OMB No. 0581-0178

F/H Form C(1) (Exp. 3/31/2024) Destroy previous editions.

HAZELNUT MARKETING BOARD

21595-A Dolores Way NE

Aurora, OR 97002-9738

Tel: (503) 678-6823; Fax: (503) 678-6825

BOND

KNOW ALL MEN BY THESE PRESENT, the (I or we) ______________________________________________

____________________________________________________________________________________________

____________________________________________________________________________________________

as Principal, and _______________________________________________________________________________

____________________________________________________________________________________________

names of Sureties

as Surety(ies) are held and firmly bound unto the Hazelnut Marketing Board, its successor or successors in the sum 

of __________________________________ Dollars ($________________), lawful money of the United States of 

America, for the payment of which sum well and truly to be made to said Hazelnut Marketing Board, we bind 

ourselves and each of us, our and each of our heirs, executors, administrators, successors and assigns, jointly and 

severally, firmly by these present.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT, if the said above-bounden

____________________________________________________________________ or successors, shall well

name of Principal

and truly perform all and singular the promises contained in a certain Undertaking executed by him on the 

____________ day of _________________20_____, to the Hazelnut Marketing Board, whereby the Principal herein 

was permitted to postpone his surplus obligation as provided by section 982.54 of the Hazelnut Marketing 

Agreement and the Marketing Order as amended, then this obligation shall be void; otherwise to remain in full force 

and effect.

PROVIDED FURTHER, that this obligation may be cancelled by the Sureties, giving thirty (30) days notice in 

writing to the Secretary of the Hazelnut Marketing Board, Aurora, Oregon, but such cancellation shall not affect any 

liability which has accrued under this obligation prior to the effective date of cancellation.

SIGNED, SEALED AND DATED THIS ___________ day of ________________________, 20____.

_________________________________ (SEAL) _________________________________ (SEAL)

Principal Surety

_________________________________ (SEAL) _________________________________ (SEAL)

Principal Surety

No deferment of restricted obligation will be granted by the Board unless a completed bond form has been received (7 U.S.C. 

608(d), 7 CFR 982.54 and 7 CFR 982.454).

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a 

collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0581-

0178. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing 

instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of 

information. 

In accordance with Federal civil rights law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, the USDA, its 

Agencies, offices, and employees, and institutions participating in or administering USDA programs are prohibited from discriminating based on 

race, color, national origin, religion, sex, gender identity (including gender expression), sexual orientation, disability, age, marital status, 

family/parental status, income derived from a public assistance program, political beliefs, or reprisal or retaliation for prior civil rights activity, in 

any program or activity conducted or funded by USDA (not all bases apply to all programs). Remedies and complaint filing deadlines vary by 

program or incident.

Persons with disabilities who require alternative means of communication for program information (e.g., Braille, large print, audiotape, American 

Sign Language, etc.) should contact the responsible Agency or USDA’s TARGET Center at (202) 720-2600 (voice and TTY) or contact USDA 

through the Federal Relay Service at (800) 877-8339. Additionally, program information may be made available in languages other than English. 

To file a program discrimination complaint, complete the USDA Program Discrimination Complaint Form, AD-3027, found online at 

http://www.ascr.usda.gov/complaint_filing_cust.html and at any USDA office or write a letter addressed to USDA and provide in the letter all of 

the information requested in the form. To request a copy of the complaint form, call (866) 632-9992. Submit your completed form or letter to 

USDA by: (1) mail: U.S. Department of Agriculture Office of the Assistant Secretary for Civil Rights 1400 Independence Avenue, SW 

Washington, D.C. 20250-9410; (2) fax: (202) 690-7442; or (3) email: program.intake@usda.gov. USDA is an equal opportunity provider, 

employer, and lender.