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06/21/2016 (4)
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06/21/2016 (4)
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Last modified
12/7/2020 1:27:11 PM
Creation date
9/29/2016 11:15:16 AM
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Meetings
Meeting Type
BCC Regular Meeting
Document Type
Agenda Packet
Meeting Date
06/21/2016
Meeting Body
Board of County Commissioners
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STATUTORY <br />WAIVER OF RIGHT TO CLAIM <br />AGAINST THE PUBLIC PROJECT <br />PAYMWIqT BOND <br />(FINAL PAYMENT) <br />. The undersigned, in consideration of the final payment in the amount of <br />COCl . 5 2 , 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 Iridian River County Board of County Commissioners; for improvements to the <br />following described project: <br />Aviation Boulevard and W Avenue Intersection Improvements <br />IRC Project No: 1422 <br />IRC Bid No: 2014049 <br />Bond Number 21 BCSFY3564 <br />And Further Described in Bond Recorded in or <br />Bk: 2849, Page 1664 <br />Indian River County, FL <br />Dated on —MQ24 1. , z` 1(` <br />Company Name: M O W U�SQh e l S}Y- L,I.CAi Oh <br />BY: <br />Printed Name: Tki 1);u IA JW y �a yt,J r . <br />Title: <br />—� <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 />4 � 1el <br />otar Public, S of F orrda at Large <br />(Notary Seal <br />L <br />&Me of Florida rT <br />ong <br />FF ZZsbo4 <br />*11KTOts <br />99 <br />1 <br />
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