"Surety Bond Form" - Oregon

Surety Bond Form is a legal document that was released by the Oregon Department of Public Safety Standards and Training - a government authority operating within Oregon.

Form Details:

  • Released on June 1, 2013;
  • The latest edition currently provided by the Oregon Department of Public Safety Standards and Training;
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  • Fill out the form in our online filing application.

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STATE OF OREGON
Department of Public Safety Standards and Training
SURETY BOND
PI License Number
Surety Company Bond Number
We,
, as principal, and
, a corporation qualified
and authorized to do business in the State of Oregon, as surety, are held and firmly bound unto the State of Oregon for the use
and benefit of the State of Oregon and any other interested person in the sum of
,
($
) lawful money of the United States of America to be paid as provided in ORS Chapter 703, for which
payment well and truly to be made, we bind ourselves, our heirs, personal representatives, successors and assigns, jointly and
severally, firmly by these presents.
WHEREAS, the above-named principal has made application for a License with the Department of Public Safety Standards
and Training of the State of Oregon, or for renewal of such License and is required by ORS Chapter 703 to furnish a bond in
the penal sum of
$
, with good and sufficient surety, conditioned as herein set forth.
NOW THEREFORE, the conditions of the foregoing obligation are that if said principal with regard to all work done by the
principal as an “investigator” as defined in ORS Chapter 703, shall pay all amounts that may be ordered by the Department of
Public Safety Standards and Training against the principal by reason of negligent or improper work or breach of contract in
performing any of said work, in accordance with ORS Chapter 703 and the Administrative Rules promulgated pursuant
thereto, and shall not disclose personal information obtained under ORS 802.179(18) except as permitted under ORS 802.181
or required by a court order, then this obligation shall be void; otherwise to remain in full force and effect.
THIS BOND is for the exclusive benefit of persons damaged by reason of the Principal’s failure to perform or negligence in
performing its obligations described above. Claims by clients shall be determined by the State of Oregon Department of
Public Safety Standards and Training in the manner prescribed by Rule, and then only if such precipitating event occurred
during the effective period of this bond.
THIS BOND shall become effective on the date the principal meets all requirements for licensure or renewal and shall
continuously remain in effect until depleted by claims paid under ORS Chapter 703, unless the surety sooner cancels the
bond. This bond may be cancelled by the surety and the surety be relieved of further liability for work performed on
contracts entered after cancellation by giving 30 days’ written notice to the principal and the Department of Public Safety
standards and Training of the State of Oregon. Cancellation shall not limit the responsibility of the surety for final orders
relating to work performed during the work period of a contract entered into prior to the cancellation. This bond shall not be
valid for purposes of licensure in accordance with ORS Chapter 703 unless filed with the Department of Public Safety
Standards and Training within sixty (60) days of the date shown below.
IN WITNESS WHEREOF, the Principal and Surety
have hereto set their hands and seals this
day of
, 20
.
Surety by:
Principal:
Signature
Signature
(SEAL)
Name of Attorney-in-fact or Agent
Name (print or type)
Title
PLEASE NOTE: This bond is not valid
until filed with the Department of Public
Safety Standards and Training and the
Agency Address and telephone number
private investigator is licensed with the
Department in accordance with ORS
City
State
Zip
Chapter 703.
PLEASE COMPLETE THE CHECKLIST ON BACK OF THIS FORM
Form revised 06/13
STATE OF OREGON
Department of Public Safety Standards and Training
SURETY BOND
PI License Number
Surety Company Bond Number
We,
, as principal, and
, a corporation qualified
and authorized to do business in the State of Oregon, as surety, are held and firmly bound unto the State of Oregon for the use
and benefit of the State of Oregon and any other interested person in the sum of
,
($
) lawful money of the United States of America to be paid as provided in ORS Chapter 703, for which
payment well and truly to be made, we bind ourselves, our heirs, personal representatives, successors and assigns, jointly and
severally, firmly by these presents.
WHEREAS, the above-named principal has made application for a License with the Department of Public Safety Standards
and Training of the State of Oregon, or for renewal of such License and is required by ORS Chapter 703 to furnish a bond in
the penal sum of
$
, with good and sufficient surety, conditioned as herein set forth.
NOW THEREFORE, the conditions of the foregoing obligation are that if said principal with regard to all work done by the
principal as an “investigator” as defined in ORS Chapter 703, shall pay all amounts that may be ordered by the Department of
Public Safety Standards and Training against the principal by reason of negligent or improper work or breach of contract in
performing any of said work, in accordance with ORS Chapter 703 and the Administrative Rules promulgated pursuant
thereto, and shall not disclose personal information obtained under ORS 802.179(18) except as permitted under ORS 802.181
or required by a court order, then this obligation shall be void; otherwise to remain in full force and effect.
THIS BOND is for the exclusive benefit of persons damaged by reason of the Principal’s failure to perform or negligence in
performing its obligations described above. Claims by clients shall be determined by the State of Oregon Department of
Public Safety Standards and Training in the manner prescribed by Rule, and then only if such precipitating event occurred
during the effective period of this bond.
THIS BOND shall become effective on the date the principal meets all requirements for licensure or renewal and shall
continuously remain in effect until depleted by claims paid under ORS Chapter 703, unless the surety sooner cancels the
bond. This bond may be cancelled by the surety and the surety be relieved of further liability for work performed on
contracts entered after cancellation by giving 30 days’ written notice to the principal and the Department of Public Safety
standards and Training of the State of Oregon. Cancellation shall not limit the responsibility of the surety for final orders
relating to work performed during the work period of a contract entered into prior to the cancellation. This bond shall not be
valid for purposes of licensure in accordance with ORS Chapter 703 unless filed with the Department of Public Safety
Standards and Training within sixty (60) days of the date shown below.
IN WITNESS WHEREOF, the Principal and Surety
have hereto set their hands and seals this
day of
, 20
.
Surety by:
Principal:
Signature
Signature
(SEAL)
Name of Attorney-in-fact or Agent
Name (print or type)
Title
PLEASE NOTE: This bond is not valid
until filed with the Department of Public
Safety Standards and Training and the
Agency Address and telephone number
private investigator is licensed with the
Department in accordance with ORS
City
State
Zip
Chapter 703.
PLEASE COMPLETE THE CHECKLIST ON BACK OF THIS FORM
Form revised 06/13
PLEASE COMPLETE THE CHECKLIST (√)
BEFORE SENDING THE BOND:
[
]
Bond number is filled in;
[
]
Investigator’s name is correctly filled in on the first line;
[
]
Bond company’s name is correctly filled in on the second line;
[
]
The amount of the bond appears in two (2) places;
[
]
The bond agent or attorney-in-fact signed the bond;
[
]
The investigator has signed the bond;
[
]
The date of this bond is the date the bond company signed it;
[
]
The bond has been sent so it reaches the Department of Public Safety Standards and Training
within 60 days after the date shown on the face of the bond.
Per ORS 703.425(2)(e)
Licensure WILL NOT BE VALID until the
Department of Public Safety Standards and Training
has proof of one of the following:
1) CORRECTLY COMPLETED ORIGINAL BOND; or
2) Irrevocable letter of credit from a commercial bank;
If you have questions, please call our offices at (503) 378-8531.
Please mail to:
DPSST
Private Investigator Licensing Program
4190 Aumsville Hwy SE
Salem, OR 97317
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