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Page 3 of 5 <br />SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, WESTFIELD INSURANCE COMPANY <br />,a <br />corporation, in accordan6e with Public Constmotion Bond Number 6086211 , 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 />WESTFIELD INSURANCE COMPANY <br />Secretary Corporate Surety <br />One Park Ciide, P.O. Box 5001 <br />Westfield Center, OH 44251-5001 <br />Business Address <br />t me: Joseph E. Coons <br />It Attorney in -Fact <br />{Affix Corporate <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Before me, a Notary Public, duly commissioned, qualified, and acting. -personally appeared <br />Joseph E. Coons , to me known r who produced <br />as identification, who being y me first duly sworn <br />upon oath, says that he/she is the Attorney -In -Fact for <br />Westfield Insurance Co. and that he/she has been authorized by Westfield Insurance qloto 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 19th day of <br />July , 20.16 ` <br />E <br />mry Pulft State of no*w <br />M THII NotW Public, State of F'C- <br />r r1sr My Commission Expires:p1ros71tZitY0t8 <br />�tk,kir**kik«,k�*,k�^firti*,k#«�+Ffit*,MYt�k�F«rik+lat,k*+hkk*,rrk*,rrk*kk*,k*�kYt>ti*,Y**�,Fk>cst'*�krF**,<M�t*,YftrYe+t*�7MY�kw�,rR*k <br />[The remainder of this page was left blank intentionally] <br />00622 -Contractor's Application for Payment- 03-10 rev <br />006;' . "-3 <br />F'.VhMkW0ft%E 1NEERINGDIVISIONPROJECTS11511S-GOmdNelphhMnW451h StHeaulince0onlAdmn;Nddomm nt&WastercontreetDocrsnantswum-Contractors <br />Applloallon for Payment -03-11/ m doc Rev. 05101 <br />P26 <br />