Additional information

Weight	1 oz
Bond Term	4-year
Delivery Method	Mailed/Shipped
Errors and Omissions (E&O)	Bond Only, $10,000, $15,000, $20,000, $25,000, $30,000, $35,000, $50,000, $75,000, $100,000
Surety Company	Travelers Surety, Western Surety Company

KNOWN ALL MEN BY THESE PRESENTS, THAT WE Bond No.
NOTARY NAME AND

Pennsylvania NOTARY PUBLIC BOND
AND OATH OF

NOTARY NAME (STREET AND NUMBER)

ID:
(CITY, STATE OR ZIP)

Connecticut
(COUNTY OF RESIDENCE) (STATE OF INCORPORATION)
COUNTY
AND RESIDENCE IN ARE HELD AND FIRMLY BOUND UNTO THE COMMONWEALTH OF PENNSYLVANIA, FOR THE USE THEREOF, IN THE PENAL SUM OF
TEN THOUSAND DOLLARS, FOR THE PAYMENT OF WHICH, WELL AND TRULY TO BE MADE, WE BIND OURSELVES, OUR HEIRS,
COUNTY EXECUTORS, ADMINISTRATORS, AND ASSIGNS JOINTLY AND SEVERALLY, FIRMLY BY THESE PRESENTS.
$10,000.00 WHEREAS, THE ABOVE BOUND PRINCIPAL HAS BEEN DULY APPOINTED A NOTARY PUBLIC IN AND FOR THE COMMONWEALTH OF
PENNSYLVANIA BY COMMISSION FROM THE SECRETARY OF THE COMMONWEALTH FOR THE PERIOD OF FOUR YEARS, TO COMPUTE
FROM
THIS BOND AND SURETY APPROVED NOW, THEREFORE, THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, THAT IF THE PRINCIPAL SHALL TRULY AND FAITHFULLY
AND FILED IN THE OFFICE OF PERFORM AND DISCHARGE THE DUTIES OF THE OFFICE OF THE NOTARY PUBLIC, IN ALL THINGS ACCORDING TO LAW, AND IF,
THE SECRETARY OF THE COMMONWEALTH IN CASE OF DEATH RESIGNATION OR DISQUALIFICATION, THE PRINCIPAL OR IN CASE OF DEATH, THE LEGAL REPRESENTATIVE OF THE
AT HARRISBURG PA, THIS DATE PRINCIPAL, SHALL DELIVER THE JOURNAL WHOLE AND UNDEFACED, TO THE OFFICE OF THE RECORDER OF DEEDS OF THE COUNTY IN
WHICH THE PRINCIPAL THEN MAINTAINS AN OFFICE, WITHIN THIRTY (30) DAYS OF SUCH EVENT, THEN THIS OBLIGATION TO BE NULL
AND VOID, OTHERWISE TO REMAIN IN FULL FORCE AND VIRTUE IN LAW.

SIGNED AND DELIVERED IN OUR PRESENCE : WITNESS OUR HANDS AND SEALS THIS

DAY OF , 20

L.S.
WITNESS PRINCIPAL

BY L.S,
SECRETARY OF THE COMMONWEALTH WITNESS Attorney-In-Fact SURETY

INSTRUCTIONS: [1] THE NOTARY PUBLIC LAW REQUIRES THAT THE COMMISSION OF ANY NOTARY SHALL BE NULL AND VOID IF THE NOTARY FAILS TO GIVE BOND AND CAUSE THE BOND,
COMMISSION AND OATH TO BE RECORDED WITHIN FORTY-FIVE DAYS AFTER THE BEGINNING OF THE TERM. [2] THE BOND MUST HAVE AS SURETY A DULY AUTHORIZED SURETY COMPANY
WHICH MUST EXECUTE THE ABOVE AFFIDAVIT. IF ACKNOWLEDGED BY AN ATTORNEY-IN-FACT, USE PARAGRAPH A AND STRIKE OUT B & C ON THE REVERSE SIDE. IF ACKNOWLEDGED
BY A RESIDENT VICE-PRESIDENT OR ASSISTANT SECRETARY USE PARAGRAPH B AND STRIKE OUT A & C. IN ALL OTHER CASES, USE PARAGRAPH C. [3] IF THE BOND IS EXECUTED BY
A CORPORATION, ATTORNEY-IN-FACT, RESIDENT VICE-PRESIDENT, OR OTHERWISE, A POWER OF ATTORNEY OR A COPY OF THE RESOLUTION AUTHORIZING ITS EXECUTION, AND A
CERTIFICATE THAT THE POWER OF ATTORNEY OR RESOLUTION IS IN FORCE, MUST BE ATTACHED HERETO.
—————————————————–

OATH OF OFFICE
AFFIDAVIT AND ACKNOWLEDGEMENT OF CORPORATE SURETY COMMONWEALTH OF PENNSYLVANIA
STATE OF IOWA

COUNTY OF Polk COUNTY OF
I DO SOLEMNLY SWEAR (OR AFFIRM) THAT I WILL
ON THIS DAY OF ,20 BEFORE ME, A Notary Public SUPPORT, OBEY AND DEFEND THE CONSTITUTION OF
(TITLE OF OFFICER) THE UNITED STATES AND THE CONSTITUTION OF THE
COMMONWEALTH AND THAT I WILL DISCHARGE THE
DUTIES OF MY OFFICE WITH FIDELITY.
A PERSONALLY APPEARED THE ABOVE NAMED AND IN HIS/HER
(NAME OF ATTORNEY-IN-FACT)
OWN NAME AND IN THE NAME OF HIS/HER CONSTITUENT AND DESIRED THE SAME TO BE RECORDED AS SUCH. (PRINCIPAL)
TAKEN, SWORN (OR AFFIRMED) AND SUBSCRIBED
B PERSONALLY APPEARED THE ABOVE NAMED AND BY VIRTUE BEFORE ME THIS DAY OF ,20
(NAME AND TITLE OF OFFICER)
AND IN PURSUANCE OF THE AUTHORITY CONFERRED UPON HIM/HER BY THE ABOVE NAMED SURETY COMPANY, ACKNOWLEDGED (SEAL)
I THE FOREGOING BOND TO BE HIS/HER ACT AND DEED AND THE ACT AND DEED OF THE SURETY COMPANY, AND DESIRED THE
SAME TO BE RECORDED AS SUCH.
(TITLE OF OFFICER)
C PERSONALLY APPEARED , SECRETARY OF THE ABOVE NAMED
SPECIAL NOTE TO RECORDER OF DEEDS
SURETY COMPANY, WHO BEING DULY SWORN ACCORDING TO LAW, SAYS THAT HE/SHE WAS PERSONALLY PRESENT AT THE
EXECUTION OF THE FOREGOING BOND AND SAW THE COMMON OR CORPORATE SEAL OF THE CORPORATION DULY AFFIXED PLEASE BE CERTAIN THAT THIS BOND IS PROPERLY
THERETO; THAT THE SEAL AFFIXED THERETO IS THE COMMON OR CORPORATE SEAL OF THE CORPORATION; THAT THE BOND COMPLETED AND THAT THE SEAL OF YOUR OFFICE
WAS DULY SIGNED, SEALED AND ATTESTED FOR IN BEHALF OF THE CORPORATION BY AUTHORITY OF ITS GOVERNING BODY; IS IMPRESSED AS REQUIRED. AS SOON AS IT IS
THAT THE ABOVE NAMED OFFICER WHO SIGNED THE BOND ON BEHALF OF THE CORPORATION WAS THEN THE DULY AUTHORIZED PROPERLY EXECUTED AND RECORDED, RETURN THE
OFFICER OF THE CORPORATION; THAT HE/SHE KNOWS HIS/HER SIGNATURE AND HIS/HER SIGNATURE SIGNED THERETO IS BOND PROMPTLY TO THE OFFICE OF THE SECRETARY
GENUINE. OF THE COMMONWEALTH FOR APPROVAL AND FILING.

