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DRIVER SCHOOL BOND
MV3764 8/2007
Owner Name
Wisconsin Department of Transportation
School Name
School Address
Surety Company Name
Surety Company Address
Bond Amount
Bond Number
The above-named owner as principal and the above-named company as surety, are firmly bound to the Wisconsin Department of Transportation for the benefit of any person aggrieved under the provisions of Chapter Trans 105 Wisconsin Administrative Code. The condition of this obligation is that the above-named principal has applied for, or has been granted, approval to do business as a Driver School pursuant to Subchapter VI of Chapter 343 Wisconsin Statutes, or any successor statutes subsequently amended or created, and pursuant rules and regulations. The amount of this bond is the sum stated above in lawful money of the United States of America.
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If the owner complies with all the provisions of Chapter Trans 105 Wisconsin Administrative Code, the bond obligation shall be void. Liability under this bond shall be continuous in nature. In the event of renewal for one or more annual periods, the liability of the surety shall not be cumulative. Regardless of the number of years that this bond is continued, or the number of annual premiums that is paid or payable, the aggregate liability of the surety during the entire period in which this bond is in force shall not exceed the stated amount of this bond. This bond may be terminated by surety giving thirty (30) days written notice to the Wisconsin Department of Transportation. In the event of termination, the surety shall be relieved of liability only with respect to breaches of condition occurring on and after the effective termination date. In witness, principal and surety have signed this bond.
(Effective Date)
X
(Witness to Principal Signature) (Principal School Name)
X
(Witness to Principal Signature)
X
(Signature of Authorized School Representative, Title)
X
(Witness to Surety Signature) (Surety Company Name)
X
(Witness to Surety Signature)
X
(Signature of Surety Officer, Attorney-in-Fact)
The address for filing and giving notice is Wisconsin Department of Transportation, PO Box 7920, Madison, WI 53707-7920