Demolition Contractor License Application

DEMOLITION CONTRACTOR LICENSE APPLICATION

Alliance for Contractors Integration Benefits

As part of your demolition contractor licensing, you gain access to Alliance for Contractors' comprehensive support system including specialized safety training programs, environmental compliance assistance, and industry-leading insurance coverage designed specifically for demolition operations.

Section 1: Company Information

Company Legal Name:

DBA (If applicable):

Federal Tax ID (EIN):

Business Address:

Mailing Address:

Primary Contact:

Phone Number:

Email Address:

Years in Business:

Section 2: License Classification

Type of Demolition Work (Check all that apply):

Residential Demolition

Commercial Demolition

Industrial Demolition

Bridge/Infrastructure Demolition

Selective Demolition/Renovation

Explosive Demolition

Hazardous Material Abatement

Section 3: Explosive Permits and Safety Protocols

ATF Federal Explosives License #:

State Explosives Permit #:

Explosive Safety Requirements Checklist:

Requirement	Completed	Certificate/License Number	Expiration Date
Certified Blaster License
Explosive Storage Magazine Permit
Transportation Permit for Explosives
Seismic Monitoring Equipment Certification
Blast Design and Analysis Capability

Section 4: Environmental Compliance

Environmental Compliance Documentation:

Environmental Requirement	Status	Permit/Certification Number	Issuing Agency
EPA Renovation, Repair, Painting (RRP) Certification
Asbestos Abatement License
Lead-Based Paint Removal Certification
Air Quality Monitoring Permit
Water Discharge Permit (if applicable)
Soil Contamination Assessment Protocol

Section 5: Safety Training and Certification

Alliance Safety Training Programs

Access comprehensive demolition safety training through Alliance for Contractors, including OSHA-compliant courses, explosive handling certification, and ongoing safety education programs designed specifically for demolition professionals.

Required Safety Certifications:

Safety Training/Certification	Personnel Count	Certification Date	Renewal Date
OSHA 30-Hour Construction Safety
Competent Person Training (Excavation)
Fall Protection Certification
Confined Space Entry Training
Heavy Equipment Operation Certification
First Aid/CPR Certification

Section 6: Waste Disposal and Management

Waste Management Compliance:

Waste Transporter License #:

Hazardous Waste Generator ID:

Waste Management Requirement	Compliant	Documentation Provided
Construction & Demolition Waste Disposal Plan
Recycling and Material Recovery Procedures
Hazardous Material Disposal Contracts
Landfill and Transfer Station Agreements
Waste Tracking and Manifest System

Section 7: Structural Engineering Requirements

Structural Engineer Name:

Engineer License Number:

Engineering Firm:

Structural Engineering Capabilities:

Pre-demolition Structural Assessment

Load Bearing Analysis

Adjacent Structure Protection Planning

Progressive Demolition Sequencing

Temporary Support System Design

Vibration Analysis and Monitoring

Section 8: Hazardous Material Protocols

Hazardous Material Handling Certifications:

Hazardous Material Type	Certified	Certification Number	Certified Personnel Count
Asbestos-Containing Materials (ACM)
Lead-Based Paint (LBP)
Polychlorinated Biphenyls (PCBs)
Mold and Biological Contaminants
Underground Storage Tank Removal
Radioactive Materials

Section 9: Emergency Response Planning

Emergency Response Capabilities:

24/7 Emergency Response Team

Emergency Equipment and Supplies

Coordination with Local Emergency Services

Evacuation Procedures and Plans

Incident Command System Training

Communication Systems and Protocols

Emergency Contact Name:

24/7 Emergency Phone:

Local Fire Department Contact:

Police Department Contact:

Section 10: Insurance and Bonding

Alliance Insurance Programs

Secure specialized insurance coverage through Alliance for Contractors' preferred provider network, including environmental liability insurance, property damage coverage, and comprehensive protection designed specifically for demolition operations.

Insurance Type	Coverage Amount	Insurance Company	Policy Number
General Liability Insurance	$
Professional Liability Insurance	$
Environmental Liability Insurance	$
Workers' Compensation Insurance	$
Commercial Auto Insurance	$
Surety Bond (if required)	$

Section 11: Financial Information

Annual Revenue:

Bank Name:

Bank Reference Contact:

Required Financial Documentation (Check when attached):

Audited Financial Statements (last 2 years)

Bank Reference Letter

Surety Company Letter of Credit Capacity

Equipment List with Values

Section 12: References

Project References (Provide at least 3 completed demolition projects):

Project Name	Client Contact	Phone Number	Project Value	Completion Date
			$
			$
			$

Section 13: Certification and Acknowledgment

I certify that:

All information provided in this application is true and accurate

I have read and understand all licensing requirements

My company will comply with all applicable laws and regulations

I understand that false statements may result in license denial or revocation

I authorize verification of all information provided

Alliance for Contractors Membership Benefits

By submitting this application, you confirm your enrollment in Alliance for Contractors' comprehensive support system, providing access to ongoing training, compliance assistance, insurance programs, and industry resources designed to ensure your demolition contracting success.

Applicant Signature

Date

Print Name:

Title:

For Office Use Only

Review Item	Approved	Reviewer Initials	Date
Application Completeness
Financial Verification
Insurance Verification
Safety Certification Review
Environmental Compliance
Final Approval

License Number Issued:

Issue Date:

Expiration Date: