Oklahoma Reinsurance Intermediary Manager Bond printable pdf download

OKLAHOMA

REINSURANCE INTERMEDIARY MANAGER

BOND

No. __________________________________

KNOW ALL MEN BY THESE PRESENTS, that I ________________________________________________

(hereinafter called Principal), and the _____________________________________________ , as Surety, at

______________________________________________ , are held and firmly bound unto the Insurance Commissioner of

the State of Oklahoma (hereinafter called obligee), as obligee, in the amount required in the penal sum of

______________________ good and lawful money of the United States of America, for the payment of which

well and truly to be made, we hereby bind ourselves, our successors and assigns, jointly and severally, firmly by these

presents.

WHEREAS, Principal has made application to the Insurance Commissioner of the State of Oklahoma for a license as an

Reinsurance Intermediary Manager in accordance with the provisions of the Oklahoma Insurance Code, (Title 36,

Oklahoma Statutes Article 51 et seq.).

NOW, THEREFORE, the condition of the obligation is such that if Principal will conduct business under said license in

accordance with the provisions of said Oklahoma Insurance Code, then this obligation shall be null and void; otherwise to

remain in full force and effect, subject, however, to the following conditions:

1. The Surety will immediately notify the Insurance Commissioner of any changes in the amount or parties to this

bond.

2. This bond may be canceled and the Surety relieved of all further liability hereunder by the Surety’s filing thirty

(30) days prior written notice thereof with the Insurance Commissioner of the State of Oklahoma.

3. The liability of the surety for any and all claims hereunder shall in no event exceed the required amount.

4. The liability of the Principal shall in no way be limited merely by the Surety’s satisfaction hereof.

SIGNED, SEALED, AND DATED THIS _______________ day of _________________ , _______________ .

____________________________________________ ____________________________________________________

Principal

Oklahoma resident or non-resident Producer Countersignature

____________________________________________

Surety

(SEAL)

By: _________________________________________

Attorney-in-Fact

_____________________________________________

Attorney-in-Fact

**Please attach a copy of the Power of Attorney and Certificate of Authority of Attorney-in-Fact.

Oklahoma Reinsurance Intermediary Manager Bond