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Continuation Certificate For use with Annual Bond Form

S-5025cert (08-07) Continuation Certificate For use with Annual Bond form Bond No. _____ In consideration of _____ dollars renewal premium, the term of Bond No. _____ in the amount of _____, dated _____ issued on behalf of _____, in favor of _____ in connection with _____ is hereby extended to _____. This Certificate is subject to the same terms and conditions as set forth in the aforementioned Bond. This Continuation Certificate is executed upon the express condition that the surety s liability under said bond, and any and all Continuation certificates, shall not be cumulative and shall in no event exceed the amount of said bond, as herein set forth, regardless of the number of periods the bond is extended.

S-5025cert (08-07) Continuation Certificate For use with Annual Bond Form Bond No. _____ In consideration of _____ dollars renewal premium, the term of Bond No. _____ in the amount

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Transcription of Continuation Certificate For use with Annual Bond Form

1 S-5025cert (08-07) Continuation Certificate For use with Annual Bond form Bond No. _____ In consideration of _____ dollars renewal premium, the term of Bond No. _____ in the amount of _____, dated _____ issued on behalf of _____, in favor of _____ in connection with _____ is hereby extended to _____. This Certificate is subject to the same terms and conditions as set forth in the aforementioned Bond. This Continuation Certificate is executed upon the express condition that the surety s liability under said bond, and any and all Continuation certificates, shall not be cumulative and shall in no event exceed the amount of said bond, as herein set forth, regardless of the number of periods the bond is extended.

2 The referenced bond shall be subject to all its agreements, limitations and conditions except as herein expressly modified. SIGNED, SEALED AND DATED this _____ day of _____, _____. By: Principal By: Attorney-in-Fact


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