Amended item - Laserfiche WebLink

May. 7. 2007 1 :08PM Cass County HighwaY Dept, No.5912 P.3/5 SIGNED and SEALED this day of 2007 PRINCIPAL IMPORTANT NOTICE An individual doing business under a finn name must give both names, and the individual shall designate himself 8$ sole owner, If a partnership, so state, and at lea$t Ol1e member of such partnen;hip must sign. If a corporation, the full corpo- rate name must be used and the execution must be by an offloer of the corporation. (SEAL OF PRINCIPAL) By: Tille: SURETY COMPLETE MAIUNG ADDRESS (SEAL OF SURIlTY) By: Title: Any other person executing for the principal or surety must at- tach e power of attomey. COMPLETE MAlUI\tC AIJDRE88 NOTICE TO SURETY Section 26.1-03-01, N.D.C.C. Provides: "Limitation on risks acceptable by company. An insurance company transacting an insurance business in this state may not expose itself to loss on anyone risk or hazard to an amount exceeding ten percent of its paid-up capital and surplus if a stock company, or ten percent of its surplus If a mutual company, unless the excess is reinsured." If excess reinsurance agreements are required on this bond, an affidavit executed by an officer of the surety shall be attached, stating that such reinsurance agreements have been entered into and are in effect at the time the bond is executed, giving the name an address of all companies with whom such agreements have been entered, and that copies of such reinsurance agreements will be furnished to the North Dakota commissioner of insurance. ACKNOWLEDGMENT OF PRINCIPAL State of ss. County of On this day of 2007 before me a notary public in and for the state of I personally appeared r known to me to be (title) of the principal described in the within instrument and who executed the same and acknowledged to me that the same was executed for and on behalf of said principal. Notary Public, State of (Notlory Public m....' prlm or type name h.....) (NOTAR'( seALl My Commission expires 20f3