Ecy 020-11 - Bond Of Registered Waste Tire Storage Site Owner Form printable pdf download

Bond No. ___________

BOND OF REGISTERED WASTE TIRE STORAGE SITE OWNER

KNOW ALL MEN BY THESE PRESENTS, That we __________________________________________________

______________________________________________________________________________________________

of _________________________, Washington, as principal and __________________________________________

a corporation duly authorized to transact surety business in the State of Washington, as surety, are held and firmly

bound unto the State of Washington, in full penal sum of _____________________________________ DOLLARS

($_______________), lawful money of the United States, for the payment of which, well and truly made, we and

each of us, bind ourselves, our heirs, executors, administrators, successors and assigns, jointly and severally, firm by

these presents.

Sealed with our seals and dated this _______ day of __________________, 20_____.

THE CONDITIONS OF THIS ABOVE OBLIGATION ARE SUCH, That, whereas the above bounden principal

has or is about to register to engage or continue in business as a waste tire storage site owner for the purpose of

disposing of certain waste tires, in accordance with the provisions of the statutes of the State of Washington, RCW

70.95, and desires to give bond as required by said law:

Now, Therefore, if the said ______________________________________________________________________,

the above bounden principal, shall conduct this business in conformity with the provisions of this act as provided in

said RCW 70.95, and shall pay all persons, counties or the State of Washington who shall have suffered any loss or

damage by reason of fraud, carelessness, neglect or misrepresentation, as such waste tire storage site owner, then this

bond shall be void and of no effect; otherwise to remain in full force and effect.

PROVIDED, That the aggregate liability hereunder of the surety for all causes of action arising during the period for

which this bond is written shall not exceed the total sum of _______________________________________ Dollars.

THIS OBLIGATION is applicable to the registration period commencing and shall continue in full force and effect

until terminated by thirty (30) days written notice of cancellation delivered to the Director of the Department of

Ecology and the State of Washington in writing by the surety.

IN WITNESS WHEREOF, The said principal has hereunto set his hand and seal, and the said surety has caused

these presents to be signed by its duly authorized officers and its corporate seal to be hereto affixed the day and year

first above written.

_________________________________________

PRINCIPAL

_________________________________________

By ______________________________________

NAME OF AGENCY

__________________________________________

COUNTERSIGN

BONDING COMPANY

By _______________________________________

ECY 020-11 (7/07)

ORIGINAL – DEPT. OF ECOLOGY

DUPLICATE – BONDING COMPANY

TRIPLICATE –TIRE STORAGE SITE OWNER

Ecy 020-11 - Bond Of Registered Waste Tire Storage Site Owner Form