Laserfiche WebLink
SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, The Guarantee Company of North America USA <br />One Towne Square, Suite 1470, Southfield, MI 48076 <br />Page 3of5 <br />a <br />corporation, in accordance with Public Construction Bond Number 80157871 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 />tt <br />C I <br />Secretary <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />The Guarantee Company of North America USA <br />Corporate Surety <br />One Towne Square, Suite 1470 <br />Southfield, MI 48076 <br />Busin = Ad • ess <br />BY: - <br />Print Name: William Grefe Griffin <br />Title: Attorney -in -Fact <br />(Affix Corporate SEAL) <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />William Grefe Griffin to me well known or who produced <br />as identification, who being by me first duly swom <br />upon oath, says that he/she is the Attorney -in -Fact for <br />and that he/she has Eeen authorized by *See Below it to approve payment <br />by the OWNER to the CONTRACTOR of the foregoing Contractor's Application for <br />Payment. Subscribed and swom to before me this 8th day of <br />February 201. <br />TORRE TAYLOR <br />:AMMISSION 0W213292 <br />✓MFES: MAR 24.2019 <br />Bwmec wrouglrlstState Instal= <br />Notary Public, State of Florida <br />My Commission Expires: 03-24-2019 <br />*The Guarantee Company of North America USA <br />rN# rMr+rr+r vi***V m~dre nt•eN.eeM*rMrrN*a****** +Mf.►eMtdr.w.+f M►Mfe+hArMMrMntwMRMAa** <br />(The remainder of this page was left blank intentionally] <br />00622-3 <br />MblieVvoglisIENGINEEFING 011PRCJECRC Hugh Demurs%Real RapbcomatPr4eatlAdMaaltCwunakiganalerComma OowaamsaN0322- <br />CaramgohApOlceScnMPayment -WO mABc R.,.GSM <br />00622 -Contractors Application for Payment- 03-10 rev <br />43 <br />