Laserfiche WebLink
(Attach Power of Attorney) <br />Attorney -In -Fact <br />Name of Local Agency <br />Business Address <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, who being by me first duly swom oath, says that he is <br />the attorney-in-fact for the and that he has been authorized by _ <br />to execute the foregoing bond on behalf of the CONTRACTOR named <br />therein in favor of the County of Indian River, Florida. Subscribed and sworn to before me this <br />day of 20. <br />Notary Public, State of Florida <br />My Commission Expires: <br />Any claims under this bond shall be addressed to: <br />Name and address of Surety <br />Name and address of agent <br />or representative in Florida <br />if different from above: <br />Telephone number of Surety <br />and agent or representative in Florida: ( ) <br />Page 23 of 40 <br />