Perpetual Bond of Licensee Under Nebraska Liquor Control Act STANDARD FORM KNOW ALL MEN BY THESE PRESENTS: That I, we,____________________________________________________________________ of the County of ___________________, State of Nebraska, as Principal, and____________________________________________________ a corporation, organized and existing under and by virtue of the laws of the State of _______________ and duly licensed to transact the business of surety insurance in the State of Nebraska, as Surety, are held and firmly bound unto the State of Nebraska and the City (Village) of _________________________________ County, Nebraska, and the Nebraska Liquor Control Commission and each of them jointly or severally, in the penal sum of _____________________________________________DOLLARS ($_____________) for the payment of which, we bind ourselves, our heirs, executors, administrators, successors and assigns, jointly, severally and firmly by these presents. The condition of this obligation is such that, WHEREAS, the said _________________________________________________________________________________________ has made application under the Nebraska Liquor Control Act for a Retail Alcoholic Liquor and/or Beer License. If other type, please state _________________________________________________________ license and has paid or deposited all fees in connection therewith according to law. NOW, THEREFORE, upon application for such license and continuing after the issuance of the same to the said principal above named, if the said principal herein above named shall faithfully perform all of the terms and conditions of said license, and shall promptly account for and pay to the proper authorities all lawful taxes, fees, assessments, and all fines, penalties and costs which shall become due from or shall be levied, charged or adjudged against said principal under the provisions of said Act by said Commission, or any Court or other lawful authority; and shall well, truly and faithfully comply as such licensee with all of the provisions of said Act of the Legislature and all future liquor control laws which may be enacted during the term of such license or licenses, and shall well, truly and faithfully comply with all lawful rules and regulations of said Commission, and said City (Village) during the term of said license or licenses, then this obligation shall be null and void. OTHERWISE, to be and remain in full force and effect. The penalty amount of this bond shall limit the liability of both the Principal and Surety for each license year during the period commencing on the effective date of this bond and terminating on the date the same is canceled, as hereinafter provided. The surety on the bond of any licensee whose license has been issued by the Nebraska Liquor Control Commission, may at any time notify the principal and the Nebraska Liquor Control Commission that he desires after a date named, which shall be at least 60 days after the receipt of such notification, to be relieved of liability on said bond, with his reasons therefore. THEREUPON, the rights of the principal under such license, as is supported by said bond, shall be terminated and canceled on the date specified, unless supported by other sufficient bond, or bonds, and the surety shall be relieved of liability on said bond for actions subsequent to said date of cancellation; but in no event will the surety be released until it shall have paid and discharged in full all liability upon said bond, for any default of the principal accruing during the life of said bond. This Bond shall be effective during all proceedings involving the application for license under the Nebraska Liquor Control Act for Alcoholic Liquor and/or Beer License and upon issuance of said license this bond shall continue until canceled as set forth herein above. Signed and sealed this ________ day of _________________________, A.D., ______. WITNESS: ___________________________________________ _________________________________________________ ___________________________________________ _________________________________________________ _________________________________________________ Countersigned by Principal _________________________________________________ __________________________________________ Resident Agent A Corporation By ______________________________________________ Surety NOTICE Bond will not be approved unless properly signed by applicant, whose signature shall be witnessed. It is also necessary that all bonds be signed by an official or agent of the bonding company, who holds an unexpired power-of-attorney from the bonding company and unexpired Nebraska license as agent for said company. An additional requirement is attachment of the seal of the bonding company and, if applicant is a corporation, their seal should also be attached. American LegalNet, Inc. www.FormsWorkflow.com FORM 35-4012