Form BMC-82 Motor Carrier Bodily Injury Liability and Property Damag

FORM BMC-82

OMB No.: 2126-0017

Revised 06/18/2015

USDOT Number:

Expiration: 06/30/2016

Date Received:

A Federal Agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply
with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current
valid OMB Control Number. The OMB Control Number for this information collection is 2126-0017. Public reporting for this collection of information
is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, gathering the data needed, and completing and
reviewing the collection of information. All responses to this collection of information are mandatory. Send comments regarding this burden estimate or
any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, Federal
Motor Carrier Safety Administration, MC-RRA, Washington, D.C. 20590.

United States Department of Transportation
Federal Motor Carrier Safety Administration

Motor Carrier Bodily Injury Liability and Property Damage Liability
Surety Bond under 49 U.S.C. 13906

FORM BMC-82
KNOW ALL MEN BY THESE PRESENTS, that

,

a corporation created and existing under the laws of the State of
(Street)

(hereinafter called Surety), as Surety for
(Street)

(City)

, with principal office at
(State)

, of

(Name of Motor Carrier Principal)
(City)

,

(Zip)

(State)

(Zip)

(hereinafter called Principal), is held and firmly bound unto the United States of America in the sum or sums hereinafter provided for
which payment, well and truly to be made, said Surety hereby binds itself, its successors and assigns, firmly by these presents.
THE CONDITION OF THIS OBLIGATION IS SUCH THAT:
WHEREAS, the Principal is or intends to become a motor carrier subject to the provisions of Title 49 of the United States Code, and the
rules and regulations of the Federal Motor Carrier Safety Administration relating to insurance or other security for the protection of the
public, and has elected to file with the FMCSA a surety bond conditioned as hereinafter set forth; and
WHEREAS, this bond is written to assure compliance by the Principal as a motor carrier of passengers or property with 49 U.S.C. 13906
and the rules and regulations of the FMCSA relating to insurance or other security for the protection of the public, and shall insure to the
benefit of any and all person and persons who shall recover a final judgment or judgments against the Principal for any of the damages
herein described.
NOW, THEREFORE, if every final judgment recovered against the Principal for bodily injury to or death of any person or loss of or damage
to property of others, sustained while this bond is in effect, and resulting from the negligent operation, maintenance, or use of motor
vehicles in transportation subject to Title 49 of the United States Code (but excluding injury to or death of the Principal’s employees
while engaged in the course of their employment, and loss of or damage to property of the Principal and property transported by the
Principal designated as cargo), shall be paid, then this obligation shall be void, otherwise to remain in full force and effect.
The liability of the Surety for the limits provided shall be a continuing one notwithstanding any recovery hereunder, and extends to
such losses, damages, or deaths regardless of whether the motor vehicles, terminals, warehouses, and other facilities used in connection
with the transportation service of the Principal are specifically described herein, and whether occurring on the route or in the territory
authorized to be served by the Principal or elsewhere. The bond is effective from
12:01 a.m., standard time, at
the address of the Principal as stated herein, and shall continue in force until canceled.
The Principal or the Surety may at any time cancel this bond by written notice to the FMCSA at its office in Washington, DC, such
termination to become effective thirty (30) days after actual receipt of said notice by the FMCSA on the prescribed Form BMC-36, Notice
of Cancellation of Motor Carrier and Broker Surety Bonds. The Surety shall not be liable hereunder for the payment of any judgment or any
judgments against the Principal for bodily injury to or the death of any person or person or loss of or damage to property resulting from
accidents which occur after the cancellation of this bond as herein provided, but such cancellation shall not affect the liability of the Surety
hereunder for the payment of any such judgment or judgments resulting from accidents which occur during the time the bond is in effect
The receipt of this BI&PD liability surety bond by the FMCSA certifies that the company is qualified to make this filing under 49 CFR 387.315
or 387.411.
Falsification of this document can result in criminal penalties prescribed under 18 USC 1001.
FORM BMC-82 Page 1 of 2

FORM BMC-82

OMB No.: 2126-0017

Revised 06/18/2015

IN WITNESS WHEREOF, the said Surety has executed this instrument on the

day of

31st
30th
29th
28th
27th
26th
25th
24th
23rd
22nd
21st
20th
19th
18th
17th
16th
15th
14th
13th
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
2nd
1st

,

December
November
October
September
August
July
June
May
April
March
February
January

2023
2022
2021
2020
2019
2018
2017
2016
2015

Expiration: 06/30/2016

.

SURETY

(affix corporate seal)

STREET

CITY

STATE

ZIP CODE

Seal affixed by:
(Name and Title)
(Signature)

ACKNOWLEDGMENT OF SURETY: STATE OF:

COUNTY OF:

On this

day of
,
, before me personally came
31st
30th
29th
28th
27th
26th
25th
24th
23rd
22nd
21st
20th
19th
18th
17th
16th
15th
14th
13th
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
2nd
1st
December
November
October
September
August
July
June
May
April
March
February
January
2023
2022
2021
2020
2019
2018
2017
2016
2015
who, being by me duly sworn, did depose and say that he/she resides in
is the

of the

; that he/she
, the corporation described in and which

executed the foregoing instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such corporate seal;
that it was so affixed by order of the board of directors of said corporation; that he/she signed his/her name thereto by like order, and he/she
duly acknowledged to me that he/she executed the same for and on behalf of said corporation.

(Name and Title of official administering oath)
(affix official seal)

(Signature of official administering oath)

Surety Company File Number:

Filings must be transmitted online via the Internet at http://www.fmcsa.dot.gov/urs.

FORM BMC-82 Page 2 of 2