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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, United Fire & Casualty Comoanv <br />Page 3 of 6 <br />,a <br />corporation, in accordance with Public Construction Bond Number54-193434 , 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 Susan L. Reich <br />United Fire & Casualty <br />Company <br />Corporate Surety <br />P 0 Pox 73909 <br />Cedar Rapids la 52407-3909 <br />Business Address <br />BY: <br />Print Name: Patricia L. Slaughter <br />Title: Attorney -in -Fact & FL Licensed Resident Agent* <br />*Inquiries (407) 786-7770 <br />(Affix Corporate SEAL) <br />STATE OF FLORIDA <br />COUNTY OF -INDIAN-R+VER ORANGE <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Patricia L. Slaughter , to me well known or who produced <br />as identification, who being by me first duly sworn <br />upon oath, says that helms is the Attorney -in -Fact for <br />**United and that he/she has been authorized by **United it to approve payment <br />by the OWNER to the CONTRACTOR of the foregoing Contractor's Application for <br />Payment. Subscribed and sworn to before me this 16th day of <br />January 20 14 <br />N/A <br />**Fire & Casualty Company <br />Notary Public, State of Florida <br />My Commission Expires: 11/15/2015 <br />Gloria A. Richards <br />tThe remainder of this page was left blank intentionally] <br />o.►*rNotary Public State of Florida <br />Gloria A Richards <br />My Commission EE121951 orn' Expires 11/15/2015 <br />00622 - 3 <br />F:1Public Wbrks'ENGINEERING DIVISION PROJECTS11128 -RFP Sarah Co Park Muhl Purpose Fleldsladmlmldd documents\Coneact Doc unents100622-ConUacloh Applicalicn <br />tor Paymerd • 03-10 ray.doc Rev. 05/01 <br />00622 - Contractor's Application for Payment - 03-10 rev.doc <br />419 <br />