Form DAG009-084 "Uniform Public Safety Professional Fund Raiser Surety Bond - Initial" - Michigan

What Is Form DAG009-084?

This is a legal form that was released by the Michigan Department of Attorney General - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2009;
  • The latest edition provided by the Michigan Department of Attorney General;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DAG009-084 by clicking the link below or browse more documents and templates provided by the Michigan Department of Attorney General.

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Download Form DAG009-084 "Uniform Public Safety Professional Fund Raiser Surety Bond - Initial" - Michigan

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BOND #
DAG 009-084
AUTHORITY: 1992 PA 298
COMPLIANCE: Required
PENALTY: Civil
STATE OF MICHIGAN
INITIAL
DEPARTMENT OF ATTORNEY GENERAL
UNIFORM PUBLIC SAFETY
PROFESSIONAL FUND RAISER SURETY BOND
KNOW ALL MEN BY THESE PRESENTS, that
Name of Professional Fund Raiser
of
Address
as principal, and
Name of Surety
a surety company licensed to do business in the State of Michigan, as surety, are held and firmly bound
unto the people of the State of Michigan, any public safety organization or other person who may have a
cause of action against the principal for any nonconformance or violation of 1992 PA 298 in the total
penal sum of twenty-five thousand dollars ($25,000.00) lawful money of the United States, for which
sum will and truly be paid, said principal and surety bind themselves, their heirs, executors,
administrators, successors and assigns, jointly and severally, and each of them firmly by these presents.
WHEREAS, the above-named principal is a professional fund raiser per the definition of the term
in Act 298 of the Public Acts of 1992, and,
WHEREAS, the above-named principal is required by section 4 of Act 298 of the Public Acts of
1992 to post a surety bond,
NOW, THEREFORE, the condition of this obligation is such that if the above-named principal
shall faithfully conform to and abide by the provisions of 1992 PA 298 then this obligation as to him shall
be null and void, otherwise, it shall remain in full force and effect. Provided, however, that the surety
shall be required to make reimbursement only after a final decision of the Attorney General or final
judgment has been rendered in the district, common pleas, circuit or municipal court.
This bond is executed and accepted subject to the following conditions:
BOND #
DAG 009-084
AUTHORITY: 1992 PA 298
COMPLIANCE: Required
PENALTY: Civil
STATE OF MICHIGAN
INITIAL
DEPARTMENT OF ATTORNEY GENERAL
UNIFORM PUBLIC SAFETY
PROFESSIONAL FUND RAISER SURETY BOND
KNOW ALL MEN BY THESE PRESENTS, that
Name of Professional Fund Raiser
of
Address
as principal, and
Name of Surety
a surety company licensed to do business in the State of Michigan, as surety, are held and firmly bound
unto the people of the State of Michigan, any public safety organization or other person who may have a
cause of action against the principal for any nonconformance or violation of 1992 PA 298 in the total
penal sum of twenty-five thousand dollars ($25,000.00) lawful money of the United States, for which
sum will and truly be paid, said principal and surety bind themselves, their heirs, executors,
administrators, successors and assigns, jointly and severally, and each of them firmly by these presents.
WHEREAS, the above-named principal is a professional fund raiser per the definition of the term
in Act 298 of the Public Acts of 1992, and,
WHEREAS, the above-named principal is required by section 4 of Act 298 of the Public Acts of
1992 to post a surety bond,
NOW, THEREFORE, the condition of this obligation is such that if the above-named principal
shall faithfully conform to and abide by the provisions of 1992 PA 298 then this obligation as to him shall
be null and void, otherwise, it shall remain in full force and effect. Provided, however, that the surety
shall be required to make reimbursement only after a final decision of the Attorney General or final
judgment has been rendered in the district, common pleas, circuit or municipal court.
This bond is executed and accepted subject to the following conditions:
(1)
Coverage is provided herein and extended without notification to the surety
for any change of officers, if the principal is a corporation.
(2)
No change in the business name of the principal is permitted unless such name change
is filed with the Attorney General.
(3)
The aggregate liability of the surety for all judgments or final decisions under the bond
shall, in no event, exceed the sum of the bond.
(4)
Where the principal employs professional solicitors, liability on the bond shall extend to
the malfeasance or misfeasance of such solicitors.
(5)
Coverage hereunder shall be effective as of 12:01 a.m. on
and shall continue in full force and effect until cancelled by surety or principal. Cancellation of this bond
may be made by either surety or principal giving 90 days’ notice in writing by certified mail to the other
party and the Charitable Trust Section, Department of Attorney General, Lansing, Michigan, and,
therefore, both principal and surety shall be released from liability for any breach of condition or terms of
this bond occurring after the effective date of said cancellation.
Signed, sealed and dated this
day of
, A.D.,
.
PRINCIPAL (Professional Fund Raiser)
(Printed)
Corporate name; if unincorporated,
individual name, enter above
Witness
By:
Authorized Representative’s Signature
(Title)
SURETY (Insurance Company)
(Printed)
By:
Witness
(Signed)
(Title)
Mailing Address of Surety:
National Headquarters:
Local Office or Agent:
NOTE: All professional fund raiser licenses expire six months after the closing date of
the fund raiser’s fiscal year.
Continuation Certificate from the Surety must be submitted with each renewal
application and must assure continuance of current bond through the new
license year.
A POWER OF ATTORNEY form, provided and properly signed by the Surety,
including the current date, must be attached to this bond.
Questions in regard to this bond or notice of cancellation, in accordance with
No. 5, should be directed to:
Department of Attorney General
Charitable Trust Section
PO Box 30214
Lansing MI 48909
Phone: (517) 373-1152
www.mi.gov/agcharity
Rev 12/09
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