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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 />PAYMENT BOND <br />(FINAL PAYMENT) <br />The undersigned, in consideration of the final payment in the amount of <br />$ —q 2i 61,n'1 L? 5 , 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 201h Avenue Intersection Improvements <br />IRC 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 />1 <br />Dated on b 42 lv <br />Company Name: &h&,±V u C jj ,on <br />By: <br />Printed Name:SM <br />Title:' <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 />5,0f <br />NICHOLE M. ARNOLD <br />Notary Public, State of Florida at Large M EXIRE:SSAug- 21F2018 <br />(Notary Seal) <br />102 <br />
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