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ADDENDUM *1 Received and considered by: <br />Name of Bidder (Please Print): <br />Tri -Sure Corporation <br />Name of Bidder's Representative: <br />Signature of Bidder' <br />Representative: <br />Titles <br />James H. Chambers <br />lease Print) <br />Prpsi <br />Date: Jan <br />.1 .1. Fora+ of Agement ( Cont' d ) <br />IN WITNESS WHEREOF, the parties hereto have executed this agreeme <br />day and year first written above. <br />Signed and sealed by the <br />Contractor in the presence of: <br />By:,..irg�.u.e, ,.,, <br />' NOTARY POILIC STATE OF FLORIDA <br />MY COMMISSION EXP. NAY 4, 1991 <br />IDfl 2 TNRU <br />GENERAL INS. VW. <br />Signed and sealed by the <br />Owner in the presence of: <br />By s <br />agtOlaeeleA. 6 <br />&MAILr1 ' PC <br />Not ed and Ap rea- <br />(Contractor) <br />Attest: <br />(Seal) <br />INDIAN RIVER COUNTY (Owner) <br />:)"'s 46"2-66' <br />Don Scurlock, Chairma <br />Attest::iZ� 7�1J/Z4 <br />4 <br />Fr da Wright, n y. <br />EW <br />Q (Seal) <br />,. <br />. ////i / ,i�2I <br />r = er 'int • , Director <br />By: <br />Ut lity Services Department <br />es Ba 1�c3.c�n <br />ty Administrat <br />I <br />BY: (od C�.tAd <br />• Jo eph/Baird <br />D actor of Budget Department <br />This foregoing Contract Agreement is in correct form according to law and <br />in hereby approved: <br />Charles Vitunac, County Attorney <br />CONTRACT WITH TRI -SURE CORPORATION IS ON FILE IN THE OFFICE OF <br />CLERK TO THE BOARD IN ITS ENTIRETY. <br />43 <br />MAS 15 1988 <br />BOOK F'!,;7. 212 <br />