Additional information

Errors and Omissions (E&O)	Bond Only, $10,000, $15,000, $25,000, $100,000
Surety Company	Travelers Surety

TO THE

STATE OF OKLAHOMA

Commission No. Bond No. _______________

NOTE: The bond MUST be filed with the office of the Secretary of State not more than sixty (60) days after your notary commission is issued.
Submit the completed bond with a $10.00 fee to: Secretary of State, 421 NW 13th Street, Suite 210, Oklahoma City, OK 73103.

KNOW ALL MEN BY THESE PRESENTS:
That ________________________________________of _____________________________________________________________________
(Name of Notary) (Residence Address or, if a Non-resident, Employment Address)
in the county of ________________________________, State of Oklahoma, as Principal, lately appointed Notary Public within and for the State of
Oklahoma, and
____________________________________________of ______________________________________________________________
(Name of Surety) (Residence address)
____________________________________________of _____________________________________________________________
(Nam of Surety) address)
as Sureties, are held and firmly bound unto the State of Oklahoma in the penal sum of One Thousand ($1,000.00) Dollars, good and lawful money of
the United States, to be paid to the State of Oklahoma, for which payment will and truly be made, we bind ourselves, our heirs, executors and
administrators, jointly and severally, firmly by these presents.
Dated this _________ day of ________________________, ________. Signed and Sealed ___________________
Whereas, the above bounden Principal has been appointed to the Office of Notary Public, within and for the State of Oklahoma.
NOW, THE CONDITIONS OF THIS OBLIGATION ARE SUCH, that if said Principal shall faithfully, in all things, perform all duties required
by law as a Notary Public within and for said State during the term of said office by virtue of said appointment, then the above obligation to be void,
else to remain in full force.
We, the sureties on the bond herein, being severally sworn each for himself, is worth at least One Thousand ($1,000.00) Dollars over and above
all debts and liabilities by him owing, and all property exempt by law from levy and execution.
Principal Sign Here ______________________________________________________

Surety Sign Here ______________________________________________________

Surety Sign Here ______________________________________________________

TO BE COMPLETED BY THE NOTARY (PRINCIPAL OF THIS BOND)
Sign your name on the line below exactly as you are
commissioned as a notary public to sign public documents.
IMPRESS YOUR NOTARY
SEAL HERE Sign Here ___________________________________________

Page 1 of 2 (PAGE 2 MUST BE COMPLETED.)
—————————————————– NOTE: Each oath must be notarized.

OATH OF OFFICE
(Oklahoma Constitution Article XV)

State of Oklahoma
County of ______________

I, _______________________________________________________, do solemnly swear (or affirm) that I will support,
obey, and defend the Constitution of the United States, and the Constitution of the State of Oklahoma, and that I will not knowingly,
receive, directly or indirectly, any money or other valuable thing, for the performance or nonperformance of any act or duty pertaining
to my office, other than the compensation allowed by law; I further swear (or affirm) that I will faithfully discharge my duties as a
Notary Public to the best of my ability.

___________________________________________________________
S i g n a t u r e o f P r i n c i p a l

Subscribed and sworn to before me this _______ day of ____________________, _______.

___________________________________________
Notary Public or other officer authorized to administer
oaths or affirmations
My Commission Expires: ________________ Commission # _______________________

( S E A L )

____________________________________________________________________________________________________________

LOYALTY OATH
(51 O.S., Section 36.2A)

State of Oklahoma
County of ______________

I do solemnly swear (or affirm) that I will support the Constitution and the laws of the United States of America and the
Constitution and the laws of the State of Oklahoma, and that I will faithfully discharge, according to the best of my ability, the duties
of my office or employment during such time as I am a Notary Public.

___________________________________________________________
Signature of Affiant

Subscribed and sworn to before me this _______ day of ____________________, _______.

___________________________________________
Notary Public or other officer authorized to administer
oaths or affirmations

My Commission Expires: ________________ Commission # _______________________

( S E A L )

Page 2 of 2 (11/2015)
—————————————————–

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 – OKLAHOMA
FULL CANCELLATION – INSURER

It is agreed that:

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

A. If this policy is a new policy and has been in effect for 45 business days or less, the Company may cancel for any valid
underwriting reason by giving notice to the entity named in Item 1 of the Declarations at least 10 days before the effective
date of cancellation.

B. If this policy has been in effect for more than 45 business days, or if it is a renewal of a policy the Company issued, the
Company may cancel only for one or more of the following reasons by giving notice to the entity named in Item 1 of the
Declarations at least 10 days before the effective date of cancellation:

(1) Nonpayment of premium;
(2) Discovery of fraud or material misrepresentation in the procurement of the insurance or with regarding any claims
submitted under the policy;
(3) Discovery of willful or reckless acts or omissions on the part of the entity named in Item 1 of the Declarations which
increase any hazard insured against;
(4) The occurrence of a change in the risk which substantially increases any hazard insured against after insurance coverage
ahas been issued or renewed;
(5) A violation of any local fire, health, safety, building, or construction regulation or ordinance with respect to any insured
property or the occupancy thereof which substantially increases any hazard insured against;
(6) A determination by the Commissioner that the continuation of the policy would place the insurer in violation of the
insurance laws of this state;
(7) Conviction of the entity named in Item 1 of the Declarations of a crime having as one of its necessary elements an act
increasing any hazard insured against; or
(8) Loss of or substantial changes in applicable reinsurance.

