BOND NO. .........
PUBLIC ADJUSTER BOND
We, ....................... [licensee], of ................... [street address], city of .........., State of .........., as principal, and .........., a corporation incorporated under the laws of the State of New Jersey, and duly licensed to transact a surety business in the State of New Jersey, as surety, are indebted to the State of New Jersey, obligee, in the penal sum of $ ....., for which payment we bind ourselves and our respective heirs, legal representatives, successors, and assigns, jointly and severally.
The principal has applied to the Commissioner of Insurance of the State of New Jersey for issuance of a license under the provisions of the Public Adjusters' Licensing Act, P.L. 1993, c.66, (17:22B-1 et seq.), as a public adjuster.
Pursuant to the Public Adjusters' Licensing Act, P.L. 1993, c.66, (17:22B-1 et seq.), every licensee shall file with the Commissioner of Insurance a surety bond in the penal sum of $ .... applicable to the licensee, and each of the sublicensees named in the license, and any temporary sublicensee sponsored by the licensee, if any, said bond to be issued by an approved surety, conditioned on faithful and honest conduct as a public adjuster, before the license will be issued. The bond must be maintained during the term of the license.
The condition of this bond is that if the principal, licensee, or any sublicensees of the licensee, if any, conducts her, his or its business as a public adjuster faithfully, honestly, and in accordance with law, and if the principal, licensee, or any sublicensees of the licensee, if any, faithfully complies with and abides by the provisions of 17:22B-1 et seq., and all rules and regulations promulgated pursuant thereto, and any amendments thereto, and will commit no willful, malicious or wrongful act, and perform all obligations and undertakings when engaging as a public adjuster in this State, and will pay to the State any and all money that may become due and owing to the State under and by virtue of the provisions of 17:22B-1 et seq., then this obligation will be null and void; otherwise it shall remain in full force and effect.
This bond is issued subject to the following express conditions, fulfillment of which shall be precedent to all rights of recovery hereunder.
The premium for which this bond is written is $ .....
Executed on this ................... day of .........., 19.., effective immediately.
...................................... | |
[Name of Licensee] | |
signed, sealed this | ...................................... |
.... day of ......., | [...... President--if corp.] |
19.., in the presence of | |
...................................... | |
[Individual or Partner] | |
attest ............................... | |
[...... Secretary--if corp.] | |
[Witness--if individual or | ...................................... |
partnership] | [Surety company] |
By: .................................. | |
[Attorney in Fact] |
to
The State of New Jersey
Under the Public Adjusters' Licensing Act
P.L. 1993, c.66 (17:22B-1 et seq.)
Filed .........., 19..
Commissioner of Insurance
N.J. Admin. Code Tit. 11, ch. 1, subch. 37, app APPENDIX