NORTH CAROLINA DEPARTMENT OF INSURANCE
RALEIGH, NORTH CAROLINA
SURETY BOND OF SELF–INSURER OF WORKERS' COMPENSATION
SURETY BOND NO. LPM 8166099
This bond is made and entered into between Labor Ready Mid-Atlantic, Inc. (hereinafter "Principal") and Fidelity
and Deposit Company of Maryland (hereinafter "Surety") for the benefit of the North Carolina Commissioner of
Insurance (hereinafter "the Commissioner") for the purposes set out in North Carolina General Statute §97–185.
This surety bond is made in consideration of the Commissioner's issuance of a license to self insure for workers'
compensation to the Principal. The Principal and Surety, for themselves, their heirs, assigns, and successors,
agree to be jointly and severally liable to the Commissioner for the sum of One Million and 00/100 dollars for any
and all of Principal's unpaid liabilities or obligations under Chapter 97 of the North Carolina General Statutes,
regardless of when such liabilities arose or were incurred, including those arising prior to the effective date of this
Additionally, Surety agrees that it will fulfill all financial obligations and liabilities of the Principal under
Chapter 97 of the North Carolina General Statutes in the event that the Principal fails to meet such obligations
and liabilities. Surety shall be liable for the total amount of this bond to the extent that the Principal is or would be
liable under Chapter 97 of the North Carolina General Statutes. Surety shall not be liable for any amounts in
excess of the dollar amount stated in this surety bond or in any endorsements hereto.
This surety bond shall remain in full force and effect until canceled in writing by the Commissioner pursuant
to North Carolina law. Upon cancellation, Surety shall remain liable under the provisions of this surety bond for
all obligations and liabilities of the Principal under the Workers' Compensation Act which arose or were created
prior to the effective date of the cancellatio