Form Mv-374 - Official Inspection Station Certificate Of Appointment Bond
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2OFFICIAL INSPECTION STATION CERTIFICATE
MV-374 (8-14)
OF APPOINTMENT BOND
Bureau of Motor Vehicles • Vehicle Inspection Division • P.O. Box 68697 • Harrisburg, PA 17106-8697
www dmv state pa us
ID NUMBER ________________________
BOND NUMBER ________________________
SIGNED AND SEALED ON ________________________
Whereas, _________________________________________________________________________________,
(Name of Principal)
doing business as __________________________________________________________________________,
(Business Name)
located at _________________________________________________________________________________,
(Address and Telephone Number of Principal)
has submitted an application for a certificate of appointment of an official inspection station, and
_________________________________________________________________________________________,
(Name of Surety Company)
located at __________________________________________________________________________________
(Address and Telephone Number of Surety)
a corporation incorporated under the laws of the State of ___________________________________, authorized
to transact the business of indemnity and suretyship in the Commonwealth of Pennsylvania (Commonwealth),
with a Pennsylvania main office located at
__________________________________________________________________________________________
(Address and Telephone Number of Local Office)
as Surety, are held bound unto the Commonwealth, and to any person who shall suffer any damage to a vehicle
during an inspection or adjustment due to negligence on the part of the Principal or its employees, as obligees in
the full and just sum of $10,000 to be paid to the Commonwealth or its assigns, to which payment we do hereby
bind ourselves jointly and severally, our heirs, executors, administrators, successors and assigns.
Liability for the payment of this sum, to which we hereby obligate and bind ourselves, our heirs, executors,
administrators, successors and assigns, jointly and severally, becomes effective upon: (1) appointment of the
Principal as an official inspection station, and (2) failure by the Principal to strictly comply with all applicable
provisions of Section 4722 of the Vehicle Code, 75 Pa.C.S. §4722, 67 Pa. Code, Chapter 175, and all orders,
rules and adjudications issued pursuant to those statutes and regulations.
The Commonwealth may assign its interest in this bond to any person who shall make a claim against the bond.
In such a case, the Commonwealth may release the surety company from liability to the Commonwealth.
This bond is effective beginning the date entered above, for a period of twelve (12) months and shall
automatically renew for successive twelve month period(s) thereafter; provided, however, that in the event this
bond is cancelled, or not renewed for any reason, the surety shall notify the Bureau of Motor Vehicles,
Department of Transportation, Manager of the Vehicle Inspection Division, Riverfront Office Center, 4th Floor,
1101 S. Front Street, Harrisburg, PA 17104-2516, and the principal, at least sixty (60) days prior to the date that
such action is to be taken. No cancellation shall take effect until a period of at least sixty (60) days has elapsed
from the date of the notice given to the Bureau of Motor Vehicles. Cancellation of the bond shall automatically
void the certificate of appointment. Inspections shall cease until the Commonwealth receives a new bond or proof
of insurance.
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