Travel Agency Bond

Professional & Vocational Licensing Division Main-$25,000 DEPT. OF COMMERCE & CONSUMER AFFAIRS Branch-$15,000 335 Merchant St., Room 301, P.O. Box 3469 HONOLULU, HAWAII 96801 Access this form via website at: www.hawaii.gov/dcca/areas/pvl STATUTORY BOND COLLECTION AGENCIES - CHAPTER 443B, HRS Bond No. For collection agency Office Location: (must be Hawaii business address) ( ) First & main office (Hawaii office only) ( ) Branch Office (Hawaii office only) Hawaii Business No: KNOW ALL MEN BY THESE PRESENTS: THAT WE, (Name of Principal) of , State of Hawaii, as Principal, and (Hawaii Business Address) as Surety, and authorized by (Name of Surety) the Insurance Commissioner, State of Hawaii, to transact the business of surety insurance, are held and firmly bound unto the State of Hawaii, in the full and just sum of ( ) in lawful money of the United States of America, and hereby bind ourselves jointly and severally, and our heirs, executors, administrators, successors and assigns, firmly by these presents. THAT WHEREAS, the said bounden Principal shall act or assume to act or advertise as a collection agency under the provisions of Chapter 443B, HRS, and rules promulgated pursuant thereto. THAT WHEREAS, the said bounden Principal shall faithfully, promptly and truly account and pay within thirty days after the calendar month, to its clients the net proceeds due on all collections made during the calendar month. THAT WHEREAS, the said bounden Principal shall comply with all requirements of Chapter 443B, HRS, and any other statute now in force or hereafter enacted with respect to the duties, conduct, obligations, and liabilities of collection agencies. NOW, THEREFORE, if the said bounden Principal, including its principal collector, employees, directors, officers, agents, volunteers and independent contractors shall faithfully and truly comply with Chapter 443B, HRS, and rules promulgated pursuant thereto, and all of the conditions previously stated in this bond, then this obligation shall be void; otherwise, this obligation shall be and remain in full force and effect. AND, in addition to any other remedy, the Director of Commerce and Consumer Affairs or any person claiming to have sustained any damage by reason of any breach of the conditions of this bond may bring action on the bond against the Surety for the recovery of any damages sustained therefrom. Any person who has a right of action to recover under this bond is entitled to receive a reasonable attorney's fee, to be allowed by the court, incurred to procure the recovery under this bond; provided, however, that the aggregate liability of the Surety shall in no event, exceed the amount of this bond. CA-02 0305R LP 1631 HI (10/08) AND, this bond shall be continuous in form and remain in full force and effect unless terminated or cancelled by the Surety. Termination or cancellation shall not be effective, unless written notice thereof is delivered by the Surety to the Principal and the Director of Commerce and Consumer Affairs at least sixty days prior to the date of termination or cancellation of this bond. The Surety, however, in any event, may be held liable under this bond for the statutory limitation period of six (6) years as provided for in Section 657-1(1), Hawaii Revised Statutes. AND, this bond may not be changed or amended without the prior written consent of the Director of Commerce and Consumer Affairs. IN WITNESS WHEREOF, we, the said Principal and the said Surety have hereunto set our hands and seals this day of A.D. 20 . Subscribed and sworn to before me Principal: this day of ,20 By: Notary Public, State of Its My commission expires: Subscribed and sworn to before me Surety: this day of ,20 By: Notary Public, State of Its Attorney-In-Fact My commission expires: -2-

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