certificate issued by the County Clerk if applicable.)
Proceed to Section 2.
If the Applicant is an Individual/Sole Proprietor or Individual doing business under an assumed name (DBA):*
Business Name: _______________________________________________________________________________________
Business Address: _____________________________________ City:________________ St.: __________ Zip:________
Business Phone Number: _( _ _ _ _ _ )_ ____________________ E-mail Address (required): ___________________________
*Attach completed General Contractor’s License Affidavit for each (1) officer, director, manager, or member of any entity seeking or
holding a general contractor’s license; or (2) owns, directly or indirectly through one or more intermediate ownership, 25% or more of
the interest in the licensee or applicant, listing the name, residence address, residence telephone number, social security number and
date of birth. (Attach a copy of the assumed name certificate issued by the County Clerk if applicable.) Proceed to Section 2.

If the Applicant is a Partnership:*

Business Name: ________________________________________________________________________________________
Principal Office Address: _________________________________________________________________________________
Business Phone Number: __________________________________________
Emergency Phone Number: E-mail Address (required): _______________________________________________________
Local Office if different from principal office: ______________________________________________________________
*Attach additional sheet(s) listing the name, residence address, residence telephone numbers, social security number and date of birth
of all partners. Attach General Contractor’s License Affidavit for (1) partner, general partner, limited partner, managers, managing
member or member of any entity seeking or holding a general contractor’s license; or (2) owns, directly or indirectly through one or
more intermediate ownership, 25% or more of the interest in the licensee or applicant.
(Attach a copy of the assumed name certificate issued by the County Clerk if applicable.) Proceed to Section 2.

(Section 2)
*In the area provided below please list individually the applicant and all required members of appropriate business structure.
(See above.)
Name: ___________________________________________________________________________________________
(Last Name First Name MI)
Title: _____________________________________________________________________________________________
SSN#: ____________________________________________________ Date of Birth: ____________________________
Residence Address: _____________________________________ City: _________________ St.: ____ Zip: _______
Contact Phone Number: _________________________E-mail Address: _______________________________

Name: ___________________________________________________________________________________________
(Last Name First Name MI)
Title: _____________________________________________________________________________________________
SSN#: ____________________________________________________ Date of Birth: ____________________________
Residence Address: _____________________________________ City: _________________ St.: ____ Zip: _______
Contact Phone Number: _________________________E-mail Address: _______________________________
Name: ______________________________________________________________________________________________
(Last Name First Name MI)

Title: _______________________________________________________________________________________________
SSN#: _____________________________________________________ Date of Birth: ____________________________

Residence Address: __________________________________ City: _______________ St.: ____________ Zip: ________

Emergency Phone Number: __________________________ E-mail Address: _____________________________________

Name: ______________________________________________________________________________________________
(Last Name First Name MI)

Title: _______________________________________________________________________________________________
SSN#: ____________________________________________________ Date of Birth: ____________________________

Residence Address: ___________________________________ City: ______________ St.: ____________ Zip: _______

Contact Phone Number: _____________________________ E-mail Address: _____________________________________

Name: ______________________________________________________________________________________________
(Last Name First Name MI)

Title: _______________________________________________________________________________________________
SSN#: ____________________________________________________ Date of Birth: ____________________________

Residence Address: _________________________________ City: _______________ St.: ____________ Zip: ________

Contact Phone Number: _____________________________ E-mail Address: _____________________________________

Name: ______________________________________________________________________________________________
(Last Name First Name MI)

Title: _______________________________________________________________________________________________
SSN#: ____________________________________________________ Date of Birth: ____________________________

Residence Address: __________________________________ City: ______________ St.: ____________ Zip: ________

Contact Phone Number: _____________________________ E-mail Address: _____________________________________

(Section 3)
Previous business addresses: List all past business addresses from which the applicant has engaged in general contracting
in the last five years.

