Copyrights 2014. All Rights Reserved
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any false information or conceals for the purpose of misleading information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
Each of the undersigned herby affirms that the foregoing statements made and answers given are the truth and are made
to The Guarantee Company of North America USA and/or The Guarantee Company of North America (hereinafter called
the Surety) to execute or procure the execution of any or all of the bonds above, described subsequent bonds,
undertakings and any and all extensions, modifications or renewals thereof, additions thereto or substitutions therefore,
any and all such instruments separately called the Bond. The undersigned authorize the Surety to investigate its business
and credit history with any person or entity, whether named herein or not.
Should the Surety execute, or procure the execution of said bond, the undersigned hereby agree, for themselves, their
personal representatives, successors and assigns, jointly and severally, as follows:
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ALTER SURETY GROUP, INC.
5979 N.W. 151st Street, Suite 202
Miami Lakes, FL 33014
(305) 517-3803 Main
(305) 328-4838 Fax