Rev. 1/6/17
Bond No.__________
SURETY BOND
AS REQUIRED BY R4-19-802(A)(2)
We, _______________________________________________________________________________, of
(NAME OF PRINCIPAL)
________________________________________________________________________, as principal, and
______________________________________________________________, a corporation
(NAME OF SURETY)
organized under the laws of the State of _______________ and duly authorized to transact business as surety
under the laws of the State of Arizona, as surety, are jointly and severally bound to the State of Arizona and
its assigns in the sum of ________________________ ($____________), for the payment of which
sum we hereby jointly and severally obligate and bind ourselves and our successors, all on the terms and
conditions hereafter described. This bond shall be one continuing obligation, and the liability of the surety
for the aggregate of any and all claims which may arise hereunder shall in no event exceed the amount of the
penalty hereof.
WHEREAS, Principal shall submit an application to the Arizona State Board of Nursing (“Board”)
for a approval under Arizona Revised Statutes, Title 32, Chapter 15 and
WHEREAS, a bond in this form may accompany such application to demonstrate meeting the
requirements of R4-19-802,
NOW, THEREFORE, upon the granting of approval to Principal by the aforementioned Board,
Principal shall faithfully comply with all the provisions of law, Arizona and federal, required of Principal
and all such provisions as may be hereafter imposed upon Principal by law, and Principal shall refrain from
injuring or damaging any person by reason of any unlawful act, including, but not limited to, any breach of
contract, and any failure by Principal to so comply with the law or to so refrain from injuring or damaging any
person shall impose upon the Principal and surety joint and several liability to any person who suffers loss
by reason thereof.
Principal shall not cancel this bond for the period of time, plus an additional 24 months after program
closure, for which the approval to Principal is issued and that this bond shall inure to the benefit of any person
who suffers loss by reason of any unlawful act of Principal, including, but not limited to, any breach of
contract by Principal. The Surety reserves the right to cancel the bond upon sixty days written notice to
Principal and the Board.
No suit may be commenced on this bond after the expiration of three years following the
commission of the act on which the suit is based except that time for purposes of claims for fraud shall be
measured as provided in A.R.S. 12-543.
IN WITNESS WHEREOF, the parties have executed this bond at __________________________
______________________________________, this ___________day of__________________, 20______.
EFFECTIVE DATE:
By: ___________________________
Principal
___________________________
Surety
______________________________________ By: ___________________________
Countersignature of Resident Agent Attorney in Fact
