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VEHICLE VERIFIER SURETY BOND

(Vehicle Code Section 11301)

Licensing Operations Division Bond Number
Occupational Licensing Branch SURETY USE ONLY
P.O. Box 932342, MS: L224
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Sacramento, CA 94232-3420 Premium Amount
SURETY USE ONLY

KNOW ALL PERSONS BY THESE PRESENTS:
That, ,
PRINCIPAL NAME
doing business as a vehicle verifier whose address for service is
VEHICLE VERIFIER 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 FIVE THOUSAND DOLLARS ($5,000), 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 11301, Vehicle Code, requires that the Principal file or have on file with the Department a bond in the sum of $5,000
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 State of California
arising out of activity under the Vehicle Verifier permit; and, shall not cause any loss to any person as a result of the principal incorrectly verifying
an engine, vehicle verification number or hull identification number, 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 (commencing with section 11300), 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 (commencing with section 11300), 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 the foregoing is true and correct. The undersigned
executes this bond on behalf of the surety under an unrevoked power of attorney.

Executed at
SIGNATURE OF ATTORNEY-IN-FACT
On (Date)
PRINTED OR TYPED NAME OF ATTORNEY-IN-FACT

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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 departments regulatory requirements.
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Bond Number: Enter the bond number. The bond number and the principal name should be included on all
correspondence to the department.

Premium Amount: Enter the premium amount.

Principal Name: Enter the true, full name of the Principal, which must match the name as presented on the
application submitted to the department.
Vehicle Verifier 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 companys 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 at: 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.