ON YOUR LETTER HEAD

--- ------- 2022

The Managing Director

Consolidated Hallmark Insurance Plc
Consolidated Hallmark House
266 Ikorodu Road
Obanikoro
Lagos

Dear Sir

LETTER OF AUTHORITY TO PRESENT COLLATERAL CHEQUE(S) IN RESPECT OF BOND NO.

TBA

We hereby authorize your organization to present at maturity of our bond, the attached cheque(s)
number(s) ------------------------------------------------------------------------------------------with the total sum of
N------------------------------------------ upon our inability to perform the contract given to us by the
principal------------------------------

We undertake to present to you a letter from the principal in confirmation that we have satisfactorily
performed the contract to enable you release the above mentioned undated cheques to us.

Yours faithfully
FOR:----------------------------------- (CONTRACTOR)

-------------------
DIRECTOR

(Complete 2 copies)
 INSERT

PASSPORT

CONSOLIDATED HALLMARK INSURANCE PLC

PERSONAL INDEMNITY

In consideration of CONSOLIDATED HALLMARK INSURANCE PLC whose registered office is

at 266, IKORODU ROAD, OBANIKORO, LAGOS (hereinafter called “the SURETY”) executing
Bond Policy No ------------------------- on behalf of :

------------------------------------------------------------------------------------------------------------------------

of ------------------------------------------------------------------------------------------------------------------

in favour of -----------------------------------------------------------------------------------------------------

of ---------------------------------------------------------------------------------------------------------------------

for the sum of N---------------------------------------------------------------------------------------------------

I, ---------------------------------------------------------------------- of ---------------------------------------------

---------------------------------------------------------------------------------------------------------------------------

do hereby bind myself, successors-in-title, legal representatives, liquidators and assignees to

indemnify the surety against all claims and liabilities under the Personal Indemnity to pay on

demand to the surety the full amount of such monies with all costs and expenses incurred by the

Surety in respect thereof .

In pursuance of this Personal Indemnity the Surety shall be entitled to whenever notification of

claim or potential claim is received in respect of the said Personal to call upon the indemnitor to

deposit an equivalent amount in the Bond with the sureties within fourteen days after request in

writing and the Surety may use such monies to settle such claim or claims together with costs and

expenses in connections therewith. If there is a surplus in the hands of the sureties after settling all

such claims costs and expenses such surplus shall be refunded forthwith to the Indemnitor but if

there is a deficiency the amount of such deficiency shall be paid by the indemnitor to the Surety

forthwith upon request in writing. Before enforcing this Personal Indemnity, the Surety shall not be

obliged to take any steps to recover from any other person any monies due to the sureties nor be

obliged to enforce any of the Surety’s rights in any order of priority and no variation or release of

any obligation as aforesaid or release of any other security shall in anyway reduce or otherwise

affect the liability of the Indemnitor hereunder.

DATED THIS…………DAY OF………………2022

SIGNED SEALED AND DELIVERED

--------------------------------------------

In the presence of:

NAME:

OCCUPATION:

ADDRESS:

SIGNATURE:

COUNTER INDEMNITY
 ADVANCED PAYMENT BOND NO: ----------------------------

In consideration of CONSOLIDATED HALLMARK INSURANCE PLC whose registered office is at 266,

IKORODU ROAD, OBANIKORO, LAGOS (hereinafter called “the surety”) executing a Bond on behalf of:

-------------------------------------------------------------------------------------------------------------------------------------------

(a) In favour of:-----------------------------------------------------------------------------------------------------------------------

--------------------------------------------------------------------------------------------------------------------------------------------

(b) for the sum of: N ----------------------------------------------------------------------------------------------------------------

---------------------------------------------------------------------------------------------------------------------------------------------

WE----------------------------------------------------------------------------------------------------------------------------------------

-------------------------OF---------------------------------------------------------------------------------------------------------------

(hereinafter referred to as “the indemnitor”) hereby undertake as follows:

1. To indemnify the surety against all claims and liabilities under the said Bond and if the surety are
called upon to pay any monies under the said Bond to pay on demand to the sureties the full
amount of such monies together with all costs and expenses incurred by the surety in respect
hereof. In pursuance of this counter indemnity the surety shall be entitled whenever notification of
claim or potential claim is received in respect of the said bond to call upon the indemnitor to
deposit with the surety the full amount of the said Bond.
Such deposit shall be paid by the indemnitor to the surety within fourteen (14) days after request
in writing and the surety may use such monies to settle such claim or claims together with the
costs and expenses in connection therewith. If there is a surplus in the hands of the surety after
settling all such claims and expenses, the surplus shall be refunded forthwith to the indemnitor
but if there is a deficiency then the amount of such deficiency shall be paid to the surety forthwith
upon request in writing.
2. In pursuance of this counter indemnity, the surety shall be entitled and the right is hereby given
by the indemnitor to the surety either before or after the Indemnitor’s death and whenever
notification of claim or potential claims is received in respect of the said Bond to lay claim and take
possession of both moveable and immoveable properties belonging to and forming part of the
indemnitor’s estate and such other assets including company shares; be they ordinary or
debenture stock wherever found or created in future and to give to the surety priority right over
and above any other right likely to arise in future until this Bond has been performed or
discharged to the satisfaction of the parties to this Bond and no subsequent pledge or bequeath to
the heirs or assignees of the indemnitor shall defeat the right of the surety.
 3. The surety shall not be obliged before enforcing this counter indemnity to take any step to recover
from any other person whether Principal Debtor or Guarantor any monies due to the Surety nor be
obliged to enforce any of the Surety’s uprights in any order priority and no time given by the
Surety or any variation releases of any obligation as aforesaid or release of any other security shall
in any way reduce or otherwise affect the liability of the indemnitor hereunder.

4. If this Counter Indemnity is executed by more than one person, firm or corporation, the word
Indemnitor shall be read in the plural and the liability of each party executing this Counter
indemnity shall be joint and several and the Surety shall be entitled to recover from any one or
more of the said parties the full amount of the above mentioned deposit or other monies due from
the Indemnitor by virtue of this Counter Indemnity.

5. The Indemnitor shall be responsible for all the Solicitor’s, Legal charges and costs expended by the
Surety in realizing this Bond.

IN WITNESS WHEREOF the Indemnitor has caused its common seal to be

affixed this--------- day of----------- 2022

THE COMMON SEAL OF THE WITHIN-NAMED INDEMNITOR

,------------------------------------------

was hereunto affixed in the presence of:

DIRECTOR SECRETARY

CONSOLIDATED HALLMARK INSURANCE PLC

BOND PROPOSAL FORM

 IMPORTANT NOTICE

Kindly complete this form carefully. Failure to disclose all facts likely to influence the acceptance, and the assessment of this
proposal could affect settlement of claims or invalidate your policy ab initio. If you are aware of any fact likely to influence the
Proposal, kindly disclose them in the space provided at the end of this proposal.

If any answer has been written by any person(s) other than the Insured, such person(s) shall for that purpose be regarded as the
agent(s) of the proposer and not the agent(s) of the Insurer.

No Insurance is in force until the proposal has been accepted by the Company and the Premium or a Deposit paid.

1. TYPE (Tick one only) Bid Performance Advance Payment Custom

Advance Payment Guarantee Counter Indemnity Retention Performance Guarantee
Others (specify)……………………………………………..

2. DETAILS OF CONTRACTOR/COMPANY

Name:……………………………………………………………………………………………………

Address:…………………………………………………………………………………………………
………………………………………………………………………………………………….

Tel. ……………………… Fax:………………………… E-mail………………………………………

3. DETAILS OF CONTRACT

(a) Period of Guarantee: From………………………………. To …………………………………..

(b) Brief Description of Contract to be carried out (A copy of the contract, general conditions forwarded for perusal)
…………………………………………………………………………………………………………………………….

…………………………………………………………………………………………………………………………….
(c) Commencement Date: ……………………………………. Completion Date:………………………………………..

(d) i. Total Contract Sum:……………………………………………………………………………………………………

ii.Amount of Bond………………………………………………………………………………………………………

iii. Amount of subcontract work…………………………………………………………………………………………..

iv. Amount of bond required from subcontract work (if any)…………………………………………………………….

(e) Location of Contract Work ……………………………………………………………………………………………..

(f) For Whom is the Contract to be Undertaken? …………………………………………………………………………..

4. GENERAL INFORMATION
YES NO
1. Does the Company have experience in this type of contract?
If YES, state all transactions in hand and one completed over 3 years.
 For whom being Nature of Amount Starting Date Original Percentage Actual
undertaken Transaction Completion Completed Completion
Date Date
Transaction @ Hand

For whom Nature of Amount Starting Date Original Percentage Actual

being Transaction Completion Completed Completion
undertaken Date Date
Transaction
completed over 3
years

YES NO
II. Has the Company ever experienced difficulty in completing a contract by the due date?
If YES, give details.
…………………………………………………………………………………………………………………………………

5. INSURANCE HISTORY YES NO

i. …………….proposal for Insurance Bond?

ii. ……………Insurer at anytime:

Decline your proposal?
Refused to extend your policy?

iii. Imposed any special term?

If YES to any of the questions above, please give details.

……………………………………………………………………………………………………………………

Give Particulars of other Insurances:

CLASS COMPANY ANNUAL PREMIUM

BOND
FIRE
LOSS OF PROFITS
CONTRACTORS ALL RISKS
THIRD PARTY
EMPLOYEES LIABILITY
MOTOR ENGINEERING

6. FINANCIAL INFORMATION
(Please attach account for the last 3 years)
COMPANY BANKERS
Name:……………………………………………………………………………………………

Address:…………………………………………………………………………………………

i. Overdraft facility granted: N……………………………. ii. Date Granted: ………………………………………

iii. Outstanding (if any) N………………………………….. v. How is the overdraft secured?...................................

Has any Director or Partner ever been bankrupt or compounded with his creditors? YES NO
If YES, Date of Bankruptcy ……………………………….
7. ADDITIONAL INFORMATION

8. DECLARATION

I/WE declare that the above statements and particulars are true and that we have not concealed any material fact or circumstance
that ought to be disclosed to the sureties.

And on behalf of:

Name: Position Held:

Date:
Signature: