Surety: Travelers
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Underwriting Required Application Required
STATE OF CALIFORNIA DMV USE ONLY
DEPARTMENT OF MOTOR VEHICLES
OL OR ACCOUNT NUMBER
REGISTRATION SERVICE SURETY BOND NAME
(Vehicle Code Section 11401)
Bond Number
SURETY USE ONLY
KNOW ALL PERSONS BY THESE PRESENTS:
That we,
PRINCIPAL NAME(S) AND DBA
,
doing business as a registration service whose address for service is
REGISTRATION SERVICE ADDRESS
as PRINCIPAL, and ,
SURETY NAME
a corporation organized under the laws of and authorized to transact a
STATE OF INCORPORATION
general surety business in the State of California, whose address for service is
SURETY SERVICE ADDRESS
, as SURETY, are held and firmly bound to the People of the State of
California in the penal sum of TWENTY FIVE THOUSAND DOLLARS ($25,000), for which payment we bind ourselves, our heirs, executors,
administrators, successors and assigns jointly and severally, firmly by these presents. The bond term shall begin on .
BOND EFFECTIVE DATE
WHEREAS, section 11401, Vehicle Code requires that the Principal file or have on file with the Department a bond in the sum of $25,000
and this bond is executed and tendered in accordance therewith.
NOW THEREFORE, the conditions of the foregoing obligation are that if the Principal shall not cause any loss to the public or the State of
California arising out of the operation of the registration service, then this obligation is to be void; otherwise it is to remain in full force and effect.
PROVIDED HOWEVER, this bond is issued subject to the following express conditions:
(1) This bond shall be deemed continuous in form and shall remain in full force and effect and shall run concurrently with the license
period for which the license is granted and each and every succeeding license period or periods for which said Principal may be licensed,
after which liability hereunder shall cease except as to any liability or indebtedness therefore incurred or accrued hereunder.
(2) This bond is executed by the Surety to comply with Chapter 2.5 (commencing with section 11400), Division 5, Vehicle Code and
chapter 2, title 14, part 2, Code of Civil Procedure and said bond shall be subject to all the terms and provisions thereof.
(3) The aggregate liability of the Surety hereunder on all claims whatsoever shall not exceed the penal sum of this bond in any event.
(4) This bond may be cancelled by the Surety in accordance with Article 13 (commencing with section 996.310), chapter 2, title 14,
part 2, Code of Civil Procedure.
(5) The Surety, its successors and assigns, are jointly and severally liable on the obligations of the bond, chapter 2 (commencing with
section 995.010), title 14, part 2, Code of Civil Procedure and Chapter 2.5 (commencing with section 11400), Division 5, Vehicle Code.
(6) The Principal and Surety may be served with notices, papers and other documents under chapter 2 (commencing with section
995.010), title 14, part 2, Code of Civil Procedure at the addresses given above.
I certify (or declare) under penalty of perjury, under the laws of the State of California that I have executed the foregoing bond on behalf of the
surety under an unrevoked power of attorney.
Executed in X
SIGNATURE OF ATTORNEY-IN-FACT
On (Date)
PRINTED OR TYPED NAME OF ATTORNEY-IN-FACT
OL 605 (REV. 12/2004) WWW
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INSTRUCTIONS FOR COMPLETING THE SURETY BOND
FOR AN OCCUPATIONAL LICENSE APPLICATION
The surety must complete the bond as follows to meet the department's regulatory requirements.
Bond Number: Enter the bond number. The bond number and the principal name should be included on all
correspondence to the department.
Principal Name(s) and DBA (doing business as): Enter the true, full name of the Principal and DBA(s) which
must match the names as presented on the application submitted to the department. When the Principal is a:
Sole Owner List the true, full name of that person and each DBA name(s).
Partnership List the true, full name of each partner and each DBA name(s).
Limited Liability Company List the true, full name of the limited liability partnership or company and
each DBA name(s).
Corporation List the true, full name of the corporation and each DBA name(s) as filed and registered
with the California Secretary of State; include the assigned registration number.
Association List the true, full name of the association and each DBA name(s).
A surety bond will not be accepted unless it is issued in the true, full name of the occupational licensee as presented
on the application. When the name of the Principal is the same as the DBA name, only list the Principal's name.
Registration Service Address: Enter the address at which the principal may be served with notices, papers, and
other documents related to this bond.
Surety Name: Enter the true, full name as filed with the Department of Insurance. A surety issuing the bond must
be an admitted surety insurer authorized to transact business in California.
State of Incorporation: Enter the state or country where the surety company's incorporation documents are filed.
Surety Service Address: Enter the address where legal documents may be served on the surety.
Bond Effective Date: Enter the month, day and year of the bond effective date.
Executed in: Enter the city and county where the bond is signed.
On (date): Enter the month, date and year when the bond is signed.
Signature of Attorney-in-Fact: Sign the true, full name of the person who represents and is authorized to sign for
the surety company.
Printed or Typed Name of Attorney-in-Fact: Enter the true, full name of the person signing on behalf of the
surety company.
OL 605 (REV. 12/2004) WWW
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