I agree to indemnify from all loss, cost and expense, including attorneys’ fees and collection costs,
The Surety Group and any surety company (The Surety Group and such surety company or companies being
collectively referred to herein as “Surety”) which may execute, issue, or renew, or procure the
execution, issuance or renewal of any bond or other undertaking on any behalf of the person or entity
named as "Applicant” above. I certify that all the information is true, and acknowledge that Surety is
relying on this information to issue a bond. I agree that proof of falsity of any statement will be
prima facie proof of material, intentional and fraudulent misrepresentation for all purposes of law
and equity. I authorize Surety or its agents to investigate my credit, now and at any time in the future,
with any institution, person or entity. I further agree: 1) To pay Surety each premium or premiums due,
until satisfactory evidence that Surety's liability is terminated. 2) To pay Surety all sums demanded by
surety to cover liability, claim, suit or judgment against the bond, including any legal fees and expenses.
3) To hold harmless and indemnify Surety from any and all liability, damages, loss, costs, and expenses of
every kind, including attorney fees, which may be sustained or incurred arising out of the execution,
enforcement, procurement of release or other action involving the application and/or issuance of the bond.
4) To pay interest at the highest legal rate allowed, in the event of any payment by Surety, from the date
such payments are made. 5) That Surety has the exclusive right to defend, settle, pay or appeal any claim,
and an itemized statement of loss and expense incurred by Surety shall be prima facie evidence of the fact
and extent of my liability to Surety. 6) That Surety may decline to become a surety on any bond with or
without cause, after the penalty, terms and conditions of any bond, complete any blanks contained in the
application or indemnity agreement at the time of execution, or procure its release from said suretyship
under any law for release of sureties; all without liability to Surety thereon. 7) To provide Surety with
cash or other property acceptable to Surety, upon demand, as collateral security for any loss reserve.
Surety may hold such collateral security until it has determined that it is no longer exposed to a loss and
may retain or sell collateral security to reimburse itself. 8) That a facsimile copy of this agreement shall
be considered an original and shall be admissible in a court of law to the same extent as an original agreement.
9) This agreement shall apply to all renewals, continuations, substitutions and extensions of the suretyship
herein applied for. ASSIGNMENT- As security for the performance of Bonds of all the provisions of this indemnity,
the Undersigned hereby assign, transfer, pledge and convey to the Surety (effective as of the date of each Bond
or Bonds, but only in the event of a claim): A. All rights arising out of insurance policies, notes and accounts
receivable, and chooses in action. POWER OF ATTORNEY- The undersigned hereby irrevocably nominate, constitute,
appoint and designate the Surety or its designee as their attorney-in-fact with the power, but not the obligation,
to exercise all of the rights assigned, transferred and set over to the Surety by the Undersigned in this indemnity,
and to make, execute and deliver any and all additional or other assignments, documents or papers, including but not
limited to: the endorsement of checks or other instruments payable to any of the Undersigned deemed necessary and
proper by the Surety in order to give full effect to the intent and meaning of the within assignment and for the
full protection intended to be given to the Surety under all provisions of the Indemnity. The Undersigned hereby
ratify and affirm all acts and actions taken by the Surety or its designee as attorney-in-fact.