License and Permit Bond

License and Permit Bond
Bond Number
KNOW ALL MEN BY THESE PRESENTS,
that We,
(Principal’s Name)
(Principal’s Address: Street, City, State, Zip and Phone)
as Principal and
,
(Surety’s Name)
a corporation organized under the laws of the State of
and licensed to transact business in
the State of Texas as Surety, are held and firmly bound unto the City of Irving, 825 W. Irving Boulevard, Irving, Texas
75060, as obligee, in the sum of
Dollars ($50,000.00) lawful money of the United States
of America, for which payment well and truly to be made, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents.
WHEREAS, THE ABOVE bounden Principal has been or is about to receive a permit or be duly licensed in Public
Works restoration in compliance with all City of Irving Ordinances pertaining to Right-of-Way Management by the
Obligee in accordance with the rules and regulations of the said Obligee.
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION is such, that if the said Principal shall indemnify
and save harmless the Obligee from all damages or claims for damages caused by him or his agents arising out of any
work done under and by virtue of such permit or license during the period from the
day of
,
to the
day of
,
then this
obligation shall be null and void; otherwise to remain in full force and effect.
This Surety may cancel this bond at any time by filing with the Obligee thirty (30) days’ written notice of its desire to
be relieved of any liability. The Surety shall not be discharged from any liability already accrued under this bond, or
which shall accrue hereunder before the expiration of the thirty day period.
Signed, sealed and dated this
day of
20
.
PRINCIPAL:
SURETY:
Name of Company
Name of Insurance Company
Signature
Signature
Name of Representative – Title (Print)
Name of Representative – Title (Print)
WITNESS:
ATTEST:
Signature
Signature
IMPORTANT NOTICE
AVISO IMPORTANCE
To obtain information or make a complaint:
Para obtener informacion o para someter una queja:
You may call the Surety’s toll free telephone number
for information or to make a complaint at:
Usted puede llamar al numero de telefono gratis de
para informacion o para someter una queja al:
1-800-782-1546
1-800-782-1546
You may also write to the Surety at:
Usted tanbien puede escribir a Surety at:
P.O. Box 19725
Irvine, CA 92623-9725
P.O. Box 19725
Irvine, CA 92623-9725
You may contact the Texas Department of Insurance
to
obtain
information
on
companies,
coverage, rights or complaints at:
Puede comunicarse con el Departamento de Seguros
de Texas para obtener information acerca de companias, coberturas, derechos o quejas al:
1-800-252-3439
1-800-252-3439
You may write the Texas Department of Insurance at:
Puede escribir al Departmento de Seguros de Texas
P.O. Box 149104
Austin, TX 78714-9104
Fax# 512-475-1771
web: http://www.tdi.state.tx.us
E-mail: [email protected]
P.O. Box 149104
Austin, TX 78714-9104
Fax# 512-475-1771
web: http://www.tdi.state.tx.us
E-mail: [email protected]
PREMIUM•OR•CLAIM•DISPUTES: Should you
have a dispute concerning your premium or about a
claim you should contact the Surety first. If the
dispute is not resolved, you may contact the Texas Department of Insurance.
DISPUTAS SOBRE PRIMAS O RECLAMOS:
Si tiene una disputa concerniente a su prima o a un
reclamo, debe comunicarse con el Surety primero. Si
no se resuelve la disputa, puede entonces comunicarrse con el departamento (TDI).
ATTACH THIS NOTICE TO YOUR POLICY:
This notice is for information only and does not become
a part or condition of the attached document.
UNA ESTE AVISO A SU POLIZA: Este aviso es solo
para proposito de informacion y no se convierte en
parte o condicion del documento adjunto.
Insco Insurance Services, Inc.
Underwriting Manager for:
Developers Surety and Indemnity Company • Indemnity Company of California
17780 Fitch, Suite 200
Irvine, CA 92614
1-800-782-1546
www.InscoDico.com
ID-1404 (TX) (Rev. 7/07)