Instructions to Complete

Rider for General Use with Surety Bond

Form PSD 2100 

A rider amending a surety bond requires complete and correct information to be submitted to the 

Packers and Stockyards Division (PSD) on form PSD 2100. 

If any information is missing or incorrect, the PSD will return the surety bond rider form to the 

principal or surety for completion or correction. If a trustee has been named to the surety bond, 

the regional office will obtain the trustee’s signature, and will ensure the trustee retains an 

original copy of the surety rider for their files.

Operating without proper registration and bond may subject the principal to severe civil penalties 

as authorized by law for each violation, and additional penalties for each day the violation 

continues (7 U.S.C § 203). 

Submit the completed form to the PSD regional office that covers your area. The Areas covered 

by each regional office are listed below the regional office's address.

Regional Offices of the Packers and Stockyards Division 

Agricultural Marketing Service, Fair Trade Practices Program

Eastern Regional Office

75 Ted Turner Drive SW, Ste 230 

Atlanta, GA 30303-3308 

Telephone: (404) 562-5840 

FAX: (404) 562-5848 

E-mail:

PSDAtlantaGA@ams.usda.gov

States Covered

AL, AR, CT, DC, DE, FL, GA, 

LA, MA, MD, ME, MS, NC, 

NH, NJ, NL, NY, PA, PR, QC, 

RI, SC, TN, VA, VT, WV

Midwestern Regional Office

210 Walnut Street, Room 317 

Des Moines, IA 50309-2110 

Telephone: (515) 323-2579 

FAX: (515) 323-2590 

E-mail:

PSDDesMoinesIA@ams.usda.gov

States Covered

IA, IL, IN, KY, MB, MI, MN, 

MO, ND, NE, OH, ON, SD, WI

Western Regional Office

3950 Lewiston St., Suite 200 

Aurora, CO 80011-1556 

Telephone: (303) 375-4240 

FAX: (303) 371-4609 

E-mail:

PSDDenverCO@ams.usda.gov

States Covered

AB, AK, AZ, BC, CA, CO, HI, 

ID, KS, MT, NM, NV, OK, OR, 

SK, TX, UT, WA, WY

If you have any questions about the form or completing the form, please contact the PSD 

Regional Office that covers your area, as listed above.

The Surety must complete line 1 through 17, and sign line 19. 

The Principal must sign line 18. 

If a trustee is named to the surety bond, the trustee must sign line 20 which the appropriate PSD

will obtain. 

Form PSD 2100 Expires 01/31/2025 Page 1 of 3
Line 

No.

Subject Instruction

1 Current Principal Enter name of the principal. The name must match that 

listed on the original bond, or the most current as changed 

by a previous rider.

2 City and State of Principal Enter the city and state where principal operates.

3 Surety Enter the name of the surety company writing the bond.

4 Bond Number Enter the original bond number (do not list rider numbers).

5 Bond Date Enter the original effective date of the bond. This item 

must ALWAYS reference the original date the bond was 

issued, NOT the date of the most current rider.

6 In Favor of If a trustee is named on the original bond or added with a 

previous rider, enter the name of the trustee. If no trustee 

is named, leave this line blank, or enter N/A or None listed.

7 Increase in Bond Enter the amount of the bond before the increase in the 

FROM section, and the amount of the bond after the 

increase In the TO section.

8 Decrease in Bond Enter the amount of the bond before the decrease in the 

FROM section, and the amount of the bond after the 

decrease in the TO section.

9 Change in Name of 

Principal

Enter the full name, address, and phone no. of the principal

in the FROM section as it is stated on the original bond or 

previous rider, and the principal’s amended name, address, 

and phone no. in the TO section.

10 Change in Name of 

Trustee

Enter the full name, address, and phone of the former 

(previous) trustee in the FROM section, and the full name, 

address, and phone of the successor (new) trustee in the 

TO section.

11 Amend Condition Clause 

of bond 

Enter the condition clause stated on the original bond in the 

FROM section, and the condition clause the bond is 

changed to in the TO section.

12 Add Condition Clause 3 to 

surety bond

Check the box to indicate if the rider adds clearing services 

to the bond (Condition Clause 3 on form PSD 2000).

13 Delete Condition Clause 3 

from surety bond 

Check the box to indicate if the rider deletes clearing 

services from the bond (Condition Clause 3 on form PSD

2000).

14 Add Clearee to Condition 

Clause 3 from surety 

bond

Enter the full name, address, and phone of each clearee

being added to the surety bond. 

15 Delete Clearee from

Condition Clause 3 from 

surety bond

Enter the full name, address, and phone of each clearee 

being deleted from the surety bond. 

16 Rider Effective Date Enter the effective date of the rider.

Form PSD 2100 Expires 01/31/2025 Page 2 of 3
Line 

No.

Subject Instruction

17 Signed and Dated Enter the date that the rider was signed, sealed, and dated 

by the surety. 

18 Principal Signature The principal, or someone authorized to sign for the 

principal (i.e. partner, owner, or officer), must sign the 

surety bond. 

• If an individual operation, the principal must sign

the surety bond.

• If a partnership operation, one of the partners must

sign the surety bond.

• If a corporation, Limited Liability Corporation,

Limited Liability Partnership, or association, an

owner, officer or duly authorized agent of the firm

must sign the surety bond.

19 Surety Signature Enter the name of the surety. The rider MUST be signed 

by the Attorney-in-Fact for the surety. 

A Power of Attorney must be attached to the bond rider. 

The date of the Power of Attorney must be equal to or 

prior to the effective date of the bond rider. The person 

listed as the Attorney-in-Fact signing the surety bond rider 

for the surety company must be listed on the Power of 

Attorney. 

20 Trustee Signature If a trustee is named on the surety bond rider, PSD will 

obtain the trustee’s signature, where indicated on the form. 

NOTE: Electronic signatures are considered valid.

Form PSD 2100 Expires 01/31/2025 Page 3 of 3