Common use of DO NOT WRITE BELOW THIS LINE Clause in Contracts

DO NOT WRITE BELOW THIS LINE. NO. BOND UNITS/DATE ISSUED BY Union Insurance Group / NO. UNITS/DATE ISSUED BOND PACKAGE PURCHASER NO. BOND UNITS NOS. MASTER POLICY NO. EXPLANATORY INFORMATION PURCHASING ORGANIZATION: Any organization (public or private, nonprofit or profit) that provides job placement services to ex-offenders and other at-risk job applicants and issues the purchased Fidelity Bonds as a job placement tool without charge to any employer or job applicant for the bonds. Each Bond Unit now costs $100, regardless of how many bonds are purchased. The bond units are to be issued over a 24-month period from the date of purchase of the package. Once issued, each unit of bonding provides the employer with 6-months insurance coverage. BOND INSURANCE AMOUNT: Each bond unit provides $5,000 insurance for employee dishonesty for a six-month period. The number of bond units issued for any specific six-month period is determined by the purchasing organization. Past experience shows that issuance of only one bond unit is sufficient to achieve most job placements. From 1 to 5 bond units can be issued to cover any full or part-time worker who earns wages and whose paycheck reflects automatic deductions for Federal taxes (self-employed persons cannot be covered by these bond units). Therefore, bond amounts issued will be either $5,000, $10,000, $15,000, $20,000 or $25,000 (see FIDELITY BOND CERTIFICATION FORM included in GUIDELINES FOR BONDING). Bond units are not transferable from one employer to another. After the initial six-month period of bonding, the purchasing organization may choose to renew the bond covering the same employee at the same employer who received the original bond. Such renewal will require use of additional bon d units and OFFICIAL BOND INSURANCE STAMPS (see FIDELITY BOND CERTIFICATION FORM). However, after the initial six-month period of bonding, if no claim is paid due to employee dishonesty, St. Xxxx Travelers will make the bond available for purchase by the employer at a regular commercial rate. The cost of each bond package includes 24 months of technical assistance pertaining to bond issuance, processing, utilization, exemplary practices, policy developments, sample public information materials, etc., as well as the toll-free hotline 0-000-000-0000 to address ongoing needs of service delivery staff of the purchasing organization.

DO NOT WRITE BELOW THIS LINE. NO. BOND UNITS/DATE ISSUED BY Union Insurance Group THE XxXXXXXXXX COMPANY / NO. UNITS/DATE ISSUED BOND PACKAGE PURCHASER NO. BOND UNITS NOS. MASTER POLICY NO. EXPLANATORY INFORMATION PURCHASING ORGANIZATION: Any organization (public or private, nonprofit or profit) that provides job placement services to ex-offenders and other at-risk job applicants and issues the purchased Fidelity Bonds as a job placement tool without charge to any employer or job applicant for the bonds. Each Bond Unit now costs $BOND PACKAGE SIZE AND COST: Four separate bond packages are available as follows: NUMBER OF BOND UNITS TOTAL PACKAGE COST 25...................................................... $ 2,450 50...................................................... $ 4,600 75...................................................... $ 6,550 100, regardless of how many bonds are purchased. ...................................................... $ 8,400 The bond units in each package are to be issued over a 24-month period from the date of purchase of the package. Once issued, each unit of bonding provides the employer with 6-months insurance coverage. BOND INSURANCE AMOUNT: Each bond unit provides $5,000 insurance for employee dishonesty for a six-month period. The number of bond units issued for any specific six-month period is determined by the purchasing organization. Past experience shows that issuance of only one bond unit is sufficient to achieve most job placements. From 1 to 5 bond units can be issued to cover any full or part-time worker who earns wages and whose paycheck reflects automatic deductions for Federal taxes (self-employed persons cannot be covered by these bond units). Therefore, bond amounts issued will be either $5,000, $10,000, $15,000, $20,000 or $25,000 (see FIDELITY BOND CERTIFICATION FORM included in GUIDELINES FOR BONDING). Bond units are not transferable from one employer to another. After the initial six-month period of bonding, the purchasing organization may choose to renew the bond covering the same employee at the same employer who received the original bond. Such renewal will require use of additional bon d bond units and OFFICIAL BOND INSURANCE STAMPS (see FIDELITY BOND CERTIFICATION FORM). However, after the initial six-month period of bonding, if no claim is paid due to employee dishonesty, St. Xxxx Travelers will make the bond available for purchase by the employer at a regular commercial rate. The cost of each bond package includes 24 months of technical assistance pertaining to bond issuance, processing, utilization, exemplary practices, policy developments, sample public information materials, etc., as well as the toll-free hotline 0-000-000-0000 to address ongoing needs of service delivery staff of the purchasing organization.

