Surety Bond Approval Checklist

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D
M
R
M
IVISION OF
INERAL
ESOURCES
ANAGEMENT
S
B
A
C
URETY
OND
PPROVAL
HECKLIST
Permit Number:
Application Number
APPLICANT:
REVIEW
Bond Number:
DATE:
Reviewer’s Signature:
REVIEWER:
SURETY:
Agency:
AGENT:
The following requirements have been met as indicated:
1. Page No. 1
The Company/Principal matches the information provided on page 1 of the form and the permit application..
The address is correct/consistent with the permit application.
The legal structure checked (LLC, Corp., etc) is correct and consistent with the permit application.
The bond number is consistent on each page of the surety bond form.
The correct surety bond form has been submitted (Coal DNR-744-9062 or IM DNR-744-6013)
The surety company listed is consistent throughout the document. (See additional surety company verifications
below).
2. The Surety Company
The Company is licensed/authorized to transact fidelity and surety business in the State of Ohio. (Ohio
Department of Insurance (ODI) 614-644-2665 (phone)
https://secured.insurance.ohio.gov/company/authlist.asp
The Surety has a minimum of $4 million in net worth (surplus).
Company is listed on the US Dept of Treasury Circular 570.
Date Checked:
3. Face amount of bond
Wording/Amount is correct and consistent. No strikeovers, white out, etc
Does not exceed 10% of the Surety Company’s capital and surplus to policyholders.
If it does exceed 10% of company’s capital and surplus to policyholders, is it covered by reinsurance?
Add bond information to Bond Evaluation spreadsheet.
SURETY BOND CHECKLIST
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