Indemnity Bond

INDEMNITY BOND I, [indemnifier_name], residing at [indemnifier_address], do hereby execute this Indemnity Bond in favour of [beneficiary_name] as follows. BACKGROUND [subject_matter] 1. INDEMNITY I hereby undertake to indemnify and keep [beneficiary_name] fully indemnified against any loss, damage, claim, or liability that may arise on account of the matter stated above. 2. UNDERTAKING I confirm that this bond is executed voluntarily and that I shall be solely responsible for any consequences arising from the matter described above. IN WITNESS WHEREOF I have executed this Bond on [execution_date]. [indemnifier_name] WITNESS 1 WITNESS 2 Name: Name: Address: Address: