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TO BE EXE UTED BY CORPORATE SURETY: <br />M- <br />01 .Witness <br />STATE OF FLORIDA <br />COUNTY OF INDIAN RIVER <br />Corporate Surety SAFECO Insurance Company <br />Business Address 5792 Widewaters <br />DeWitt, NY 1321 <br />BY: <br />n <br />(Affix Corporate <br />Richard We Heinmiller <br />Attorney-ln-Fact <br />of America <br />Name of Local Agency James P. ReaganAgepc3 <br />8 East Main Street.';', <br />Marcellus, NY 13108`" <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 <br />00612-5 <br />F:1Erg1negdna%Cepite1 Projects= 743' w ina Road&d Doowmnta1o0612 %Payment Swtd.doc Rev. 05101 <br />