BOND INDEMNITY AGREEMENT

SURETY BAIL BOND INDEMNITY AGREEMENT

Bankers Insurance Company

The undersigned, called "First Party," make appAddresslication to called "Second Party," for the execution by Bankers Insurance Company, a corporation called "Surety of a Bail undertaking herein referred to as "Bail Bond" In the penal amount of $ for called "Principal, and in consideration of Second Party arranging for execution of continuance of this Bail Bond, First Party does jointly and severally agree as follows:
FIRST: To pay Second Party $ for this Bail Bond. The premium is fully earned upon
the release of Principal. The fact that Defendant may have been improperly arrested, or his bail reduced or his case dismissed, shall not obligate the return of any portion of said premium.
SECOND: To reimburse Second Party and Surety for actual expenses incurred by Second Party or Surety in connection with the arranging and/or execution of Bail Bond or substitution thereof whether or not said Principal refuses to be released after arrangements have been initialed by Second Party, in accordance with the regulations of the Insurance Commissioner in effect at the time such expenses are incurred.
THIRD: To reimburse Second Party and Surety for actual expenses incurred and caused by a breach by the Principal of any of the terms for which the application and Bail Bond were written not in excess of the penal amount of the Bail Bond including all expenses or liabilities incurred as a result of searching for, recapiuring or returning Principal lo custody, incurred by Second Party or Surety or as necessary in apprehending or endeavoring to apprehend Principal, including legal fees incurred by Second Party or Surety in making application to a court for an order to vacate or to set aside the order of forfeiture or Summary judgment entered thereon. However, no expenses or liabilities incurred for recapturing or returning Principal to custody shall be chargeable after the entry of Summary Judgment.
FOURTH: To pay the Second Pa::y or Surety, in the event that iiis necessary for them to institute suit for a breach of this agreement, a reasonable attorney's fee which shall, in no event, be less than sum of twenty-five dollars ($25.00).
FIFTH: To pay Second Party or Surety as collateral upon demand, the penal amount of Bail Bond whenever Second Party or Surety, as a result of information concealed or misrepresented by the First Party or Principal or other reasonable cause, anyone of which was material to hazard assumed, deems payment necessary to protect the Second Party or Surety hereunder. Where, as a result of judicial action, bail has been increased. and no collateral or insufficient collateral, in the sale discretion of Second Party or Surety, is furnished to indemnify against such increase in the bail, Second Party or Surety may demand such collateral as will indemnify them against such increased bail.
SIXTH: To pay Second Party or Surety immediately upon demand after entry of Summary Judgment, pursuant to California Penal Code, Section 1306.
SEVENTH: To aid Second Party or Surety in securing release or exoneration of Second Party or Surety from all liability under Bail Bond, including the surrender of Principal to Court should Second Party or Surety deem such action advisable.
EIGHTH: That all money or other property which the First Party has deposited or may deposit with the Second Party or the Surety may be applied as collateral security or indemnity for rl'alters contained herein, and to accomplish the purposes contained herein, the Second Party and/or Surety is authorized to lawfully levy upon said collateral in the manner provided by law and to apply the proceeds therefrom and any and all money deposited to payment or reimbursement for the herein above liabilities, losses, costs, damages and expenses. If collateral received by Second Party is in excess of the bail forfeited, such excess shall be returned to the depositor immediately upon the application of the collaterallo the forfeiture, subject to any claim of Second Party and Surety for unpaid Premium or the hereinabove charges.
NINTH: Second Party or Surety shall not surrender Principal to custody prior to the time specified in the Bail Bond for the appearance of the Principal, or prior to any occasion when the presence of the Principal in Court is lawfully required, without returning all premium paid therefore, unless as a result of judicial action. information concealed or misrepresented by the Principal, or other reasonable cause, anyone of which was material to the hazard assumed, the hazard was substantially increased and the additional premium, if any, for such increased hazard was not paid within a reasonable time.
TENTH: The obligations hereunder are joint and several and any amounts due shall bear interest at the maximum rate of interest allowed by law. The Second Party and the Surety shall not be first obliged to proceed against the Principal on Bail Bond before having recourse against the First Party or anyone of them. The First Party hereby expressly waiving the benefits of law requiring the Second Party or the Surety to make claim upon or to proceed or enforce its remedies against the Principal before making demand upon or proceeding and/or enforcing its remedies against anyone or more of the First Party.
ELEVENTH: In making application for Bail Bond, each of us warrants all statements made by him or her on this application to be true, and we agree to advise Second Party or Surely of any change, including but not limited to change of address or employment of either the Principal of any of the First Party, or any other material change in circumstances, within forty-eight (48) hours after knowledge such change shall have occurred, and the First Party agrees that any failure to so notify shall be reasonable cause for the immediate surrender of the Principal.
TWELFTH: The undersigned agree that these obligations applylo all other Bail Bonds executed for the same charge for which the above mentioned Bail Bond was executed, or any charge arising out of the same transaction, regardless of whether said Bail Bonds are filed before or after conviction. but not in a greater amount.
Language Translation Disclosure: The official version of this document is the English text version. If any questions arise related to the accuracy of the information contained in the Spanish translation, please refer to the English text version which is the official version.

Disclosure

IN WITNESS WHEREOF, the First Party whose names are subscribed to the Surety Bail Bond Indemnity Agreement executed herewith each represents. I have read the Surety Bail Bond Indemnity Agreement and Iknow the contents thereof; that I hereby acknowledge receipt of a copy of said Surety Bail Bond Indemnity Agreement, that I am the true and lawful owner of the property, whether real or personal, which if set forth in the Application for Bail (which Application is made a part hereof by reference as though herein fully set forth) is my properly and that I own such property free and clear of all liens or encumbrances except as so noted, and Ifurther promise notlo transfer or encumber any of said property until my liability on said Surety Bail Bond Indemnity Agreement has been released. I understand the Second Party and/or Surety is permitting the said bail to remain in force upon reliance of the statements made by me and I do hereby
This day of , set my hand.
Defendant















Indemnitor















Indemnitor














BIC0420350810

Bankers Insurance Company

APPLICATION AND AGREEMENT FOR SURETY BAIL BOND

DEFENDANT'S NAMEPOWER OF ATTORNEY NO.AMOUNTEXEC. DATEARR. DATE
BOOKING NAMEAKA NAME(S)

Booking
Information
















DEFENDANT INFORMATION
































































DEPENDANT'S FAMILY INFORMATION







































SIGNATURE OF DEFENDANT

DATE

INDEMNITOR INFORMATION
















































I CERTIFY THAT THE ABOVE
INFORMATION IS CORRECT AND TRUE.

SIGNATURE OF INDEMNITOR

DATE

STATEMENT OF INFORMATION REQUIRED BY SECTION 2100, CALIFORNIA ADMINISTRATION CODE


Full name of person supplying information

Name of person negotiating bail

Name of person receiving Information

Address

Address

Date and time information received

Connection or relationship to defendant

Connection or relationship to defendant

Manner in which information received

If same was defendant, how did he communicate?

Name of licensee who negotiated transaction

Name of other agent involved and commission paid

Name Of Attorney

Name and sum paid unlicensed persons And services performed
Was consideration other than money received?
YesNo
If yes, explain In detail and attach statement.
BIC0420350508