P&SP 2100 Bond Rider

Regulations and Related Reporting and Recording Requirements - Packers and Stockyards Programs

PSP2100

Regulations and Related Reporting and Recording Requirements - Packers and Stockyards Programs-Business

OMB: 0580-0015

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OMB CONTROL NO. 0580-0015


U.S. Department of Agriculture

Grain Inspection, Packers and Stockyards Administration

Packers and Stockyards Program

Rider for General Use with Bond

Required Under the Packers and Stockyards Act, 1921,

as Amended and Supplemented



Know all that (1) ______________________________________________________________

(Name of Current Principal)


_____________________________of (2)___________________________________________,

(City, State)


as Principal, and (3)_____________________________________________________________

(Name of Surety)


as Surety, issued bond number (4)_______________________, dated (5)__________________,


in favor of (6)_________________________________________________________________,

(Name of Trustee)


as Trustee.


In consideration of the premium charged for the above-described bond, Principal and Surety agree to amend the bond as follows:


Complete the applicable clause(s) set out below:

7. Increase in Bond

The bond identified above is increased

FROM: $ TO: $

8. Decrease in Bond

The bond identified above is decreased

FROM: $ TO: $

9. Change in Name of Principal

The name and address of the Principal, as given on the bond identified above, are changed


FROM ________________________________________________________________

(Name and Address)

______________________________________________________________________


TO___________________________________________________________________

(Name and Address)

______________________________________________________________________


10. Change in Name of Trustee

The name and address of the Trustee, as given on the bond identified above, are changed


FROM ________________________________________________________________

(Name and Address)

______________________________________________________________________


TO___________________________________________________________________

(Name and Address)

______________________________________________________________________


11. Add Clearing Services



The bond identified above is amended to add Condition 3, Clearing Services.


Yes No

12. Delete Clearing Services



The bond identified above is amended to delete Condition 3, Clearing Services.


Yes No

13. Add Clearee to Clause 3


The name(s) of: _________________________________________________________

(Name and Address)

______________________________________________________________________


______________________________________________________________________


______________________________________________________________________

is (are) hereby added as clearee(s) to the bond identified above.

14. Delete Clearee from Clause 3


The name(s) of: _________________________________________________________

(Name and Address)

______________________________________________________________________


______________________________________________________________________


______________________________________________________________________

is (are) hereby deleted as clearee(s) from the bond identified above.


PROVIDED, however, that the identified bond above shall be subject to all its agreements, limitations, and conditions except as herein expressly modified, and further that this bond and all riders attached thereto, including this rider, shall not be cumulative, and when loss shall occur under this bond during a period of time within which the penalty of the bond shall vary, the aggregate liability of Surety shall in no event exceed the largest penalty of this bond in force during the period of time within which such loss shall occur under this bond.



15. This rider shall become effective as of the _____________ day of ____________________, 20____.



16. Signed and dated this _____________ day of ____________________, 20____.


17. (Name of Principal)




(Signing on Behalf of Principal)


18. (Name of Surety)


(Signing on Behalf of Surety)




19. (Name of Trustee)




(Signing on Behalf of Trustee)

20. Optional Additional Notes from Surety (for example special State requirements)








According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information is 0580-0015. The time required to complete this collection is estimated to average 30 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection.


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.



Form P&SP-2100 August 2007 Page 3 of 3

File Typeapplication/msword
File TitleOMB CONTROL NO
AuthorIRM
Last Modified Bycmgrasso
File Modified2008-10-09
File Created2007-07-25

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