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

GCL A-1
(Section 4)
Proof of insurance – (include certified copy of insurance certificate naming the City of Chicago as an
additional insured, current A.M. Best Rating showing credit rating of B+ or higher and the following
information)

Name of insurance company:________________________________________________

Address: ______________________________________________________________

Phone number: _________________________________________________________

Insurance certificate number or policy number: ________________________________

Date Issued: _____________________ Expiration date:_________________________

SIGNATURE CERTIFICATION

Any change in any of the facts stated in this application shall be reported to the Commissioner of the Department
of Buildings within 14 days of the effective date of such change. Failure to comply with this requirement is
grounds for license revocation. Mail any changes to:

City of Chicago
General Contractor License
P.O. Box 388249
Chicago, IL 60638-8249

I, ____________________,as applicant (or otherwise as agent of the applicant) certify that the statements in this
application are true. I understand that any false or inaccurate information contained in this license application
may result in revocation of the license in addition to any other penalties provided by law. False statements made
within this application also may violate federal, state and/or local law, and may subject any person making such a
statement to a range of civil and criminal penalties, such as a period of incarceration, fines, and an award to the
City of Chicago of up to three times any damages incurred. In addition, persons who submit false information are
subject to denial of the requested City action.

____________________________________________________ ________________
Signature of Applicant Date

_____________________________________________________ _______________
Printed Name Date
 CITY OF CHICAGO
DEPARTMENT OF BUILDINGS
BUREAU OF LICENSING AND REGISTRATION
GENERAL CONTRACTOR LICENSE INSURANCE INSTRUCTIONS

4-36-090 Proof of insurance—Required.

Prior to the issuance of a general contractor license, each applicant shall furnish a certificate of insurance,
issued by an insurer authorized to insure in Illinois, with a credit rating of B+ or higher by A.M. Best Company,
evidencing commercial general liability insurance, as follows:
(A) If the applicant is applying for a Class A license: limits of not less than $5,000,000 per occurrence
(primary or umbrella) for bodily injury and property damage arising in any way from the issuance of
the license;
(B) If the applicant is applying for a Class B license: limits of not less than $3,000,000 per occurrence
(primary or umbrella) for bodily injury or property damage arising in any way from the issuance of
the license;
(C) If the applicant is applying for a Class C license; limits of not less than $1,000,000 per occurrence,
$2,000,000.00 in the aggregate combined single limit for bodily injury or property damage arising in any
way from the issuance of the license;
(D) If the applicant is applying for a Class D license: limits of not less than $1,000,000 per occurrence,
$2,000,000.00 in the aggregrate combined single limit, for bodily injury or property damage arising in
any way from the issuance of the license;
(E) If the applicant is applying for a Class E license: limits of not less than $1,000,000 per occurrence
for bodily injury or property damage arising in any way from the issuance of the license.

Each policy of insurance required under this section shall include a provision requiring 30 days’ advance notice
to the commissioner prior to cancellation or lapse of the policy. The licensee shall maintain the insurance
required under this section in full force and effect for the duration of the license period. A single violation of this
section shall result in suspension or revocation of the general contractor license in accordance with section
4-4-280 of this code. Each policy of insurance required under this section shall have the City of Chicago as an
addition insured on a primary, non-contributory basis.

The certificate must state that the notice will be sent to:

City of Chicago
General Contractor Licensing Program
P.O. Box 388249
Chicago, Illinois 60638-8249

YOU ARE REQUIRED TO LIST THE CITY OF CHICAGO AS AN ADDITIONAL INSURED.

YOU MUST PROVIDE A NEW INSURANCE CERTIFICATE AT LEAST 14 DAYS BEFORE

YOUR INSURANCE EXPIRES.

GCL A-1
CHECKLIST FOR GENERAL CONTRACTOR APPLICANTS

Each license application must provide the information listed below:

□ The class of license for which application is being made.

□ Description of work and services the applicant will provide.
□ The email address where applicant wishes to receive notifications.
□ A statement verified by affidavit as to whether any (1) officer, director, partner,
general partner, limited partner, manager, managing member or member of any
entity seeking or holding a general contractor's license; or (2) owns, directly or
indirectly through one or more intermediate ownership entities, 25% or more of the
interest in the licensee or applicant, as applicable is financially solvent.

□ The name and address of the principal location from which the applicant has
engaged in the business of general contracting at any time within the last five years.
□ If the applicant is not a sole proprietor, proof that the applicant is authorized to do
business in the State of Illinois.
□ If the applicant is doing business in Illinois under an assumed name, a copy of
assumed certificate by County Clerk.
□ If the applicant is a corporation, a copy of Certificate of Good Standing from Illinois
Secretary of State and the name and address of the corporation’s registered agent.
□ Proof of insurance as required by section 4-36-090 of the Municipal Code of
Chicago.
□ Certification from insurance company or insurance broker that it is currently rated B+
or better by A.M. Best Company.
□ The license fee as required by section 4-36-050(E) of the Municipal Code of
Chicago.
□ Photo identification must be provided.

