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(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 />