DEPONENT FURTHER SAYS THAT THE ABOVE NAMED CORPORATION IS AUTHORIZED BY THE INSURANCE DEPARTMENT OF COMMONWEALTH OF PENNSYLVANIA
THE COMMONWEALTH OF PENNSYLVANIA TO BECOME AND BE ACCEPTED AS SOLE SURETY.

SWORN (OR AFFIRMED), SUBSCRIBED TO COUNTY OF
AND ACKNOWLEDGED BEFORE ME THE DAY
AND YEAR FIRST ABOVE WRITTEN. RECORDED ON
(SIGNATURE)
THE DAY OF ,20
IN THE OFFICE OF THE RECORDER OF DEEDS
(OFFICIAL SEAL) FOR THE COUNTY INDICATED HEREIN, IN

(SEAL OF RECORDER)

BOOK PAGE
WITNESS MY HAND AND THE SEAL OF MY OFFICE,
THE DAY AND YEAR ABOVE WRITTEN.

(RECORDER OF DEEDS)

Travelers Casualty and Surety Company
Travelers Casualty and Surety Company of America
One Tower Square, Hartford, Connecticut 06183

NOTARY PUBLIC ERRORS AND OMISSIONS POLICY
Policy No.
Term Premium:
Policy Effective Date:

The Company will pay on behalf of of
(the “Insured”), all sums which the Insured shall become
obligated to pay by reason of liability for breach of duty while acting as a duly commissioned and sworn Notary Public, claim for which is made
against the Insured by reason of any negligent act, error or omission, committed or alleged to have been committed by the Insured, arising out of the
performance of notarial service for others in the Insured’s capacity as a duly commissioned and sworn Notary Public.

POLICY PERIOD: This policy applies only to negligent acts, errors or omissions which occur during the Policy Period and then only if
claim, suit or other action arising therefrom is commenced within the applicable Statute of Limitations pertaining to the Insured. The Policy Period
commences on the Effective Date hereof and terminates upon the expiration of the Insured’s commission as a Notary Public unless cancelled earlier
as provided in this policy. This policy is not valid for more than one commission term.

LIMIT OF LIABILITY: The liability of the Company shall not exceed in the aggregate for all claims under this insurance the amount of:
$5,000 (Five Thousand) DOLLARS
$10,000 (Ten Thousand) DOLLARS
$15,000 (Fifteen Thousand) DOLLARS
$20,000 (Twenty Thousand) DOLLARS
$25,000 (Twenty Five Thousand) DOLLARS
$30,000 (Thirty Thousand) DOLLARS

$50,000 (Fifty Thousand) DOLLARS

$100,000 (One Hundred Thousand) DOLLARS

In addition to the limit of liability and in accordance with the other provisions of this policy, the Company will pay costs and expenses paid and
incurred in investigating, contesting or settling liability in an amount not to exceed, in the aggregate, one-half of the limit of this policy.

INSURED’S DUTIES IN THE EVENT OF OCCURRENCE, CLAIM OR SUIT:
(a) Upon knowledge of any occurrence which may reasonably be expected to result in a claim or suit, written notice containing
particulars sufficient to identify the Insured and also reasonably obtainable information with respect to the time, place and circumstances thereof,
and the names and addresses of the potential claimant and of available witnesses, shall be given by or for the Insured to the Company or any of its
authorized agents as soon as practicable, but in no event longer than forty-five (45) days after discovery.
(b) If claim is made or suit is brought against the Insured, the Insured shall immediately forward to the Company every demand,
notice, summons or other process received by him or his representative.
(c) The Insured shall cooperate with the Company and, upon the Company’s request, assist in making settlements, in the conduct
of suits and the Insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The
Insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense except with the prior written
consent of the Company.

EXCLUSIONS: Coverage under this policy does not apply to any dishonest, fraudulent, criminal or malicious act or omission of
the Insured.

OTHER INSURANCE: If the Insured has other insurance against a loss covered by this policy, the Company shall not be liable under this
policy for a greater proportion of such loss, cost and expenses than the limit of liability stated in this policy bears to the total limit of liability of all
valid and collectible insurance against such loss.

