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Form 2602--General Information (Automobile Club Surety Bond)
The attached form is designed to meet minimal statutory filing requirements pursuant to the relevant code provisions. This form and the information provided are not substitutes for the advice and services of an attorney.

Commentary Automobile Clubs are governed by Chapter 722 of the Texas Transportation Code (the "Automobile Club Services Act") and the secretary of state's administrative rules found in 1 Texas Administrative Code Chapter 75. Section 722.004 of the Automobile Club Services Act requires an automobile club to accompany an application for certificate of authority with proof of $25,000 in security. This form is required for applicants electing to satisfy the security requirement by posting a surety bond. Instructions for Form · Principal/Automobile Club: Provide the name and mailing address of the automobile club applying for the certificate of registration. The name of the automobile club must match the name on the application for certificate of registration. · Bond: Provide the number used by the surety company to identify the bond. · Surety: Provide the name and mailing address of the surety company. The surety company must be authorized to do business as a surety company in Texas. · Effective Date: Provide the date on which the bond will become effective. · Execution: Persons who are authorized to sign on behalf of the principal health spa and the surety company must sign and date the assignment. · Delivery Instructions: The bond may be mailed to P.O. Box 13550, Austin, Texas 78711-3550 or delivered to the James Earl Rudder Office Building, 1019 Brazos, Austin, Texas 78701.
Revised 05/2009

Form 2602

1

Form #2602

Rev. 05/2009

This space reserved for office use

Submit to: SECRETARY OF STATE Statutory Documents Section P O Box 13550 Austin, TX 78711-3550 512-475-1769 512-475-2815 - Fax Filing Fee: None. PRINCIPAL/ AUTOMOBILE CLUB BOND SURETY Name: Mailing Address Number: Name:

AUTOMOBILE CLUB SURETY BOND

City

State

Zip

Amount : Twenty-five thousand dollars ($25,000.00)

We, PRINCIPAL AND SURETY identified above, our heirs, executors, successors and assigns, jointly and
severally, are liable to the State of Texas, for the amount of the bond shown, in favor of the state and held
for the benefit of the state or any party injured by PRINCIPAL's failure to faithfully perform in selling or
providing automobile club services. SURETY acknowledges that it is duly authorized and qualified to do
business as a surety company in Texas.
This agreement is subject to the following terms and conditions:
The bond shall be maintained as long as PRINCIPAL has any liability or obligation in Texas.
This bond shall serve as the security required by Section 722.004, Transportation Code, so that the secretary
of state may issue a certificate of registration to PRINCIPAL.
As a condition of SURETY's obligation, PRINCIPAL shall faithfully perform in selling or providing club
services and in paying any fines or penalties levied against the automobile club for failure to comply with
the provisions of the Automobile Club Services Act, Transportation Code Chapter 722, as that statute is
presently worded, and as it may hereafter be amended to read; and all applicable rules and regulations of the
secretary of state adopted to carry out the provisions of said Act. Any party injured by PRINCIPAL's
failure to meet the conditions of the bond may bring an action based on the bond and recover against the
bond.
The aggregate liability of SURETY for all breaches of bond conditions and for payment of all fines and
penalties may not exceed the amount of the bond.
Regardless of the number of years the bond continues in force or the number of premiums paid or payable,
the limit of SURETY's liability stated in the bond shall not be cumulative from year to year or period to
period.
The bond shall be continuous until cancelled by SURETY, and cancellation by SURETY shall be upon
written notice to the secretary of state not later than the 60th day before the date of cancellation.
It is agreed that the bond shall be in full force and effect as of the following date:

Date: Signature of authorized person for PRINCIPAL Printed or typed name of authorized person for PRINCIPAL Date: Signature of authorized person for SURETY Printed or typed name of authorized person for SURETY

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