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Page 3 of 5 <br />SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, Hartford Fire insurance Company <br />******************************************************************************** a <br />corporation, in accordance with Public Construction Bond Number 21BCSFY3557 , hereby <br />consents to payment by the OWNER to the CONTRACTOR, for the amounts specified in <br />this CONTRACTOR's APPLICATION FOR PAYMENT. <br />TO BE EXECUTED BY. CORPORATE SURETY: <br />Attest: <br />Secretary <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Hartford Fire Insurance Company <br />Corporate Surety <br />One Hartford Plaza <br />Hartford, CT 06155 <br />********************************************************** <br />Business Address <br />BY: <br />Print Name: /Gera . J. Arch <br />Title: Attor ey-1n act <br />(Affix Corporate SEAL) <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Gerald J. Arch , to me well known tcVxxx <br />xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxitaid+elituti xwho being by me first duly sworn <br />upon oath, says that hell ISliarltilil`d FireAttorney-In-Fact for <br />and that he/she has been authorized by rnsnraner rnmpony it to approve payment by the <br />OWNER to the CONTRACTOR of the foregoing Contractor's Application for Payment. <br />� fif ti <br />Subscribed and swp p r,, me this 16th day of July , 2015 <br />r� 4-•iiai:••3 <br />lily Caw. <br />iii i Expires <br />rNay16,2017 1ltotany `ublic S -te of lorida <br />,^ No. FF 18951 ' <br />'-V�'••ul3l;►�.••'' `r'ommission Expires: May 16, 2017 <br />,�/grF:oi1F 4oa`a <br />[The remainder_of_this page.wasieft.blank.intentionally]. . <br />Pay App #10 - Coversheets.doox <br />00622 - 3 <br />7.:101 JOBS102 Active JobsIIRC Dune RepaiVay AppslPey App 4101Pay App a; I0 - Caverhoats.docx Rev. 05101 <br />192 <br />