Form Pa-611-026 - Professional Boxing, Martial Arts, And Wrestling Surety Bond - Washington Department Of Licensing
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1BUSINESS AND PROFESSIONS DIVISION
PROFESSIONAL BOXING, MARTIAL ARTS
AND WRESTLING SECTION
P.O. BOX 9649
PROFESSIONAL BOXING, MARTIAL ARTS,
OLYMPIA, WA 98507-9649
Click Here to Start, Then
AND WRESTLING SURETY BOND
Tab From Field to Field
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Sole Proprietor
Partnership
Corporation
KNOW ALL PERSONS BY THESE PRESENTS: That ________________________________________________________
APPLICANT/OWNER
__________________________________________________________________________________________________________
doing business as __________________________________________________________________________________________
BUSINESS NAME
as principal, at the following address __________________________________________________________________ and/or
__________________________________________________________________________________________________________
a corporation organized and existing under the laws of the State of ____________________________________________
and authorized to transact surety business in the State of Washington, as surety, are held and firmly bound unto the
STATE OF WASHINGTON in the sum of ______________ Dollars lawful money of the United States of America to be
paid to the said State of Washington, for which payment well and truly to be made, we bind ourselves, our heirs,
executors, administrators, successors and assigns, jointly and severally firmly by these presents, which shall be in an
amount to be determined by the department but not less than ten thousand dollars.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH THAT: Whereas, the said principal has made application
for a professional athletic event license by the Business and Professions Division of the State of Washington for carrying
on the business of __________________ within the State of Washington; and is required by 67.08 RCW to furnish a bond
in the penal sum of _______________ Dollars with good and sufficient surety, conditioned as required by said law.
NOW, THEREFORE, If the said principal will comply with all the provisions of 67.08 RCW of the State of Washington
and with all rules and regulations adopted by the Director of the Department of Licensing, of said state pursuant to the
provisions of 67.08 RCW and will pay all amounts that may be adjudged against principal by reason of violation of 67.08
RCW or any rules or regulations adopted pursuant thereto in the conduct of principal's business as a(n) __________________
then the above obligation shall be null and void; otherwise to remain in full force and effect.
PROVIDED: That any person having a claim against the principal for damage as a result of any violation by principal
or his/her agent of 67.08 RCW or any rules or regulations adopted pursuant thereto may bring a suit on this bond in the
superior court of the county in which the principal's business is located, or of any county in which jurisdiction of the
principal may be had.
PROVIDED FURTHER: That the aggregate liability of the surety hereunder for any and all claims presented shall not
exceed the penal sum of this bond. PROVIDED FURTHER: that the Business and Professions Division shall be notified
thirty (30) days prior to the cancellation of this bond, along with the reason for cancellation or termination. No bond filed
shall be approved unless it expressly provides that it will be effective for one year following the effective date of its
cancellation or termination, whether because of expiration, suspension, or revocation of the license, or otherwise, as to
any covered act or acts and omission or omissions of the licensee occurring on, or prior to, the effective date of cancellation
or termination.
IN WITNESS WHEREOF, the said principal and the said surety have affixed their hands and seal this __________
day of _________________________________ , _____.
Effective date of bond ___________________________
Bond Number _________________________________
SIGNATURE OF PRINCIPAL
SURETY
Name _________________________________________
X
Attorney-in-Fact _______________________________
SIGNATURE OF APPLICANT/OWNER OR INDIVIDUAL AUTHORIZED
TO SIGN FOR PARTNERSHIP OR CORPORATION
Agency Name _________________________________
Resident Agent ________________________________
(SURETY SEAL)
Address _______________________________________
The Department of Licensing has a policy of providing equal access to its services. If
you need special accommodation, please call (360)753-3713 or TTY (360)586-2788.
PA-611-026 SURETY BOND (R/12/99)FM/W
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