Laserfiche WebLink
SIGNED and SEALED this day of 2009. <br />PRINCIPAL <br />(SEAL OF PRINCIPAL) By: <br />Title: <br />IMPORTANT NOTICE <br />An individual doing business <br />under a firm name mustgive both <br />names, and the individual shall <br />designate himself as sole owner. <br />If a partnership, so state, and at <br />least one member of such <br />partnership must sign. <br />SURETY <br />COMPLETE MAILING ADDRESS <br />(SEAL OF SURETY) By: <br />Title: <br />COMPLETE MAILING ADDRESS <br />NOTICE TO SURETY <br />Section 26.1-03-01, N.D.C.C. Provides: <br />If a corporation, the full corpo- <br />rate name must be used and <br />the execution must be by an officer <br />of the corporation. <br />Any other person executing for <br />the principal or surety must at- <br />tach apower of attorney. <br />"Limitation on risks acceptable by company. An insurance company transacting an insurance business in this <br />state may not expose itself to loss on any one risk or hazard to an amount exceeding ten percent of its paid-up capital <br />and surplus if a stock company, or ten percent of its surplus if a mutual company, unless the excess is reinsured." <br />If excess reinsurance agreements are required on this bond, an affidavit executed by an officer of the surety shall be <br />attached, stating that such reinsurance agreements have been entered into and are in effect at the time the bond is <br />executed, giving the name an address of all companies with whom such agreements have been entered, and that <br />copies of such reinsurance agreements will be furnished to the North Dakota commissioner of insurance. <br />ACKNOWLEDGMENT OF PRINCIPAL <br />State of <br />County of <br />On this <br />ss. <br />day of 2009, before me a notary public in and for the state of <br />,personally appeared <br />be <br />known to me to <br />(title) of the principal described in the within instrument and who executed the <br />same and acknowledged to me that the same was executed for and on behalf of said principal. <br />Notary Public, State of <br />(Notary Public must print ar type name here.) <br />My Commission expires, <br />(NOTARY SEAL) <br />2 of 3 <br />