Form Cc-008 - Certificate Of Competency Application Page 6

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CERTIFICATE OF COMPETENCY APPLICATION
Section 6 - Financial Responsibility & Stability
Business Worthiness
6.1.
 Yes
 No
Are there any pending bankruptcies or unsatisfied judgments or liens against
yourself, a business you previously qualified, which were filed during your period
of qualification, or the business you’re applying to qualify?
If you answered yes to the above question, please complete section below and explain in detail and include any
supporting legal documents. If necessary include explanation on a separate sheet.
Type of Event:
County:
State:
Date of Event: (mm/dd/yyyy)
Have all sanctions been satisfied?
 Yes
 No
Description:
6.2.Credit Reports /Credit Score
 Yes  No
Have you applied for your credit report?
If so, from what company?
When did you apply for your credit reports?
(dd/mm/yyyy)
Does the submitted credit report show a credit score of 660 or higher?
 Yes
 No
If no, applicants with credit score between 580 to 659 may still meet the financial responsibility
requirement by obtaining a certificate of completion from an approved 14-hour financial responsibility
course from an approved provider. Otherwise you will need to re-apply once your credit score is 660 or
higher. Applicants with credit score below 580 do not meet requirements and the application will be
denied.
6.3.Financial Responsibility Course (Option for applicants with credit score between 580 to 659)
Have you completed a financial responsibility course approved by the Construction Industry Licensing
Board?  Yes
 No (If yes, please complete the fields below and provide copy of certificate)
School Name:
Name of Course:
Dates Attended:
(mm/dd/yyyy)
6.4.Business Financials
Please fill out the following form to comply with this section
A. Business Financial Form -required
Page 5 of 8
Form CC-008
Certificate of Competency Application
Rev. 12/9/16

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