Additional information

Notary Public
$10,000 Surety Bond

This is a Notary Public surety bond.
When completed, mail to:

Notary Public Program
Department of Licensing
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PO Box 9027
Olympia, WA 98507-9027

Know all persons by these presents: That
Applicant
as Principal, at the following address
DQG

a corporation organized and existing under the laws of the state of
and authorized to transact surety business in the state of Washington, as Surety, are held and rmly bound unto the state
of Washington in the sum of $10,000 Dollars lawful money of the United States of America to be paid to the said state of
Washington, for which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors
and assigns, jointly and severally rmly by these presents.
The condition of the above obligation is such that: Whereas, the said principal has made application for Notary Public
Commission to the Business and Professions Division of the state of Washington for carrying on the business of Notary
Public within the state of Washington; and is required by Chapter 42.45 RCW, to furnish a bond in the penal sum of $10,000
Dollars with good and sufcient surety, conditioned by said law.
Now, therefore, if the said principal will comply with all the provisions of Chapter 42.45 RCW of the state of Washington and
with all rules and regulations adopted by the Director of the Department of Licensing, of said state pursuant to the provisions
of Chapter 42.45 RCW, and will pay all amounts that may be adjudged against Principal by reason of violation of Chapter
42.45 RCW or any rules or regulations adopted pursuant thereto in the conduct of Principal’s business as a Notary Public,
then the above obligation shall be null and void; otherwise to remain in full force and effect.
Provided: That any person having a claim against Principal for damage as a result of any violation by Principal or its agent
of Chapter 42.45 RCW, or any rules or regulations adopted pursuant thereto may bring a suit on this bond in the Superior
Court of the County in which Principal’s business is located, or in any County in which jurisdiction of the Principal may be had.
Provided further: That the aggregate liability of the Surety hereunder for any and all claims presented shall not exceed the
penal sum of this bond. Provided further: That Business and Professions Divisions shall be notied 30 days prior to the
cancellation of this bond, along with the reason for cancellation or termination, whether because of expiration, suspension, or
revocation of the license, or otherwise, as to any covered act or acts of omission or omissions of the licensee occurring on, or
prior to, the effective date of cancellation or termination.
In witness whereof, the said Principal and the said Surety have afxed their hands and seal this

day of , . Bond number

Effective date of bond Expiration date of bond

Surety
Principal
Business name Name

By X Attorney-in-Fact
Signature of applicant
Insurance agency name

Insurance agent
(Surety seal)
Address

(Area code) Telephone
NP-659-008 (N/10/18)WA
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Travelers Casualty and Surety Company of America

One Tower Square, Hartford, Connecticut 06183

NOTARY PUBLIC ERRORS AND OMISSIONS POLICY
Policy No ____________
Term Premium: ___________
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Policy Effective Date 12:01 a.m. on ___________

TRAVELERS CASUALTY AND SURETY COMPANY OF AMERICA (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
______________________________________________________________________________________ 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.

IN WITNESS WHEREOF, the Company has caused this Policy to be signed by its authorized Company officers at Hartford, CT.

President, Bond & Specialty Insurance Corporate Secretary

EO-1001 WA (09-04)
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ISSUED BY: POLICY NO:
ISSUED TO:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION/NONRENEWAL – WASHINGTON
FULL CANCELLATION – INSURER
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It is agreed that:

1. The policy provisions regarding cancellation by the Company are deleted and replaced with the following:
The Company will give notice at least:

(1) 10 days before the effective date of cancellation, if the Company cancels for nonpayment of premium; or
(2) 45 days before the effective date, if the Company cancels for any other reason.

The Company will mail, by first class or registered mail, or deliver written notice of cancellation, including the reason(s) for
cancellation, to the entity(ies) named in Item 1 of the Declarations at the last mailing address known to the Company.

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

NONRENEWAL
The Company must provide to the entity(ies) named in Item 1 of the Declarations the renewal terms and premium due at least 20
days prior to the expiration date of the current policy. If the premium is not subsequently paid, the policy is nonrenewed.

If the Company decides not to renew this policy, the Company will mail, by first class or registered mail, or deliver written notice
of nonrenewal to the entity(ies) named in Item 1 of the Declarations at the last mailing address known to the Company, at least 45
days before the expiration date. The notice of nonrenewal will state the reason(s) for nonrenewal.

3. With regard to cancellation or nonrenewal notices, unless otherwise specifically required, proof of mailing of any notice shall be
sufficient proof of notice. Notice of cancellation and nonrenewal must also be sent to the agent or broker of record within 5
working days of sending the notice to the entity(ies) named in Item 1 of the Declarations.

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-5096 (06-04)
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ISSUED BY: POLICY NO:
ISSUED TO:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION/NONRENEWAL – WASHINGTON
CANCELLATION FOR NONPAYMENT OF PREMIUM
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It is agreed that:

1. The policy provisions regarding cancellation by the Company are deleted and replaced with the following:
The Company may not cancel this Policy except for failure to pay a premium when due, in which case it will give notice at least
10 days before the effective date of cancellation.

The Company will mail, by first class or registered mail, or deliver written notice of cancellation, including the reason(s) for
cancellation, to the entity(ies) named in Item 1 of the Declarations at the last mailing address known to the Company.

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

NONRENEWAL
The Company must provide to the entity(ies) named in Item 1 of the Declarations the renewal terms and premium due at least 20
days prior to the expiration date of the current policy. If the premium is not subsequently paid, the policy is nonrenewed.

If the Company decides not to renew this policy, the Company will mail, by first class or registered mail, or deliver written notice
of nonrenewal to the entity(ies) named in Item 1 of the Declarations at the last mailing address known to the Company, at least 45
days before the expiration date. The notice of nonrenewal will state the reason(s) for nonrenewal.

3. With regard to cancellation or nonrenewal notices, unless otherwise specifically required, proof of mailing of any notice shall be
sufficient proof of notice. Notice of cancellation and nonrenewal must also be sent to the agent or broker of record within 5
working days of sending the notice to the entity(ies) named in Item 1 of the Declarations.

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-5097 (06-04)