ACIC, also known as American Contractors Indemnity Company, is a specialty insurer that writes surety bonds for licensed contractors. It is part of the Tokio Marine HCC group. The HCC surety division issues contractor license bonds in California and many other states. When a bonded contractor breaches their obligations, you file this form to start the claim process. ACIC reviews the claim and pays valid losses up to the bond limit. The insurer then seeks repayment from the contractor.
The form covers four main types of contractor failure.
First is project abandonment. The contractor stops work before completing the job. You hire someone else to finish, and you claim the extra cost.
Second is misappropriation of funds. The contractor receives payment but does not spend it on your project. Instead, the money goes elsewhere.
Third is substandard workmanship. The finished work does not meet the quality or safety standards set out in the contract or required by California building codes.
Fourth is failure to progress. The contractor is still active but moves so slowly that the project timeline is unreasonably delayed.
Before filling out the form, gather these items.
Contractor information: full name, California license number, and business address. You can verify the license on the CSLB website before you file.
Contract documents: a copy of the original signed agreement, change orders, and any addenda. If the agreement was verbal, describe the scope and dates in as much detail as you can.
Payment records: all invoices, receipts, and bank transfers showing what you paid and when.
Damage estimate: a written estimate from a licensed contractor for the cost to complete or repair the work. This helps ACIC measure the financial loss.
Written communications: emails, text messages, or letters that show the contractor acknowledged the problem or failed to respond.
CSLB complaint number: if you filed a complaint with the Contractors State License Board, include the reference number on the form.
The form requires you to sign a certification under penalty of perjury. You declare that all the information you provided is accurate and complete. The form also contains a fraud warning. Filing false information is a criminal offense under California law. ACIC and the HCC legal team take fraud prevention seriously and may refer suspicious claims to authorities.
ACIC assigns a claim number to your case. The insurer notifies the bonded contractor in writing. Both parties may be asked for more documents or interviews. If ACIC confirms the breach falls within the bond scope, it pays the claimant up to the bond amount. The HCC claims team then pursues the contractor for repayment. Investigation timelines vary. Simple claims may resolve in a few weeks. Complex disputes can take several months. For related contractor documents, see the indemnity agreement template and the subcontractor agreement form.
| Question | Answer |
|---|---|
| Form Name | American Contractors Indemnity Co |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | american contractors indemnity company renewal, american contractors indemnity company phone number, american contractors indemnity company claims department, american contractors indemnity company claim form |
