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i A <br /> ® Main Street America Group <br /> National Grange Mutual Insurance Company Bond Number <br /> Old Dominion Insurance Company <br /> S - 242035 <br /> Main Sneer America Assurance Company <br /> Payment Bond <br /> Any singular reference to Contractor, Surety, Owner or other party shall be considered plural where applicable. <br /> CONTRACTOR ( Name and Address) : Surety (Name and Principal Place of Business) <br /> HVAC MECHANICAL INC , Old Dominion Insurance Company <br /> 5425 24th Street Suite ?08 Baywood Center 111/4th Floor, 9428 Baymeadows Rd <br /> Margate , FL 33063 Jacksonville, FL 32256 <br /> OWNER (Name and Address): <br /> INDIAN RIVER COUNTY <br /> Purchasing Department <br /> 2625 19th Avenue <br /> Vero Beach , FL 32960 <br /> CONSTRUCTION CONTRACT <br /> Date: October 7 , 2003 <br /> Amount: $60 , 116 . 00 <br /> Description (Name and Location ) : Indian River County Bid #6015 Douglas Cafeteria <br /> HVAC 00prades <br /> BOND <br /> Date (Not earliehhan Construction Contract Date) : October 7 , 2003 ••F.o, ; <br /> Amount: , . . $•6`� pJ16 . 00 <br /> Modifjcdhi nseWtflj}'B'ond: x None ' <br /> � ❑ See Page 6 . �' ' � '•�� '�• <br /> N C6�ss . to •, ., ._rr os ; fes` nvy p ' . <br /> (2Q'rjlTfty40T P9�INIR1L' SURETY ` • ' O < 4 -v :� <br /> Of Ir (Corporate Sea [) Company: %,jo orate' ea <br /> HVAC $J�FG1t�vrC� ,?*VIP Old Dominion Insu ce Co any <br /> t.. .• .• <br /> Signature.-• (J-iut�, Signature <br /> Name and Vitle;' If"�' —T Name an e: Dougl T . Brown <br /> ;.a ; <br /> Attorney-In-Fact <br /> (Any additional signatures appear on page 6) <br /> (FOR INFORMATION ONLY - Name, Address and Telephone) <br /> AGENT or BROKER : OWNER 'S REPRESENTATIVE (Architect, Engineer or <br /> KEOUGH KIRBY ASSOCIATES , INC . other party): <br /> Plaza Center <br /> 68 Cumberland Street <br /> Woonsocket , RI 02895 <br /> 401- 769 - 8100 <br /> Printed in cooperation with the American Institute of Architects (AIA) by the Old Dominion Insurance Company. The language in this <br /> document conforms exactly to the language used in AIA Document A312 , December 1984 edition , third printing, March , 1987. <br /> 68-5301 (7/'96) Page 4 of 6 <br /> A TRUE COPY <br /> CERTIFICATION ON LAST PAGE <br /> J • K . BARTON , CLERK <br />