P&SP 2100 Bond Rider

Instructions to Complete
Rider for General Use with Bond
Form P&SP-2100
A rider amending a surety bond requires complete and correct information to be submitted to the Packers and
Stockyards Program on form P&SP-2100.
If any information is missing or incorrect, the Packers and Stockyards Program will return the bond rider form to the
principal or surety for completion or correction. If the trustee’s signature has not been obtained, the regional office
will obtain the trustee’s signature, and will ensure that the trustee retains an original copy of the rider for his or her
files.
Operating without proper registration and bond may subject the principal to a fine of not more than $11,000 for each
violation.
Mail two fully executed bond rider forms to the regional office of the Packers and Stockyards Program as listed
below. The states covered by each regional office are listed below their address.
Regional Offices of the Packers and Stockyards Program
Grain Inspection, Packers and Stockyards Administration
Eastern Regional Office
Western Regional Office
Midwestern Regional Office
Suite 230
3950 Lewiston St., Suite 200
Room 317
75 Spring Street
Aurora, CO 80011-1556
210 Walnut Street
Atlanta, GA 30303-3308
Telephone: (303) 375-4240
Des Moines, IA 50309-2110
Telephone: (404) 562-5840
FAX: (303) 371-4609
Telephone: (515) 323-2579
FAX: (404) 562-5848
E-mail:
FAX: (515) 323-2590
E-mail:
[email protected] E-mail:
[email protected]
[email protected]
States Covered
States Covered
States Covered
AL, AR, CT, DC, DE, FL, GA, LA, AK, AZ, CA, CO, HI, ID, KS, MT, IA, IL, IN, KY, OH, MI, MO, MN,
MA, MD, ME, MS, NC, NH, NJ,
NM, NV, OK, OR, TX, UT, WA,
ND, NE, SD, WI
NY, PA, RI, SC, TN, VA, VT, WV
WY
If you have any questions about the form or completing the form, please contact the regional office of the Packers
and Stockyards Program listed above.
The Surety must complete line 1 through 14, as applicable, sign line 18, and complete lines 15 and 16.
The Principal must sign line 17.
If the bond names a trustee, the trustee must sign line 19.
Line
No.
1

Subject

Instruction

Current Principal

Enter name of the principal. The name must match that listed on the
original bond, or the most current as changed by a previous rider.
Enter the city and state where principal operates.
Enter the name of the surety company writing the bond.
Enter the original bond number (do not list rider numbers).
Enter the original effective date of the bond. This item should
ALWAYS reference the date the bond was issued, NOT the date of
the most current rider.
If a trustee is named on the original bond or added with a previous
rider, enter the name of the trustee. If no trustee is named, leave this
line blank.

2
3
4
5

City and State of Principal
Surety
Bond Number
Bond Date

6

In Favor of

P&SP-2100-i

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Line
No.
7

Subject

Instruction

Increase in Bond

8

Decrease in Bond

9

Change in Name of Principal

10

Change in Name of Trustee

11

Add Clearing Services

12
13

Delete Condition 3 from
Agreement
Add Clearee to Clause 3

14

Delete Clearee from Clause 3

15
16
17

Rider Effective Date
Signed and Dated
Principal Signature

18

Surety Signature

19

Trustee Signature

Enter the amount of the bond before the increase and the amount of the
bond after the increase.
Enter the amount of the bond before the decrease and the amount of
the bond after the decrease.
Enter the full name and address of the principal in the FROM section
as it is stated on the original bond or previous rider, and the principal’s
current name and address in the TO section, as changed.
Enter the full name and address of the former (previous) trustee in the
FROM section, and the full name and address of the successor
(current) trustee in the TO section.
Check the appropriate box to indicate if the rider adds clearing services
to the bond (Condition Clause 3 on form P&SP-2000).
Check the appropriate box to indicate if the rider deletes clearing
services from the bond (Condition Clause 3 on form P&SP-2000).
Enter the full name(s) and address(s) of the clearee(s) being added to
the bond.
Enter the full name(s) and address(s) of the clearee(s) being deleted
from the bond.
Enter the effective date of the rider.
Enter the date that the rider was signed and dated by the surety.
Enter the name of the principal. The rider MUST be signed by
someone with the authority to sign on behalf of the principal. For
example, if the principal is a corporation, a responsible owner or
officer must sign; if the principal is a partnership, one of the partners
must sign.
Enter the name of the surety. The rider MUST be signed by someone
with the authority to sign on behalf of the surety. In addition, the
surety must attach a current POWER OF ATTORNEY for the
person signing the rider. The date of the Power of Attorney must be
equal to or prior to the effective date of the rider.
Enter the name of the trustee. If a trustee is named, the trustee, or
someone authorized to sign on behalf of the trustee, must sign the
rider.

P&SP-2100-i

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OMB CONTROL NO. 0580-0015
Expires: xx/xx/20xx
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
The bond identified above is increased
Bond
FROM: $
TO: $
8. Decrease in
The bond identified above is decreased
FROM: $
TO: $
Bond
9. Change in
The name and address of the Principal, as given on the bond identified above, are changed
Name of Principal
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.

12. Delete
Clearing Services

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

Form P&SP-2100

‰ Yes

‰ Yes

‰ No

‰ No

Page 1 of 3

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, 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 0580-0015. The
time required to complete this information collection is estimated to average 1 hour 30 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.
Form P&SP-2100

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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) 7206382 (TDD). USDA is an equal opportunity provider and employer.

Form P&SP-2100

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