PASSENGER CARRIER
AND PASSENGER BROKER
BOND
KNOW ALL MEN BY THESE PRESENTS:
That we, _______________________________________________
Doing Business at _________________________________________________________________________________
As Principal and __________________________________________________________________________________
duly authorized to do business within the Commonwealth of Virginia, as Surety, are held and firmly bound unto the people
of the Commonwealth of Virginia to indemnify any person who may be aggrieved by fraud, fraudulent representation, or
loss or damage resulting from a breach of contract or violation by said Principal or his representative acting for such
Principal or within the scope of the employment of such representative of any of the provisions of Chapter 20, Title 46.2 of
the Code of Virginia in the amount of twenty-five thousand dollars ($25,000) lawful money of the United States of America,
for which payment, well and truly to be made we bind ourselves, jointly and severally, our joint and several heirs,
executors, administrators, successors and assigns, firmly by these presents; provided, that the aggregate liability under
this bond, to any and all persons, regardless of the number of claims made against the bond or the number of years the
bond remains in force, shall in no event exceed twenty-five thousand dollars ($25,000).
WHEREAS, the above bounden Principal desires that a license, certificate of fitness or certificate of public convenience
and necessity be issued and thereafter reissued from time to time by the Commissioner of the Department of Motor
Vehicles, Commonwealth of Virginia to Principal pursuant to Chapter 20 of Title 46.2; and
WHEREAS, this bond executed by the said Principal and Surety is filed with the Commissioner in compliance with the
provisions of Section 46.2-2011.9 of the Code of Virginia to enable said Principal to obtain a license or certificate from the
Department of Motor Vehicles under the provisions of Chapter 20 of Title 46.2 of the Code of Virginia.
NOW THEREFORE, the conditions of this obligation are such that if the Principal shall well and truly observe and strictly
and faithfully comply with the aforesaid requirements of law, and shall save and keep harmless any person from any fraud
practiced on him or fraudulent representation made to him by such Principal or any of such Principal’s representatives
acting for the Principal or within the scope of employment of such representative, or from any loss or damage resulting
from a breach of any contract entered into on or after July 1, 2002, or from any loss or damage suffered by reason of the
violation by such Principal or any of such representatives of the provisions of Chapter 20, Title 46.2 of the Code of
Virginia, then this obligation shall be null and void; otherwise it shall remain in full force and effect.
This bond shall not automatically expire with the license or certificate for which it is initially issued, but shall continue from
certificate term to certificate term for a period of three consecutive years from the effective date above if for a holder of a
certificate of fitness or certificate of public convenience and necessity, or from license term to license term until cancelled
if for a holder of a license issued pursuant to Chapter 20 of Title 46.2 of the Code of Virginia. Surety may cancel this bond
at any time upon sixty days prior written notice to the Commissioner; provided, however, such cancellation shall not
operate to relieve, release or discharge the Surety from any liability already accrued or which shall accrue before the
expiration of the sixty day period.
Signed and sealed this ________________ day of _______________________, _________
(Year)
__________________________________________(Seal) By:_______________________________________(Seal)
(Principal)
(Signature of Owner, Partner or Officer of Corporation)
Witness: ___________________________________ ____________________________________________
(Signature above must be witnessed) (Printed Name of Witness)
Name of Surety Company____________________________________________________________________(Seal)
By: ______________________________________(Seal) __________________________________________
(Attorney or Attorney in Fact of Surety Company) (Printed Name of Signing Person)
COUNTERSIGNED
By:________________________________________ ___________________________________________
(Registered Virginia Agent)
(Printed Name of Virginia Registered Agent)
Address ________________________________________________________________________________
OA 435 (07/01/2011)
(Physical Address of Carrier or Broker)
(Surety Company)
BOND NUMBER
BOND EFFECTIVE DATE (mmddyyyy)
(Business Name of Carrier or Broker)
