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pdfREPRODUCE LOCALLY. Include form number and date on all reproductions. FORM APPROVED – OMB 0581‐0234
U.S. DEPARTMENT OF AGRICULTURE
AGRICULTURAL MARKETNG SERVICE
FRUIT AND VEGETABLE PROGRAMS
SURETY BOND
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor,
and a person is not required to respond to a collection of information unless it displays a
valid OMB control number. The valid OMB control number for this information collection is 0581-0234. The time required to complete this information collection is estimated to
average 12 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and
reviewing the collection of information.
The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, age, disability, and where applicable,
sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived
from any public assistance program. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for communication of program
information (Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of discrimination, write to USDA,
Director, Office of Civil Rights, 1400 Independence Avenue, S.W., Washington, D.C. 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD). USDA is an equal
opportunity provider and employer.
KNOW ALL MEN BY THESE PRESENTS, that we, ______________________________________________________________, of
____________________________________________________________________________________________________________,
as principal, and ____________________________________________________________________________________________, a
corporation organized under the laws of the State of________________________________________________________________and
authorized to transact a general surety business in the State of __________________________________________________, as surety,
are held and firmly bound unto the United States of America, acting by and through the Area Supervisor, Processed Products Branch,
Fruit and Vegetable Programs, Agricultural Marketing Service, United States Department of Agriculture, (Address),
_____________________________________________________________________________________________________________
____________________________________________________________________________________________________________,
hereinafter referred to as "Area Supervisor," in the sum of __________________________ Dollars ($ _________________________),
lawful money of the United States.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the above principal has requested, and will in the future request,
the said Processed Products Branch to provide inspection services to said principal has agreed to pay for said services, all pursuant to
the Agricultural Marketing Act of 1946 (7 U.S.C. 1621 et seq.) and the regulations prescribed pursuant thereto
(7 CFR 52.1 et seq.).
NOW, THEREFORE, if the above principal shall pay, when due, all fees due from said principal to the Processed Products Branch for
services rendered to the principal, then this obligation shall be null and void and of no force or effect; otherwise, to remain in full force
and effect, and in no case shall this obligation terminate until all indebtedness so incurred shall be liquidated.
The United States of America, acting by and through the Area Supervisor, reserves the right at any time to terminate this bond
(except as to any liability thereunder already incurred or accrued) by a written notice of such termination to the surety, and
thereupon this bond shall terminate and be of no more force or effect, except as to any liability already incurred or accrued as to
which this bond shall remain in full force and effect.
The surety herein reserves the right to withdraw as surety from this bond (except as to any liability or indebtedness already incurred or
accrued) and may do so upon giving thirty (30) days written notice to the Area Supervisor after which time its liability under this
bond shall cease, and said bond shall thereupon terminate and be of no force or effect, except as to any liability or indebtedness
already incurred or accrued thereunder.
The surety is responsible for complying with the procedural requirements in accordance with the State rules.
It is mutually agreed that the effective date of this bond shall be _________________________________________, 20 ________.
FV‐358 (7‐10) (Previous editions are to be destroyed)
OVER
IN WITNESS WHEREOF, the above parties have executed this instrument under their several seals this ____________________
day of ______________________, 20 ________, the name and corporate seal of each corporate party being hereto affixed and
these presents duly signed by its undersigned representative, pursuant to authority of its governing body.
IN PRESENCE OF:
__________________________________________ ________________________________________ (SEAL)
(Signature of Witness)
(Signature of Individual Principal)
________________________________________________
(Address)
__________________________________________
________________________________________ (SEAL)
(Signature of Witness)
________________________________________________
(Address)
(Signature of Individual Principal)
________________________________________
(Business Address)
Attest:
________________________________________
(Corporate Principal)
________________________________________
(Business Address)
_________________________________________________
By ____________________________________________
(Signature)
Affix
Corporate
Seal
______________________________________________
(Title)
Attest:
________________________________________
(Corporate Surety)
________________________________________
(Business Address)
_________________________________________________
Affix
Corporate
Seal
By ____________________________________________
(Signature)
______________________________________________
(Title)
Total amount of premium charged is $ ___________________.
(The above must be filled in by corporate surety)
CERTIFICATE AS TO CORPORATE PRINCIPAL
I, ________________________________________________________, certify that I am the ________________secretary of the
corporation named as principal in the within bond; that ___________________________________________________________,
who signed the said bond on behalf of the principal, was then ______________________________________ of said corporation;
that I know his/her signature, and his/her signature thereto is genuine; and that said bond was duly signed, sealed and attested for
and in behalf of said corporation by authority of its governing body.
Affix
Corporate
Seal
___________________________________________
(Signature)
FV‐358 (9‐10) (Previous editions are to be destroyed)
File Type | application/pdf |
File Title | Microsoft Word - FV-358 _2_.docx |
Author | CShorter |
File Modified | 2010-10-08 |
File Created | 2010-10-08 |