Form BM-174
Page 1 of 3
Revised March 2016
BOND
FOR PERFORMANCE OF THE WORK
STATE OF ALABAMA
PERMIT NUMBER: _________________
MONTGOMERY COUNTY
BOND NUMBER: ___________________
KNOWN ALL MEN BY THESE PRESENTS: That we ________________________________
_____________________________________, as Principal, and _________________________
_____________________________________, as Surety, are held and firmly bound unto the
ALABAMA DEPARTMENT OF TRANSPORTATION, in the penal sum of _______________
for the payment for which well and truly to be made, we hereby bind ourselves, our heirs,
executors, administrators, successors and assigns.
IN WITNESS WHEREOF, we have hereunto set our hands and affixed our seals, this the
_______ day of ____________________, 20____.
PROVIDED, HOWEVER, that the condition of this obligation is such that whereas the
above bound principal hereon, Namely, _____________________________ this day entered into
a permit Contract as applicant with the ALABAMA DEPARTMENT OF TRANSPORTATION
for work on highway right of way, attached hereto and incorporated herein, required by the
Department as provided for in the permit contract, to be performed in ______________________
County, Alabama, Highway Number ______________, a copy of which permit Contract is hereto
attached.
NOW, THEREFORE, in the event the said ____________________________________,
as such applicant shall faithfully and promptly perform the permit contract and all the conditions
and requirements thereof, then this obligation shall be null and void and of no effect, otherwise to
remain and be in full force and effect.