Laserfiche WebLink
f <br />STATUTORY <br />WAIVER OF RIGHT TO CLAIM <br />AGAINST THE PUBLIC PROJECT <br />PAYMENT BOND <br />(FINAL PAYMENT) <br />The undersigned, in consideration of the final payment in the amount of <br />$ 4'1 1 q g , ci , , hereby waives its right to claim against the payment bond for <br />labor, services, or materials furnished to Guettler Brothers Construction, LLC on the job <br />of Indian River County Board of County Commissioners; for improvements to the <br />following described project: <br />Aviation Boulevard and 20u Avenue Intersection Improvements <br />MC Project No: 1422 <br />IRC Bid No: 2014049 <br />Bond Number 21BCSFY3564 <br />And Further Described in Bond Recorded in or <br />Bk: 2849, Page 1664 <br />Indian River County, FL <br />Dated on "a12,,'1016 <br />Company Name: <br />Printed Name: 20 L <br />Title: �� C L6Q <br />Must be a Corporate Officer, President, Vice President, Secretary, Treasurer or a letter of <br />authorization must be attached that is signed by a Corporate Officer listing the authorized <br />signers. <br />Subscribed, sworn to and acknowledged before me the day and year written above. <br />1 �• <br />NotdrylPublic, State of Florida at Large <br />(Notary Seal) <br />=aa;;':,•ati <br />96 <br />LY NDA PACET71 <br />Commission 9 FF 127306 <br />i�•. ;i <br />My Commission Expires <br />May 28, 2018 <br />96 <br />