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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: Page 3 of 5 <br />The Surety, <br />,a <br />corporation, in accordance with Public Construction Bond Number , 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 />Secretary Corporate Surety <br />Business Address <br />BY: <br />Print Name: <br />Title: <br />(Affix Corporate SEAL) <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Before me, a Notary Public, duly commissioned, qualified, and acting, personally appeared <br />to me well known or who produced <br />as identification, who being by me first duly sworn <br />upon oath, says that he/she is the for <br />and that he/she has been authorized by , it to approve payment by the OWNER <br />to the CONTRACTOR of the foregoing Contractor's Application for Payment. Subscribed and <br />sworn to before me this day of , 20 <br />Notary Public, State of <br />My Commission Expires: <br />[The remainder of this page was left blank intentionally] <br />Contractor's Application for Partial Payment - 06-09 rev - 00622 - 3 <br />F:\Public WorksIENGINEERING DIVISION PROJECTS\1914A - Jackie Robinson Training Center -Villas Remodel\1-Adm1n\Bids\Bid Documents\Bid Docs - Villas\Master Contract <br />Documents\DIV 0_3 Contract Forms - 20210223.docx <br />