For an individual, the applicant's driver’s license or other state-issued ID bearing the
applicant’s photograph, as well as a driver’s licenses or other state-issued ID’s
bearing the photograph of anyone who either signed the application and/or anyone
who signed the supporting affidavit (if different from the applicant, himself.)

For a general partnership, the driver’s license or other state-issued ID bearing the
photograph of the partner primarily responsible for day to day management decisions
for the partnership, and the driver’s license or other state-issued ID bearing the
photograph of anyone who signed the application and/or anyone who signed the
supporting affidavit (if different from the other two individuals.)
 For a limited partnership, the driver’s licenses or other state-issued ID’s bearing the
photograph of the managing partners, and the driver’s licenses or other state-issued
ID’s bearing the photograph of anyone who signed the application and/or anyone
who signed the supporting affidavit (if different from the other two individuals.)

For a limited liability corporation, the driver’s license or other state-issued ID bearing
the photograph ID of the managing member and the driver’s licenses or other state-
issued ID’s bearing the photograph of anyone who either signed the application
and/or anyone who signed the supporting affidavit (if different from the other
individuals.)

For a corporation, the driver’s license or other state-issued ID bearing the

photograph of the corporation's president or that of the local manager or the local
director and the driver’s license or other state-issued ID bearing the photograph of
anyone who either signed the application and/or anyone who signed the supporting
affidavit.

FOR ADDITIONAL INFORMATION AND COPIES OF THE GENERAL

CONTRACTOR’S ORDINANCE PLEASE VISIT THE DEPARTMENT OF BUILDINGS
WEBSITE AT:

www.cityofchicago.org/Buildings

The application must be completed in full and all attachments must be enclosed.
Please include License Fee and make check payable to Chicago Department of
Revenue and mail to:

City of Chicago
General Contractor License
P.O. Box 388249
Chicago, IL 60638-8249

If you have any questions please call (312) 744-3125

1. Incomplete applications will be returned to applicant.

2. Completed application will either be approved or rejected for licensure within
28 days.
3. Once your application is approved, your license will be mailed to your
business address within 10 Business days.
 GENERAL CONTRACTOR’S LICENSE
AFFIDAVIT

This affidavit is required for all Contractor’s license applications.

Under the penalty of perjury, I, the Undersigned, warrant that:

(1) I am authorized to execute this affidavit on behalf of the applicant.

(2) Each controlling person of the applicant is at least 18 years of age.

(3) The applicant and each controlling person of the applicant are financially solvent.

(4) All information, certifications and statements contained in the attached license application are
true, accurate and complete as of the date furnished to the City. Information pertaining to the
qualifications of each controlling person has been obtained on an individual basis from each
controlling person

(5) (a) Neither the applicant nor any controlling person has ever been convicted, is in custody, is
under parole or under any other non-custodial supervision resulting from a conviction in a
court of any jurisdiction for the commission of a felony or criminal offense of whatever
degree involving bribery; or

(b) If so, the details surrounding each conviction are provided in a separate attachment
submitted with this affidavit.

(6) Neither the applicant nor any controlling person is currently under indictment or has been
charged under any State or Federal law with the crime of bribery.

(7) I, ____________________,as applicant (or otherwise as agent of the applicant) certify that
the statements in this application are true. I understand that any false or inaccurate
information contained in this license application may result in revocation of the license in
addition to any other penalties provided by law. False statements made within this
application also may violate federal, state and/or local law, and may subject any person
making such a statement to a range of civil and criminal penalties, such as a period of
incarceration, fines, and an award to the City of Chicago of up to three times any damages
incurred. In addition, persons who submit false information are subject to denial of the
requested City action.

____________________________________ _____________________________
Print Applicant Name Title/Position in Business Entity

_______________________________________ _____________________________
Applicant Signature Name of Business Entity

_____________________________
Date
The term “controlling person” means any person who (1) is an officer, director, partner, general partner, limited
partner, manager, managing member of member of any entity seeking or holding a general contractor’s license; or (2)
owns, directly or indirectly through one or more intermediate ownership entities, 25% or more of the interest in the
licensee or applicant, as applicable.