HomeMy WebLinkAboutPermit Bond FormDEPARTMENT OF COMMUNITY
AND ECONOMIC DEVELOPMENT
PERMIT BOND
Bond Number: Project Name:
KNOW ALL MEN BY THESE PRESENT; that we
of as Principal,
and a Corporation, as Surety, are held and
firmly bound unto the City of Renton, a municipal corporation of the State of Washington, in
the sum of $ lawful money
of the United States of America, for the payment of which, will and truly to be made, we firmly
bind ourselves, and each of our heirs, executors, administrators and assigns, jointly and
severally by these present.
THE CONDITION OF THE FOREGOING OBLIGATIONS IS SUCH, that WHEREAS, the above named
Principal has applied for a permit, pursuant to the provisions of Ordinance No. 3205, to do
certain work on a City of Renton roadway, street, alley, avenue, or other public place, during a
period ending .
NOW THEREFORE, if the above named Principal shall indemnify and save harmless the City of
Renton, from all claims, actions or damages of every kind and description, which may accrue as
a result of opening and/or working upon a roadway, street, alley, avenue, or other public place,
by him or those in his employ, in installing or making connections with any public or private
sewer or water system, or any other purpose or object whatever, and that he will replace and
restore such roadway, street, avenue, alley or other public place to as good a state or condition
as at the time of the commencement of said work, and maintain the same in good order to the
decided satisfaction of the City of Renton, and that he will comply with all provisions of his or
their franchise of our permit and all resolutions or instruments relating thereto, this obligation
to be void; otherwise to remain in full force and effect.
The liability under this bond is for a period of one year from
to and may be extended by the surety issuing a Continuation
Certificate.
Sealed with our seals and dated this day of , 20
BY: BY:
Applicant’s Signature Signature of Bonding Agent
Attach Power of Attorney Form to Bond
Include contact information.
Applicant’s Address
City, State, Zip
H:\CED\Data\Forms-Templates\Self-Help Handouts\Public Works\PERMIT BOND.docx REV: 02/16/15