C. If the effective date of cancellation falls on a Sunday or a legal holiday, the cancellation date must be extended until the next
business day.

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

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

If the nonrenewal notice is mailed less than 45 days prior to the policy’s expiration date or anniversary date, coverage must be
extended until 45 days after the notice is mailed, with earned premium for the extended period of coverage on a pro-rata basis of
the previous year’s rate.

A. The transfer of a policyholder between companies within the same insurance group is not a refusal to renew. In addition,
changing deductibles, changes in premium, changes in the amount of insurance, or reductions in policy limits or coverage are not
defined as refusals to renew.

B. Notice of nonrenewal is not required if:
(1) The insurer or a company within the same insurance group has offered to issue a renewal policy, or
(2) The entity named in Item 1 of the Declarations has obtained replacement coverage or has agreed in writing to obtain
replacement coverage.

C. If an insurer provides the notice required and then extends the policy for 90 days or less, an additional notice of nonrenewal
is not required for the extension.

—————————————————–

3. The Company shall give to the entity named in Item 1 of the Declarations at the mailing address shown on the policy, written
notice of premium increase, change in deductible, reduction in limits or coverage at least 45 days prior to the expiration date of
the policy. If the Company fails to provide such notice, the premium, deductible, limits and coverage provided to the entity
named in Item 1 of the Declarations prior to the change shall remain in effect until notice is given or until the effective date of
replacement coverage obtained by the insured, whichever first occurs. If notice is given by mail, said notice shall be deemed to
have been given on the day said notice is mailed. If the insured elects not to renew, any earned premium for the period of
extension of the terminated policy shall be calculated pro rata at the lower of the current or previous year’s rate. If the insured
accepts the renewal, the premium increase, if any, and other changes shall be effective the day following the prior policy’s
expiration or anniversary date. This subsection shall not apply to: 1. Changes in a rate or plan filed with or approved by the State
Board for Property and Casualty Rates or filed pursuant to the Commercial Property and Casualty Competitive Loss Cost Rating
Act and applicable to an entire class of business; or 2. Changes based upon the altered nature of extent of the risk insured; or 3.
Changes in policy forms filed with or approved by the Insurance Commissioner and applicable to an entire class of business.

4. Proof of mailing of notice of cancellation, or of nonrenewal or of premium or coverage changes, to the entity named in Item 1 of
the Declarations at the address shown in the policy, shall be 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.

—————————————————–

ISSUED BY: POLICY NO:
ISSUED TO:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION/NONRENEWAL – OKLAHOMA
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.

B. If the effective date of cancellation falls on a Sunday or a legal holiday, the cancellation date must be extended until the next
business day.

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

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

If the nonrenewal notice is mailed less than 45 days prior to the policy’s expiration date or anniversary date, coverage must be
extended until 45 days after the notice is mailed, with earned premium for the extended period of coverage on a pro-rata basis of
the previous year’s rate.

A. The transfer of a policyholder between companies within the same insurance group is not a refusal to renew. In addition,
changing deductibles, changes in premium, changes in the amount of insurance, or reductions in policy limits or coverage are not
defined as refusals to renew.

B. Notice of nonrenewal is not required if:
(1) The insurer or a company within the same insurance group has offered to issue a renewal policy, or
(2) The entity named in Item 1 of the Declarations has obtained replacement coverage or has agreed in writing to obtain
replacement coverage.

C. If an insurer provides the notice required and then extends the policy for 90 days or less, an additional notice of nonrenewal
is not required for the extension.

3. The Company shall give to the entity named in Item 1 of the Declarations at the mailing address shown on the policy, written
notice of premium increase, change in deductible, reduction in limits or coverage at least 45 days prior to the expiration date of
the policy. If the Company fails to provide such notice, the premium, deductible, limits and coverage provided to the entity
named in Item 1 of the Declarations prior to the change shall remain in effect until notice is given or until the effective date of
replacement coverage obtained by the insured, whichever first occurs. If notice is given by mail, said notice shall be deemed to
have been given on the day said notice is mailed. If the insured elects not to renew, any earned premium for the period of
extension of the terminated policy shall be calculated pro rata at the lower of the current or previous year’s rate. If the insured
accepts the renewal, the premium increase, if any, and other changes shall be effective the day following the prior policy’s
expiration or anniversary date. This subsection shall not apply to: 1. Changes in a rate or plan filed with or approved by the State
Board for Property and Casualty Rates or filed pursuant to the Commercial Property and Casualty Competitive Loss Cost Rating
Act and applicable to an entire class of business; or 2. Changes based upon the altered nature of extent of the risk insured; or 3.
Changes in policy forms filed with or approved by the Insurance Commissioner and applicable to an entire class of business.

4. Proof of mailing of notice of cancellation, or of nonrenewal or of premium or coverage changes, to the entity named in Item 1 of
the Declarations at the address shown in the policy, shall be 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.

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