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2005-033
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2005-033
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Entry Properties
Last modified
7/6/2016 2:00:33 PM
Creation date
9/30/2015 7:40:41 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Change Order
Approved Date
01/18/2005
Control Number
2005-033
Agenda Item Number
11.J.1
Entity Name
Summit Construction
Subject
Utilities Operations Complex Change Order No. 1
Area
Operations Complex
Project Number
6037
Bid Number
7026
Archived Roll/Disk#
4000
Supplemental fields
SmeadsoftID
3869
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BK : 1830 PG : 2223 <br /> fMiNNHHf Nf HMfiifffNifMiNf f f NNif fifHfii►N1Nf f ff f f Nff iff fif f iif <br /> CERTIFICATE AS TO CORPORATE PRINCIPAL <br /> certify that 1 am the Secretary of the corporation named as <br /> Principal in the within bond; and that who signed the said <br /> bond on behalf of the Principal was then of said corporation: <br /> that I know his signature, . and his signature thereto is genuine; and that said Bond was duly <br /> signed, sealed and attested for and on behalf of Said corporation by authority of Its goveming <br /> body. <br /> Secretary (Affix Corporate SEAL) ..,,Y,,, , ; , ,, , _ <br /> TO BE EXECUTED BY CORPORATE SURETY: <br /> Attest: <br /> Old Republic Surety Company S; <br /> Old Republic Insurance Compar' o .•. �.0 <br /> 60 * <br /> Secretary Corporate Surety t:•4"t� <br /> P . O . Box 4668 , Winter Park , FL <br /> Business Address <br /> . BY: <br /> (� nature (Affix Corpo EA[�" : ` : ^ ::c7 <br /> James E . Dickmeyer Q <br /> Attorney-In-Fact <br /> • The Dickmeyer Agency <br /> Name of Local Agency <br /> 607 St . Lucie Crescent , Stuart , FL 34994 <br /> Business Address <br /> STATE OF FLORIDA <br /> COUNTY OF Martin <br /> Before me, a Notary Public, duly commissi6ned, qualified and acting, personally appeared <br /> Ja=5 F_ DicirnYypr , to me well known, who being by me first duly sworn upon oath, <br /> says• that he is the attorney-in-fact for the rnd Rem ,hi ; r sn-ery and that he has been <br /> authorized by Old Republic Surety to execute the foregoing bond on behalf of the <br /> CONTRACTOR named t erein in favor of Indian River County. Subscribed and swom to before <br /> me this day of 2005 <br /> Notary Public, State of Florida <br /> 1 fl°:•"••�."*. BARBARA A ANDERSEN <br /> My Commission Expires: oZ'� �b 8 � ►dAaA " ��r23,� <br /> IRC OPERATIONS COMPLEX 00810 - Performance Bond <br /> 00610 - 5 <br /> A TRUE COPY <br /> • CERTIFICATION ON LAST PAGE <br /> J . K. BARTON, CLERK <br />
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