CITY OF FREDERICK, MARYLAND PERFORMANCE BOND

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1 CITY OF FREDERICK, MARYLAND PERFORMANCE BOND KNOW ALL MEN BY THESE PRESENTS, that we _ (corporation, company, partnership, individual) hereinafter called Permittee, and/or Subdivider and (surety and address) a corporation existing under the laws of the State of, and authorized to do business in the State of Maryland, hereinafter called Surety, are held and firmly bound unto the City of Frederick, Maryland, in the full and just sum of ($ _), Dollars, (write full amount) lawful money of the United States of America, to be paid to the said City of Frederick, Maryland, or its assigns, to which payment well and truly to be made and done, we bind ourselves, officers, directors, employees, agents and officials, jointly and severally, firmly by these presents. Sealed with our respective seals and dates this day of, 20. WHEREAS, the above named permittee and/or subdivider has received improvement plan approval from the Director of Engineering of the City of Frederick, Maryland on for the following construction: (date) (Proposed construction - write in full detail with street names and/or stations)

2 WHEREAS, it is a condition of the issuance of a Grading/Public Improvements permit by the Department of Engineering of the City of Frederick, Maryland, acting for and on behalf of said City of Frederick, these presents should be executed. NOW, THEREFORE, the condition of this obligation is such: 1. That the permittee and/or subdivider, his agents and servants will faithfully complete the construction and installation of the required public facilities in accordance with the terms and requirements of the Public Works Agreement executed; and. 2. That the permittee and/or subdivider, his agents and servants will comply with all the applicable ordinances and requirements of the City of Frederick; and 3. That the permittee and/or subdivider, his agents and servants will save and hold harmless the City of Frederick, and their employees and agents from any claims, actions, expenses, of whatever nature, arising out of or incurred through the failure of the permittee and/or subdivider, his agents and servants, to complete the required public facilities, or from any damages growing out of the negligence of the permittee and/or subdivider or his agents or servants. 4. That the permittee and/or subdivider, his agents and servants and the surety hereby consent to jurisdiction in the Circuit Court for Frederick County, Maryland in the event of litigation. 5. This obligation shall remain in full force and effect until the work described in the application has been approved and accepted by the Mayor and Board of Aldermen of the City of Frederick, Maryland.

3 SIGNATURE PAGE FOR CORPORATION PERMITTEE (Print Name) BY (Print Name) (Title) SURETY (Name of Surety) SEAL BY (Attorney-in-Fact) STATE OF MARYLAND COUNTY OF On this day of, 20, before me, the undersigned officer, personally appeared (PERMITTEE) known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained. IN WHEREOF, I hereunto set my hand and official seal. My Commission Expires Notary Public SIGNATURE PAGE FOR PARTNERSHIP

4 PERMITTEE (Name of Partnership) (Type of Partnership - General/Ltd) BY (Type/Print Name of Partner) SURETY (Name of Surety) SEAL BY (Attorney-in-Fact) SIGNATURE PAGE FOR PARTNERSHIP - PAGE 2

5 STATE OF MARYLAND COUNTY OF On this day of, 20, before me, the undersigned officer, personally appeared (PERMITTEE) who acknowledged himself/herself/themselves to be the (General Partner or other legal description) of _, (Print Name of Partnership) a, and that he/she/they, as such (Type of Partnership) (General Partner or other Legal Description) IN WHEREOF, I hereunto set my hand and official seal. Notary Public My Commission Expires SIGNATURE PAGE FOR INDIVIDUAL

6 PERMITTEE (Print Name) SURETY (Name of Surety) SEAL BY (Attorney-in-Fact) STATE OF MARYLAND COUNTY OF On this day of, 20, before me, the undersigned officer, personally appeared (PERMITTEE) known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument and acknowledged that he/she executed the same for the purposes therein contained. IN WHEREOF, I hereunto set my hand and official seal. My Commission Expires Notary Public

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