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Rule 1424.001 F.A.C. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 700-06021 <br />Rt" 14.79.000F.A.C. CONTRACTOR'S AFFIDAVIT AND SURETY CONSENT CONSTRUCTION <br />1209 <br />(FORM 21-A) P89e2of2 <br />We, the International Fidelity Insurance Company duly authorized to do business under the laws of Florida, having <br />(Type or print name of Surety) <br />heretofore executed a performance and payment bond for the Contractor covering the contract described above, hereby <br />consent the State of Florida Department of Transportation making full payment of the final estimate, including the retained <br />percentage, to the Contractor. <br />It Is fully understood that consenting to the State of Florida Department of Transportation making payment of the final <br />estimate to the Contractor and/or its assignee, shall not relieve this surety company of any of its obligations under its <br />bond. <br />IN WITNESS WHEREOF, the International Fidelity Insurance Company has caused this <br />(Type or print name of surety) <br />Instrument to be executed by its President, Chief Executive Officer or duly authorized Attorney -In -Fact and its corporate <br />seal to be hereto affixed, all on this 20th day of February <br />2017 <br />International Fidelity Insurance Company <br />S ANY <br />(AFFIX SEAL) BY: <br />❑ It resident or Chief Executive Officer <br />Its Attorney -In -Fact <br />❑ Florida Licensed Insurance Agent <br />STATE OF Florida <br />COUNTY OF Miami -Dade <br />(Attach Power of Attorney) <br />Before me, the undersigned Notary Public, personally appeared Burton Harris to me well known or who <br />has produced personally known as identification as the person described in and who executed the foregoing <br />(Type of Identification) <br />Instrument in the name of International Fidelity Insurance Company and Burton Harris <br />acknowledged that he/she executed said instrument in the name of said surety as its Attorney -In -Fact <br />for the purposes therein expressed and that he/she has due and legal authority to execute the same on behalf of said <br />surety. <br />Sworn to and subscribed before me this 20th day off eb 2017 <br />c�. _ <br />4"cum <br />1.1110A IW VERA May Public - State of FloridaCommtaaion A 8G 047811ssion expires 01/1U/2021My Comm. Eaplma Jan 10.2021 Notary Public, State of Florida <br />My <br />National Nolary Assn. <br />P100 <br />