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2024-153
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2024-153
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Last modified
7/18/2024 12:43:56 PM
Creation date
7/18/2024 12:19:19 PM
Metadata
Fields
Template:
Official Documents
Official Document Type
Agreement
Approved Date
07/02/2024
Control Number
2024-153
Agenda Item Number
8.R.
Entity Name
SCS Field Services
Subject
Agreement for Landfill Gas Flare Station and Piping
Area
1325 74th Avenue SW
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SURETY'S CONSENT OF PAYMENT TO CONTRACTOR: <br />The Surety, <br />a corporation, in accordance with Public Construction Bond Number <br />hereby consents to payment by the OWNER to the CONTRACTOR, for the amounts <br />specified in 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 <br />COUNTY OF <br />Before me, a Notary Public, duly commissioned, qualified, and acting, appeared <br />, who being by me first duly <br />sworn upon oath, says that he/she is the for <br />and that he/she has been authorized by to <br />approve payment by the OWNER to the CONTRACTOR of the foregoing Contractor's <br />Application for Payment. <br />Sworn to (or affirmed) and subscribed before me by means of ❑ physical presence or ❑ online <br />notarization this day of , 20_. <br />(Signature of Notary Public - State of Florida) <br />(Print, Type, or Stamp Commissioned Name of Notary Public) <br />❑ who is personally known to me or ❑ who has produced <br />as identification. <br />[The remainder of this page was left blank intentionally] <br />Contractor's Application for Partial Payment - 3 <br />
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