□ 

OMB CONTROL NO. 0581-0308 

RIDER FOR GENERAL USE WITH SURETY BOND 

Required Under the Packers and Stockyards Act, 1921, 

as Amended and Supplemented 

U.S. Department of Agriculture 

Agricultural Marketing Service 

Fair Trade Practices Program 

Packers and Stockyards Division 

Know all that (1)______________________________________________________________________________ (Name of Current Principal) 

of (2)____________________________________________________________________________, as Principal, 

(City, State) 

and (3)_____________________________________________________________________________________ (Name of Surety) 

as Surety, issued bond number (4) , dated (5) , 

(Original effective date of bond) 

in favor of (6)___________________________________________________________________, as Trustee. 

(Name of Trustee) 

In consideration of the premium charged for the above-described bond, Principal and Surety agree to amend the bond as 

follows: 

Complete the applicable clause(s) set out below: 

7. Increase in sum 

of Bond 

The surety bond identified above is increased 

FROM: $ TO: $ 

8. Decrease in sum 

of Bond 

The surety bond identified above is decreased 

FROM: $ TO: $ 

9. Change in Name 

of Principal 

(Name, Address, 

Phone, and Email) 

The name, address, phone no. and email of the Principal, as given on the surety 

bond identified above, are changed 

FROM: ________________________________________________________________ (Name and Address) 

________________________________________________________________ 

TO: ________________________________________________________________ (Name and Address) 

________________________________________________________________ 

10. Change in 

Name of 

Trustee 

(Name, Address, 

Phone, and Email) 

The name, address, phone no. and email of the Trustee, as given on the surety bond 

identified above, are changed 

FROM: ______________________________________________________________ 

______________________________________________________________ 

TO: _______________________________________________________________ 

_______________________________________________________________ 

11. Amend 

Condition 

Clauses of 

Surety Bond 

The condition clause of the surety bond identified above is amended 

FROM: ________________________________________________________________ 

TO: ________________________________________________________________ 

12. Add Condition 

Clause 3 to bond 

Add condition 3, Clearing Services to the above-named surety bond. 

If checked go to line 14 of this form. 

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□ 13. Delete 

Conditional Clause 

3 from bond 

Delete condition 3, Clearing Services from the above named bond. 

If checked go to line 15 of this form. 

14. Add Clearee to 

Clause 3 

(Name(s), 

Addresses(s), 

Phone(s)) and 

Email 

The name(s), address(s), and phone(s) of: 

_____________________________________________________________________ 

_____________________________________________________________________ 

_____________________________________________________________________ 

is (are) hereby added as clearee(s) to the surety bond identified above. 

15. Delete 

Clearee 

from 

Clause 3 

(Name(s), 

Addresses(s), 

Phone(s)) and 

Email 

The name(s), address(s), and phone(s) of: 

_____________________________________________________________________ 

_____________________________________________________________________ 

_____________________________________________________________________ 

is (are) hereby deleted as clearee(s) from the surety bond identified above. 

PROVIDED, however, that the identified bond above shall be subject to all its agreements, limitations, and conditions 

except as herein expressly modified, and further that this bond and all riders attached thereto, including this rider, shall 

not be cumulative, and when loss shall occur under this bond during a period of time within which the penalty of the 

bond shall vary, the aggregate liability of Surety shall in no event exceed the largest penalty of this bond in force during 

the period of time within which such loss shall occur under this bond. 

16. This rider shall become effective as of the __________________ day of _____________________, 20_____.

17. Signed and dated this _____________ day of ____________________, 20____. 

18. (Name of Principal) (Signing on Behalf of Principal) 

19. (Name of Surety) (Signing on Behalf of Surety) 

20. (Name of Trustee) (Signing on Behalf of Trustee) 

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 is 

0581-0308 The time required to complete this collection is estimated to average 1.5 hours 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 law and U.S. Department of Agriculture (USDA) civil rights regulations and policies, this institution is 

prohibited from discriminating on the basis of race, color, national origin, sex, age, disability, and reprisal or retaliation for prior civil 

rights activity. (Not all prohibited bases apply to all programs.) 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 State or local Agency that administers the program 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 is also available in languages 

other than English. 

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

http://www.ascr.usda.gov/complaint_filing_cust.html, or at any USDA office or write a letter addressed to USDA and provided 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: (a) mail: U.S. Department of Agriculture, Office of the Assistant Secretary for Civil Rights, 

1400 Independence Avenue, SW, Washington, D.C. 20250-9410; (b) fax: (202) 690-7442; or (c) email: program.intake@usda.gov. 

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