Registration/renewal Of Travel Agency Page 5

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MICHAEL A. MAURO
TRAVEL AGENCY
Secretary of State
BOND FORM
State of Iowa
This is the bond form prescribed by the Secretary of State under Iowa Code chapter 9D. An applicant who chooses to
comply with Iowa Code chapter 9D, section 3 by executing a surety bond, must use this form.
A surety bond is continuous in nature, therefore an applicant does not need to complete this form if the application
represents a renewal and a bond is already on file with the Secretary of State. Do not return the bond form separate
from the application or it will be returned and result in a delay in filing.
PRINCIPAL:
SURETY:
ADMINISTRATOR: Secretary of State
BOND NO.:
TERM: This bond shall become effective on
, 20
and remain in
force until terminated in accordance with the provisions of paragraph 4 below.
, as principal, and
, as surety qualified to do business in Iowa, are bound in
penal sum of $10,000 for payment under the following terms and conditions.
TERMS AND CONDITIONS:
1. The above-named principal has applied to the Secretary of State for registration as a travel agency under Iowa
Code chapter 9D.
2. If the principal complies with the provisions of Iowa Code chapter 9D and all rules and regulations promulgated
thereunder, and satisfies any loss or damages suffered by the State of Iowa or any person[s] dealing with the principal
resulting from the principal’s violation of any provision of Iowa Code chapter 9D, or rules and regulations promulgated
thereunder, then this obligation shall be void. Otherwise this bond shall remain in full force and effect. This bond is payable
to the State of Iowa for use and benefit of either: (a) [any] person[s] who is[are] injured by the fraud, misrepresentation,
or financial failure of the principal or a travel agent employed by the principal; or (b) the State on behalf of any person[s]
so injured.
3. This bond shall be one continuing obligation and in no event shall the liability exceed the penal sum of
$10,000 for the aggregate of any claims occurring during the term of this bond.
4. The surety shall have the right to terminate its obligation under this bond by filing written notice of its intent to
cancel the bond with the Secretary of State and the principal at least 60 days prior to the effective date of such termination.
Obligations of the surety arising prior to the effective date shall not be affected by the termination.
EXECUTED on this
day of
, 20
, Principal
by
.
NOTE: Persons executing for surety other than corporate officers must attach Power of Attorney.
, Surety
by
.
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