DO NOT WRITE BELOW THIS LINE. NO. BOND UNITS/DATE ISSUED BY Union Insurance Group / NO. UNITS/DATE ISSUED BOND PACKAGE PURCHASER NO. BOND UNITS NOS. MASTER POLICY NO. EXPLANATORY INFORMATION PURCHASING ORGANIZATION: Any organization (public or private, nonprofit or profit) that provides job placement services to exjustice-offenders involved and other at-risk job applicants and issues the purchased Fidelity Bonds as a job placement tool without charge to any employer or job applicant for the bonds. Each Bond Unit now costs $100, regardless of how many bonds BOND PACKAGE SIZE AND COST: Four separate bond packages are purchased. available as follows: NUMBER OF BOND UNITS TOTAL PACKAGE COST 25 ....................................................$ 2,450 50 ....................................................$ 4,600 75 ....................................................$ 6,550 100 ....................................................$ 8,400 The bond units in each package are to be issued over a 24-month period from the date of purchase of the package. Once issued, each unit of bonding provides the employer with 6-months insurance coverage. BOND INSURANCE AMOUNT: Each bond unit provides $5,000 insurance for employee dishonesty for a six-month period. The number of bond units issued for any specific six-month period is determined by the purchasing organization. Past experience shows that issuance of only one bond unit is sufficient to achieve most job placements. From 1 to 5 bond units can be issued to cover any full or part-time worker who earns wages and whose paycheck reflects automatic deductions for Federal taxes (self-employed persons cannot be covered by these bond units). Therefore, bond amounts issued will be either $5,000, $10,000, $15,000, $20,000 or $25,000 (see FIDELITY BOND CERTIFICATION FORM included in GUIDELINES FOR BONDING)25,000. Bond units are not transferable from one employer to another. After the initial six-month period of bonding, the purchasing organization may choose to renew the bond covering the same employee at the same employer who received the original bond. Such renewal will require use of additional bon d bond units and OFFICIAL BOND INSURANCE STAMPS (see FIDELITY BOND CERTIFICATION FORM). However, after the initial six-month period of bonding, if no claim is paid due to employee dishonesty, St. Xxxx Travelers will make the bond available for purchase by the employer at a regular commercial rate. The cost of each bond package includes 24 months of technical assistance pertaining to bond issuance, processing, utilization, exemplary practices, policy developments, sample public information materials, etc., as well as the toll-free hotline 0-000-000-0000 0000. BOND PACKAGE PURCHASE AND PAYMENT: Purchase of a bond package can be made by completing the FIDELITY BOND PURCHASE AGREEMENT and returning it to address ongoing needs of service delivery staff Union Insurance Group, Inc. with either full payment (check payable to Union insurance Group) or purchase order to be processed by the Company. Purchasers will receive “Official Bond Insurance Stamps” (one for each bond unit purchased) to be affixed to each completed FIDELITY BOND CERTIFICATION FORM to effect issuance of the Fidelity Bond insurance policy to the employer. Bond issuance to employers can be initiated by the purchasing organization.organization on the day that Union Insurance Group, Inc. receives a completed FIDELITY BOND PURCHASE AGREEMENT. MAIL SIGNED/AGREEMENT TO: Xxx Xxxxxxxxx Project Manager, Federal Bonding Program Union Insurance Group, Inc.

DO NOT WRITE BELOW THIS LINE. NO. BOND UNITS/DATE ISSUED BY Union Insurance Group / NO. UNITS/DATE ISSUED BOND PACKAGE PURCHASER NO. BOND UNITS NOS. MASTER POLICY NO. EXPLANATORY INFORMATION PURCHASING ORGANIZATION: Any organization (public or private, nonprofit or profit) that provides job placement services to ex-offenders and other at-risk job applicants and issues the purchased Fidelity Bonds as a job placement tool without charge to any employer or job applicant for the bonds. Each Bond Unit now costs $BOND PACKAGE SIZE AND COST: Four separate bond packages are available as follows: NUMBER OF BOND UNITS TOTAL PACKAGE COST 25............................................................$ 2,450 50............................................................$ 4,600 75............................................................$ 6,550 100, regardless of how many bonds are purchased. ............................................................$ 8,400 The bond units in each package are to be issued over a 24-month period from the date of purchase of the package. Once issued, each unit of bonding provides the employer with 6-months insurance coverage. BOND INSURANCE AMOUNT: Each bond unit provides $5,000 insurance for employee dishonesty for a six-month period. The number of bond units issued for any specific six-month period is determined by the purchasing organization. Past experience shows that issuance of only one bond unit is sufficient to achieve most job placements. From 1 to 5 bond units can be issued to cover any full or part-time worker who earns wages and whose paycheck reflects automatic deductions for Federal taxes (self-employed persons cannot be covered by these bond units). Therefore, bond amounts issued will be either $5,000, $10,000, $15,000, $20,000 or $25,000 (see FIDELITY BOND CERTIFICATION FORM included in GUIDELINES FOR BONDING). Bond units are not transferable from one employer to another. After the initial six-month period of bonding, the purchasing organization may choose to renew the bond covering the same employee at the same employer who received the original bond. Such renewal will require use of additional bon d bond units and OFFICIAL BOND INSURANCE STAMPS (see FIDELITY BOND CERTIFICATION FORM). However, after the initial six-month period of bonding, if no claim is paid due to employee dishonesty, St. Xxxx Travelers will make the bond available for purchase by the employer at a regular commercial rate. The cost of each bond package includes 24 months of technical assistance pertaining to bond issuance, processing, utilization, exemplary practices, policy developments, sample public information materials, etc., as well as the toll-free hotline 0-000-000-0000 to address ongoing needs of service delivery staff of the purchasing organization.