CANCELLATION: The insured may cancel this policy at any time by mailing or delivering to us advance written notice of cancellation.
The company may cancel this policy by mailing or delivering to the insured written notice of cancellation at least 10 days before the effective date of
cancellation if we cancel for nonpayment of premium or 30 days before the effective date of cancellation if we cancel for any other reason. If we
cancel, the premium refund will be pro rata and if the insured cancels, the refund may be less than pro rata. The cancellation will be effective even if
we have not made or offered a refund.

Dated, signed and sealed this .

By
Authorized Representative

E-1001A (01/05)
—————————————————–

ISSUED BY: POLICY NO:
ISSUED TO:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION/NONRENEWAL – Pennsylvania
FULL CANCELLATION – INSURER

It is agreed that:

1. The policy provisions regarding cancellation by the Company are deleted and replaced with the following:

A. CANCELLATION OF POLICIES IN EFFECT FOR 90 DAYS OR LESS
If this Policy has been in effect for 90 days or less and is not a renewal of a policy we issued, we may cancel this Policy
for any reason. We will mail or deliver written notice of cancellation to the entity named in Item 1 of the Declarations at
least:
(1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
(2) 20 days before the effective date of cancellation if we cancel for fraud or misrepresentation; or
(3) 30 days before the effective date of cancellation if we cancel for any other reason.

B. CANCELLATION OF POLICIES IN EFFECT FOR MORE THAN 90 DAYS
If this Policy has been in effect for more than 90 days, or is a renewal of a Policy we issued, we may cancel only for one
or more of the following reasons:
(a) Nonpayment of premium;
(b) Substantial change in the scale of risk covered by the policy;
(c) Fraud or material misrepresentation committed by the insured, upon the insurer;
(d) Failure to comply with reasonable safety recommendations; or
(e) Reinsurance of the risk associated with the policy has been cancelled.

We will mail or deliver written notice of cancellation under this item B., to the entity named in Item 1 of the
Declarations at least:
(1) 10 days before the effective date of cancellation if we cancel for nonpayment of premium; or
(2) 20 days before the effective date of cancellation if we cancel for fraud or material misrepresentation; or
(3) 45 days before the effective date of cancellation if we cancel for a reason described in B.(b), (d) or (e) above.

2. The following is added and supersedes any other provision to the contrary:

NONRENEWAL
A. If we decide not to renew this Policy, we will mail or deliver written notice of nonrenewal to the entity named in Item 1 of
the Declarations, at least 45 days before its expiration date, or its anniversary date if it is a Policy written for a term of more
than one year or with no fixed expiration date.

3. Proof of mailing is sufficient proof of notice.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, exclusions or limitations of the
above mentioned policy, except as expressly stated herein. This endorsement is effective at the inception date stated in the
Declarations and this endorsement is part of such policy and incorporated therein.

ILT-5028 (06-04)
—————————————————–

ISSUED BY: POLICY NO:
ISSUED TO:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION/NONRENEWAL – Pennsylvania
CANCELLATION FOR NONPAYMENT OF PREMIUM

It is agreed that:

1. The policy provisions regarding cancellation by the Company are deleted and replaced with the following:

A. We may cancel this Policy for nonpayment of premium by mailing or delivering to the entity named in Item 1 of the
Declarations written notice of cancellation at least 10 days before the effective date of cancellation.

2. The following is added and supersedes any other provision to the contrary:

NONRENEWAL
A. If we decide not to renew this Policy, we will mail or deliver written notice of nonrenewal to the entity named in Item 1 of
the Declarations, at least 45 days before its expiration date, or its anniversary date if it is a Policy written for a term of more
than one year or with no fixed expiration date.

3. Proof of mailing is sufficient proof of notice.

Nothing herein contained shall be held to vary, alter, waive or extend any of the terms, conditions, exclusions or limitations of the
above mentioned policy, except as expressly stated herein. This endorsement is effective at the inception date stated in the
Declarations and this endorsement is part of such policy and incorporated therein.

ILT-5029 (06-04)