Performance Bond Mobile Home Installer

The Performance Bond Mobile Home Installer Form has to be completed and send to: STATE OF FLORIDASAFETY AND MOTOR VEHICLESDIVISION OF MOTORIST SERVICES2900 APALACHEE PARKWAYROOM B-152, Mail Stop #66TALLAHASSEE, FLORIDA 32399-0640.

Extracted Text for Proper Search

ST
	ATE OF FLORIDA
	 
	
SAFETY AND MOTOR VEHICLES
	 
	
DIVISION OF MOTOR
	IST SERVICES
	 
	
2900 APALACHEE PARKWAY
	 
	
ROOM B
	-
152, Mail Stop #66
	 
	
TALLAHASSEE, FLORIDA 32399
	-
0640
	 
	 
	
PERFORMANCE BOND
	 
	
MOBILE HOME INSTALLER
	 
	
Bond No.
	 
	 
	
 
	
KNOW ALL MEN BY THESE PRESENTS:  
That we	 	 	as principal and	 	 	
 	a surety company qualified to do business in the State of Florida, as a surety are held	 	
and firmly bound unto the duty appointed and qualified Director of the Division of Motor ist Services of the State of Florida, 
Department of Highway Safety and Motor Vehicles, and the successors in office of said Director in the penal sum of Five  
Thousand Dollars, for the payment whereof well and truly to be made, we do hereby jointly and severally bind ourselves, our  
heirs, legal representatives, successors and assigns, firmly by these presents. 
 
Signed and sealed this	 	 	day of	 	 	, 20	 	 	 	 
The condition of the above obligation is such that:  
 WHEREAS, the above named principal has made to the obligee hereunder application for a license, under Section  
320. 8249, Florida Statutes, to engage in the business of mobile home installation, and 
 
  WHEREAS, the above named principal is required as a condition precedent to this appointment as such installer to  
deliver annually to the obligee hereto a good and sufficient surety bond for the license period conditioned upon  proper 
performance of mobile home installation and weather sealing duties. 
 
  WHEREAS, such bond shall be in favor of any person who shall suffer any loss as a result of any violation of the   
conditions hereinabove contained.   
 
  NOW THEREFORE , if the above named principal shall properly perform all mobile home installation and weather  
sealing duties undertaken, and such installer shall pay or cause to be paid to any person any loss or damages which suc h 
person shall sustain as a result of any failure to comply with the conditions set forth herein, then this obligation shall be  void, 
otherwise to remain in full force and effect. 
 
 	This bond becomes effective as of	 	 	, 20	 	 	, in support of a license issued 	for the term ending	 	
 	, 20	 	 	,and may be continued by certificate each year in support of any license issued for any subsequent	 	
year.  
  Provided, however, that the aggregate liability of the surety hereunder shall in no event, in any one (1) year, exceed  
the sum of the bond. 
 
  Provided, further, the surety shall have the right to terminate its liability hereunder by serving written notice of its   
election so to do, by United States registered mail, upon the obligee, and thereupon the surety shall be dischar ged from any 
liability hereunder for any default of the principal, after the expiration of thirty (30) days from and after service of such  notice. 
 
The premium anniversary date on this bond shall be the first day of October 20	 	 	. 	 
 
 	
 	 
 	
SIGNATURE OF MOBIL	E HOME INSTALLER	 (PRINCIPAL)	 	 	SIGNATURE OF ATTORNEY	-IN-FACT 	 (SURETY	) 	 	 	 	
TYPED NAME OF MOBILE HOME INSTALLER	  	 	TYPED NAME OF ATTORNEY	-IN-FACT 	 (SURETY	) 	 	 	 	
NAME OF SURETY BOND COMPANY	 	 	COMPANY 	NAME OF SURETY AGENT	 	 	 	 	
ADDRESS OF SURETY BOND COMPANY	 	 	AD	DRESS OF SURETY AGENT	 	 	 	 	
CITY/STATE/ZIP CODE	 	 	CITY/STATE/ZIP CODE	 	 	 	 	
TELEPHONE NUMBER	 	 	TELEPHONE NUMBER	 	
 
HSMV 81402 (Rev.  01/11)