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TO BE EXECUTED BY CORPORATE SURETY: <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Corporate Surety SAFECO Insurance Company of America <br />Business Address 792 Widew ters Parkw�" <br />eWit 13 <br />BY: ,Al , <br />(Affix Corp or fe $11 <br />Francis A. Lowther <br />r <br />Attorney -In -Fact =;* <br />Name of Local Agency James P. Reagank; <br />8 East Main Stree <br />Marcellus,,, k13 <br />..... „) <br />Business Address <br />SEE ATTACHED <br />Before me, a Notary Public, duly commissioned, qualified and acting, personally appeared <br />to me well known, who being by me first duly sworn <br />upon oath, says that he is the attorney-in-fact for the and <br />that he has been authorized by to execute the <br />foregoing bond on behalf of the CONTRACTOR named therein in favor of the County of Indian <br />River, Florida. Subscribed and sworn to before me this day of , <br />20 <br />My Commission Expires: <br />Notary Public, State of Florida <br />* * END OF SECTION * * <br />00612 - Payment Bond REV 04.07 <br />00612 - 4 <br />F:1£rtpineerinaTepitel "ed$V80317th lane Sw y ImprovemanU from 27th Ave to appm. 900 LF out of 27th Ave10803 C0n1rad D0CL man1s100012 - Payment <br />WN REV 04-07.doe Rev. 05J01 <br />