"Surety Bond Rider Form" - Florida

Surety Bond Rider Form is a legal document that was released by the Florida Department of Environmental Protection - a government authority operating within Florida.

Form Details:

  • The latest edition currently provided by the Florida Department of Environmental Protection;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Florida Department of Environmental Protection.

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Download "Surety Bond Rider Form" - Florida

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Mail this and supporting documents to:
Solid Waste Financial Coordinator
Florida Department of Environmental Protection
2600 Blairstone Road MS 4548
Tallahassee, Florida 32399-2400
SURETY BOND RIDER
Facility name:
FDEP I.D. Number:
To be attached to and form part of
bond number
, originally effective on
“performance” or “guarantee”
, for
, as Principal,
and
, as Surety(ies),
in favor of the Florida Department of Environmental Protection (FDEP), as Obligee. It is understood and agreed that the
bond is amended as follows:
(Check appropriate boxes below and complete.)
. Required Action amounts
Penal Sum from $
to $
*
“Increase” or “Decrease”
are merged and related requirements of Rule 62-701.630(6), F.A.C., as amended, shall apply.
Change facility amounts * –
: $
(use this section only when bond covers multiple facilities)
Facility name
New facility amount
: $
Facility name (use ‘Other’ section for additional facilities)
New facility amount
* -
Reductions of Penal Sum or Facility Amounts, in accordance with the terms of the bond and FDEP regulations, require prior written permission
from the FDEP Tallahassee office. Authorization will be addressed to Surety or Surety’s representative and will specify bond to be changed.
Change
name from
“principal” or “facility”
to
.
Change Co-surety Liability Limits to $
for
Surety Company
and $
for
.
Surety Company (use ‘Other’ section for additional Sureties)
Other:
Said Bond shall be subject to all its terms, conditions and limitations, except as herein expressly amended. This rider shall
become effective on
. This rider is executed on
. IN WITNESS WHEREOF,
Surety Company(ies)
has caused its corporate seal to be hereunto affixed.
The persons whose signatures appear below hereby certify that they are authorized to execute this surety bond rider on
behalf of the Principal and Surety(ies).
Signature of Authorized Representative of Principal
Signature of Authorized Representative of Surety
Affix Surety Seal and Attach Power of Attorney
Type Name and Title
Type Name
Address of Authorized Representative
Telephone Number
E-mail Address
SAVE
PRINT
CLEAR
Mail this and supporting documents to:
Solid Waste Financial Coordinator
Florida Department of Environmental Protection
2600 Blairstone Road MS 4548
Tallahassee, Florida 32399-2400
SURETY BOND RIDER
Facility name:
FDEP I.D. Number:
To be attached to and form part of
bond number
, originally effective on
“performance” or “guarantee”
, for
, as Principal,
and
, as Surety(ies),
in favor of the Florida Department of Environmental Protection (FDEP), as Obligee. It is understood and agreed that the
bond is amended as follows:
(Check appropriate boxes below and complete.)
. Required Action amounts
Penal Sum from $
to $
*
“Increase” or “Decrease”
are merged and related requirements of Rule 62-701.630(6), F.A.C., as amended, shall apply.
Change facility amounts * –
: $
(use this section only when bond covers multiple facilities)
Facility name
New facility amount
: $
Facility name (use ‘Other’ section for additional facilities)
New facility amount
* -
Reductions of Penal Sum or Facility Amounts, in accordance with the terms of the bond and FDEP regulations, require prior written permission
from the FDEP Tallahassee office. Authorization will be addressed to Surety or Surety’s representative and will specify bond to be changed.
Change
name from
“principal” or “facility”
to
.
Change Co-surety Liability Limits to $
for
Surety Company
and $
for
.
Surety Company (use ‘Other’ section for additional Sureties)
Other:
Said Bond shall be subject to all its terms, conditions and limitations, except as herein expressly amended. This rider shall
become effective on
. This rider is executed on
. IN WITNESS WHEREOF,
Surety Company(ies)
has caused its corporate seal to be hereunto affixed.
The persons whose signatures appear below hereby certify that they are authorized to execute this surety bond rider on
behalf of the Principal and Surety(ies).
Signature of Authorized Representative of Principal
Signature of Authorized Representative of Surety
Affix Surety Seal and Attach Power of Attorney
Type Name and Title
Type Name
Address of Authorized Representative
Telephone Number
E-mail Address
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