860.02 APPLICATION INFORMATION.

   To obtain a license, the applicant must fill out a license application form containing the following information:

   (a)   Name of applicant. Must contain the following information:

      (1)   If a person, the name, residence and business address of the applicant;

      (2)   If a partnership, the name, residence and business address of each partner; and

      (3)   If a corporation, LLC or other state registered entity, the state of incorporation or registration, the name and business address of the entity and agent to be served, and the name and residence address of the principal officer, managing member or partner of the entity, if a foreign corporation or entity, the date it was authorized to do business in the state, together with the names of the particular officer, managing member or partner and Nebraska agent for service and their residence and business addresses;

   (b)   The number of years the applicant has engaged in the roofing contracting business;

   (c)   The number of employees that are being employed by the business;

   (d)   Insurance certificates or similar evidence that applicant employees are covered by workers' compensation insurance;

   (e)   Insurance certificate or similar evidence that the applicant is covered by liability insurance;

   (f)   State Tax and Federal I.D. Number; and

   (g)   Whether the applicant is registered with the State of Nebraska as a certified contractor.

(Ord. 1645. Passed 8-24-10.)