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Before going forward.......

PLEASE NOTE

I agree to indemnify and save harmless the said Bonding Company from and in respect of any and all liability, claims, and/or demands to which it may be exposed or subject and all loss, costs, damages and expenses whatsoever, to include legal and law cost at law or in equity, or liability therefore, which it may be called upon to sustain or incur by reason of its said Bond, or making any investigation on account of same, and to immediately upon the demand of said Company place in its possession funds, either in cash or liquid securities, sufficient to meet the payment of any loss, damage, cost, charges or expenses, that it may be called upon to sustain by reason of its said Bond, and to admit the voucher of other proper evidence of payment by it of any loss, damage, costs, charges or expenses under its said Bond to be conclusive evidence against us and each of us of the fact and extent of our liability to it under this agreement, and we and each of us do hereby renounce the benefits of division and discussion and do hereby declare that we clearly understand and have willingly acknowledged.

By submitting, I agree that I understand the above. I understand I am agreeing to repay the bonding company immediately for any costs or payout should a claim be made on my bond

I also acknowledge that the premium is fully earned and should I cancel mid term there will be no refund.


I accept:

Copyright 2009, Lori Kieswetter All rights reserved. The Blanket Bond form is a copyrighted concept and wording exclusive to Lori Kieswetter