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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The ,S u <br />United Fire & Casualty Company <br />PO Box 73909, Cedar Ra2jsIsLIA 52407-3909 f <br />corporation, in accordance with Ptblic Construction Bond Number 54-210441 a IA consents <br />hereby <br />to payment by the OWNER to the CONTRACTOR, for the amounts specified in this <br />CONTRACTOR's APPLICATION FOR PAYMENT. <br />TO BE EXECUTED BY CORPORATE SURETY: <br />Attest: <br />United Fire & Casualty Company <br />cretary Susan L. Reich Corporate Surety <br />PO Box 73909 <br />Cedar Rapids, IA 52407-3909 <br />Business Address <br />BY: 10 -UA i^o� .� <br />Print Name: Teresa I-.-DLIr-bal) <br />Title: Attorney -In -Fact & FL LicePsed Resid Aggat(407) 786-7770 <br />STATE OF FLORIDA <br />COUNTY OF INDIAN -RIVER ORANGE <br />(Affix Corporate SEAL) <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />Teresa L. Durham " to me well known or who produced <br />N/A as identification, who being by me first duly sworn <br />upon oath, says that he/she is the Attomey-In-Fact for <br />United Fire*and that he/she has been authorized by United Fire* it to approve payment <br />by the OWNER to the CONTRACTOR of the foregoing Contractor's Application for Payment. <br />Subscribed and sworn to before me this 26th day of <br />June ,20 17 *& Casualty Company <br />Bart ;� NotoryPublic State of Fiorldta <br />Lisa Roselerxl <br />ai <br />My Corarni&0ion I F 10660. <br />Expires 0 3/2f 1201 P <br />Notary Public, State of Florida <br />s My Commission Expires: 3/25/2018 <br />Lisa Roseland <br />#***********#*****k********************************************************************************* <br />[The remainder of this page was left blank intentionally] <br />00622 -Contractor's Application for Payment - 03-10 rev <br />00622-3 <br />FlPublic Works\ENGINEERING DIVISION PROJECTS11330-I.R.C. Gonne Transfer HublAdminlbld documents\MaeterContract Documente100622- Contractor's Application for <br />Payment -03.10 mv.doc Rev. 05/01 <br />P48 <br />