Michigan Department of Labor & Economic Growth MICHIGAN LIQUOR CONTROL COMMISSION (MLCC) 7150 Harris Drive, P.O. Box 30005 Lansing, Michigan 48909-7505 SURETY BOND FOR NON-RETAIL LICENSE [Authorized by MCL 436.1801] ____________________________________________________________________________________________________ **PLEASE READ REQUIREMENTS FOR SURETY BOND BEFORE SIGNING** CONTINUOUS BOND NO. ___________________ KNOW ALL PEOPLE BY THESE PRESENTS, That we as Principal and (Surety Name) of Street, City of State of (Surety Home Office Address) Having been authorized to do business in the State of Michigan, as surety, are firmly bound to the People of the State of Michigan in the sum of $ , to which payment, we bind ourselves, our heirs, personal representatives, successors and assigns, firmly by these presents. Sealed with our seals and dated this day of A.D. 20 THE CONDITION OF THIS OBLIGATION is such that: • if the Principal pays or causes to be paid, as provided by law, the tax or fees imposed by law on all alcoholic liquors manufactured, warehoused or wholesaled by the Principal, and • if the Principal complies with (1) the terms of the said permits or licenses or supplementary permits and licenses, or any modification to the permits or licenses, and (2) with all provisions of the laws of this State and regulations now or hereafter in force relating to alcoholic liquors; and • if the Principal further pays all other taxes, assessments, penalties and interest on assessed taxes, inspection fees or fines which may become due or are levied against the Principal under the laws of this State or rules and regulations of the Liquor Control Commission now in effect or hereinafter enacted, and all other lawful debts, obligations, and undertakings which shall become owing to this State on account of the manufacture, sale, warehousing, wholesaling or removal of any alcoholic liquors; Then this obligation shall be void; otherwise to remain in full force and effect. AND THE OBLIGORS, for themselves, their heirs, personal representatives, successors and assigns further agree with the State of Michigan as follows: 1. This bond shall be effective from and after the ________________________day of _____________________________A.D. 20_____ ___________, if accepted by the Michigan Liquor Control Commission, and shall remain in full force and effect as set forth in this bond, or otherwise limited by law and the rules and regulations of the Liquor Control Commission. If the effective date of the bond is not filled in, the date of execution shall be the effective date. 2. All rights and liabilities under this bond shall be governed, by the terms hereof, by law, and by regulations made pursuant to law as now exist or as later amended. 3. Any surety herein desiring to cancel this Bond may do so in writing to the Principal and the Michigan Liquor Control Commission (MLCC). The effective date of the cancellation shall be at least thirty days after the receipt of the notification of cancellation by the Principal and the MLCC. This notice may be given by an agent of the surety, only if the agent has an executed power-of-attorney authorizing the giving of such Notice, or a verified statement that same is on file with the MLCC. The surety shall be relieved of all liability for acts done after the cancellation is effective. 4. Conditioned further that all terms, obligations, and conditions of this bond shall be binding on the principal for its acts and the acts of its vendor, sales representatives, agents, servants and employees, pursuant to the laws of this State and rules of the MLCC, now and in effect or hereafter enacted. WITNESS OUR HANDS AND SEAL Principal Signature this day of , A.D. 20 Principal Signature Surety Agent Signature Signed, Sealed and Delivered in the presence of Attorney-in-fact Signature Business Address LC-MW-816 (Rev. 10/2007) FOR MLCC USE ONLY Michigan Brewer / Micro Brewer Michigan Wine Maker / Small Wine Maker Outstate Seller of Beer $ $ $ Outstate Seller of Wine Outstate Seller of Mixed Spirit Drinks Michigan MFG. of Mixed Spirit Drinks $ $ $ American LegalNet, Inc. www.FormsWorkflow.com Michigan Department of Labor & Economic Growth MICHIGAN LIQUOR CONTROL COMMISSION (MLCC) 7150 Harris Drive, P.O. Box 30005 Lansing, Michigan 48909-7505 GENERAL REQUIREMENTS FOR SURETY BOND FOR NON-RETAIL LICENSE [Authorized by MCL 436.1801] _________________________________________________________________________________________________ • Initial bond to be executed by an insurance company authorized to do business in Michigan, in the amount of $1,000.00. • The full name of the principal must be the name as it appears on the application for license. • The seal of the surety bonding company and the surety agent’s signature must appear on each bond. Agents should also print or type the name under signature. BONDING AGENT’S INDIVIDUAL POWER OF ATTORNEY MUST BE ATTACHED TO THE BOND; except when the agent writes more than one bond for the same Principal (applicant/licensee) at the same time, a single power of attorney will be sufficient. LICENSES WILL NOT BE PROCESSED UNLESS THE BOND IS PROPERLY SIGNED AND ACCOMPANIED BY THE AGENT’S POWER OF ATTORNEY. • The effective date of the bond is required and must be effective on or before the date the license is issued. • This is a continuous permanent bond and may be canceled ONLY IN ACCORDANCE WITH PARAGRAPH #3 AS STATED ON THE SURETY BOND. • The surety bond should be returned with the license application and any other required documents to the Michigan Liquor Control Commission, Manufacturers & Wholesalers Section, P.O. Box 30005, Lansing, MI 48909-7505. • In cases of multiple licenses, separate bonds must be executed for each contract of license. • All Partners and General Partners of Limited Partnerships must sign the bond. Corporate and limited liability company bonds must be signed by officers or agents duly authorized to act on behalf of the corporation or limited liability company. Failure to sign and file this bond along with the Surety Agent’s power of attorney, will delay the processing of the license. • Failure to provide all the information required will delay the processing of the application and issuance of the license. American LegalNet, Inc. www.FormsWorkflow.com