Harvester_Perform_Security_Savings.pdf

(Rev. 10/2016) Page 1 of 3

HARVESTING SERVICES CONTRACT

PERFORMANCE SECURITY

SAVINGS ACCOUNT ASSIGNMENT

ACCOUNT NO.

THE CONDITION OF THIS OBLIGATION IS SUCH THAT:

I. WHEREAS, hereinafter called the "Assignor," has entered into Harvesting Services Contract Number , dated , an agreement with the State of Washington, acting by and through the Department of Fish and Wildlife.

AND WHEREAS, the Assignor does hereby assign, transfer, and set over to the State of Washington, Department of Fish and Wildlife, hereafter called the "State," all right, title and interest in the Assignor's Savings Account No. , deposited in the Branch of

, a financial institution authorized to do business in the State of Washington hereafter called the "Bank," which bank is a member of the Federal Deposit Insurance Corporation, the Federal Savings and Loan Insurance Corporation, or the National Credit Union Administration, in the amount of and No/100 dollars ($ ). This assignment shall serve as a guarantee of the faithful performance of all provisions of Harvesting Services Contract Number , including payment to all laborers, mechanics and subcontractors and material men, and all persons who shall supply such person or persons, or subcontractors, with services, provisions, and supplies for the carrying on of such work and all damages accrued to the State by reason of the operations under this agreement.

II. The State may at any time after giving written notice to the Assignor, demand payment from the Bank holding the above Savings Account of an amount not to exceed and No/100 Dollars ($ ).

III. Any penalty suffered which results from a demand for payment by the State from the Bank shall be assessed against the Assignor.

IV. The Assignor is not entitled to any earnings or interest on the cash proceeds after the State has withdrawn such proceeds in the amount as above specified from the herein described Savings Account.

V. The passbook to the above mentioned account shall be held by the branch of during the term of the assignment.

VI. The Assignor hereby authorizes and directs the Bank to pay all or any part of the above described deposit account as instructed by the State until such time as the bank shall receive the Release provided for on page three of this agreement. The bank shall not be liable to inquire whether there has been performance by Assignor or notice has been given Assignor or to see to the application of the moneys paid on the instructions of the State executed over the signature of the person, or his designee, appearing under the Acceptance on the reverse side of this agreement without need to verify the authority of such person.

Nothing herein shall prevent the State from designating a person authorized to act for it in another lawful manner.

VII. It is agreed, as between the Bank and the Assignor, that in the event the Bank closes or goes into receivership any Federal Deposit Insurance Corporation, Federal Savings and Loan Insurance Corporation, or National Credit Union Administration Insurance proceeds paid on, to or a result of the Assignor deposits with said Banks, shall first be applied to cover this assignment.

Signed and dated at , Washington this day of , 20 .

(Assignor's Signature)

(Address)

(City, State, Zip)

(Rev. 10/2016) Page 2 of 3

Savings Assignment Account No.

Harvesting Services Contract No.

VIII. CORPORATE ACKNOWLEDGMENT

STATE OF )

) ss

COUNTY OF )

On this day of , 20 , before me personally appeared to me known to be the of the corporation that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that (he/she was) (they were) authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written.

Notary Public in and for the State of

My appointment expires

ACCEPTANCE

BANK ACCEPTANCE

IX. The Bank, as witnessed below by the signature of a duly authorized officer, hereby recognizes the foregoing assignment of Certificate of Deposit Account No. in the amount of $ this day of , 20 .

(Branch)

(Authorized Signature)

(Branch)

(Address)

(City, State, Zip)

DEPARTMENT OF FISH AND WILDLIFE ACCEPTANCE

X. The State of Washington, Department of Fish and Wildlife, hereby accepts the foregoing assignment of Certificate of Deposit Account No. held by in the amount of $ this , 20 . day of

DEPARTMENT OF FISH AND WILDLIFE

Approval by:

(Signature) (Date)

(Rev. 10/2016) Page 3 of 3

Savings Assignment Account No.

Harvesting Services Contract No.

RELEASE

DEPARTMENT OF FISH AND WILDLIFE

XI. The foregoing assignment of Certificate of Deposit Account No. drawn on in the amount of $ is hereby released. The authorized signature and seal, below, shall witness the termination of the Department of Fish and Wildlife' interest in this assignment.

STATE OF WASHINGTON DEPARTMENT

OF FISH AND WILDLIFE

(Signature) (Date)

ASSIGNOR’S RELEASE

XII. I, , Assignor in the above agreement recognize by my signature below the release of the assignment as carried out in Clause XI above.

Signed this day of , 20 .

(Assignor’s Signature)

CORPORATE ACKNOWLEDMENT FOR RELEASE

STATE OF )

) ss

COUNTY OF )

On this day of , 20 , before me personally appeared to me known to be the of the corporation that executed the within and foregoing instrument, and acknowledged said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that (he/she was) (they were) authorized to execute said instrument and that the seal affixed is the corporate seal of said corporation.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal the day and year first above written.

Notary Public in and for the State of

My appointment expires