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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, LIBERTY MUTUAL INSURANCE COMPANY <br />175 Berkeley Street <br />Page 3 of 5 <br />Boston, MA 02116 <br />,a <br />corporation, in accordance with Public Construction Bond Number 016059205 , 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 />Sce-Feta+y Witness <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />LIBERTY MUTUAL INSURANCE COMPANY <br />Corporate Surety <br />175 Berkeley Street <br />Boston, MA 02116 <br />Business Address <br />BY: <br />Print Name: Maria Sign <br />Title: Attomey-in-Fact <br />(Affix Corporate SEAL) <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Maria Signorile , to me well known or who produced <br />Well Known as identification, who being by me first duly sworn <br />upon oath, says that he/she is the Attorney -in -Fact for <br />and that he/she has been authorized by the surety it to approve payment by the <br />OWNER to the CONTRACTOR of the foregoing Contractor's Application for Payment. <br />Subscribed and sworn to before me this 30th day of September , 2015 <br />Notary Public, State of Georgia <br />My Commission Expires: March 19, 2018 <br />[The remainder of this page was left blank intentionally] <br />21158-00622 - Contractor's Application for Payment No 3F <br />00622 - 3 <br />H:\EXCEL\CURR£NT JOBS - 200'S'.21158-00622 - Contractor's Application for Payment No 3F.docx Rev 05!01 <br />42 <br />