Membership Application & Indemnity AgreementApplication and Indemnity Agreement • November 11th, 2011
THIS APPLICATION AND INDEMNITY AGREEMENT (the “Agreement”), dated effective as of the date of acceptance by the administrator as set forth below, is made by and between Massachusetts Trade Self-Insurance Group, Inc., a Massachusetts nonprofit corporation, (the “Group”), and the undersigned employer located in the Commonwealth of Massachusetts, (the “Member”).
COMMERCIAL SURETY BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • January 8th, 2003 • Ontario
COMPLETE BOX IF APPLICANT IS A CORPORATION/ LLC/ LLP NAME OF APPLICANT: Full Address: E-mail Address:Website Address: Organized date: (dd/mm/yy) under laws of (Dom.)(Prov.) (State) Name of President: Name of Vice-President: Name of Secretary: Name of Treasurer: Name(s) of Major Shareholders: ( %) ( %) ( %) ( %)
APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • March 6th, 2012
Street Address City, State Zip Code Predominant nature of your business activity: How long in this business? (Indicate Dates)
APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • December 19th, 2017 • Massachusetts
THIS AGREEMENT is by and between Self Insured Lumber Businesses Association, Inc., a Massachusetts nonprofit corporation, (the "Group"), and the undersigned employer located in the Commonwealth of Massachusetts, (the "Member"), and is effective upon, and as of the date of, acceptance in the manner indicated below by the Group and the Member.
IMMIGRATION BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • March 16th, 2016
The undersigned indemnitor(s) (hereinafter referred to as "Indemnitor"), jointly and severally, hereby apply to LEXINGTON NATIONAL INSURANCE CORPORATION, its agents, successors, and assigns (hereinafter collectively referred to as "Company”), for execution by Company of an Immigration Bond (hereinafter referred to as the "Bond”), on behalf of the Alien named below (hereinafter referred to as the "Alien") in favor of the Department of Homeland Security of the United States of America (hereinafter referred to as "DHS") in the amount of $ .
APPLICATION AND INDEMNITY AGREEMENT FOR STRATA LOT AND COMMON PROPERTY ALTERATIONS (2021)Application and Indemnity Agreement • June 3rd, 2021
BAIL BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • August 25th, 2010
This Idaho Addendum (“Addendum”) is attached to and forms part of the Bail Bond Application and Indemnity Agreement signed, sealed and delivered by you as Defendant (“Agreement”) and is incorporated into the Agreement by this reference. Any capitalized terms used in this Addendum without definition shall have the meanings assigned to these terms by the Agreement.
ContractApplication and Indemnity Agreement • May 23rd, 2012
APPLICATION AND INDEMNITY AGREEMENTFOR ABUSINESS SERVICE SURETY BOND LICENSED PRODUCER (required): Salvad or Richard Mena (Rick Mena) Agency Name: Sanguinetti & Co. Insurance Bro Billing Method: Agency BilledPrincipal Name: Business Address: Street AddrePredominant nature of your business activity:How long in this business? (Indicate Dates) Bond Limit Requested? $ Number of Employees is less than or equal to 251. Does the Applicant have any other Surety bonds2. Has another Surety company declined to write thi3. Have you ever had a bond or fidelity policy involu4. Has there ever been a claim or legal action agains5. Do you or any of your companies have any pendi6. Have you or any of your companies declared ban7. Have you or any of your companies been the subj resulting in disciplinary action? 8. Have you ever been convicted of a felony? kers Agency Code: 57-128439 Direct Billed Agency Billed with Direct Billed at Renewal ss City, State Zip Code ($100,000 MAXIMUM)? No Yesor fidel
COMMERCIAL SURETY BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • January 8th, 2003 • Ontario
COMPLETE BOX IF APPLICANT IS A CORPORATION/ LLC/ LLP NAME OF APPLICANT: Full Address: E-mail Address:Website Address: Organized date: (dd/mm/yy) under laws of (Dom.)(Prov.) (State) Name of President: Name of Vice-President: Name of Secretary: Name of Treasurer: Name(s) of Major Shareholders: ( %) ( %) ( %) ( %)
BAIL BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • December 27th, 2017
This Montana Addendum (“Addendum”) is attached to and forms part of the Bail Bond Application and Indemnity Agreement signed, sealed and delivered by you as Indemnitor (“Agreement”) and is incorporated into the Agreement by this reference. Any capitalized terms used in this Addendum without definition shall have the meanings assigned to these terms by the Agreement.
BAIL BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • November 7th, 2020
This Idaho Addendum (“Addendum”) is attached to and forms part of the Bail Bond Application and Indemnity Agreement signed, sealed and delivered by you as Indemnitor (“Agreement”) and is incorporated into the Agreement by this reference. Any capitalized terms used in this Addendum without definition shall have the meanings assigned to these terms by the Agreement.
ContractApplication and Indemnity Agreement • December 11th, 2012
APPLICATION AND INDEMNITY AGREEMENT FOR PUBLIC OFFICIAL BOND Liberty Mutual Insurance Company The Ohio Casualty Insurance Company
Indemnity AgreementApplication and Indemnity Agreement • May 23rd, 2012
In consideration of Hartford Fire Insurance Company or any of its direct or indirect insurance company affiliates or subsidiaries, including co-sureties or reinsurers (“Hartford”) Underwriting Bonds, the Undersigned hereby agree as follows:
BAIL BOND APPLICATION AND INDEMNITY AGREEMENTApplication and Indemnity Agreement • January 25th, 2012
This Idaho Addendum (“Addendum”) is attached to and forms part of the Bail Bond Application and Indemnity Agreement signed, sealed and delivered by you as Indemnitor (“Agreement”) and is incorporated into the Agreement by this reference. Any capitalized terms used in this Addendum without definition shall have the meanings assigned to these terms by the Agreement.
