Laserfiche WebLink
TO BE EXE UTED BY CORPORATE SURETY: <br /> Attest: <br /> Witness Corporate Surety SAFECO Insurance Company of America <br /> Business Address 5792 Widewaters P f � � <br /> DeWitt , NY 1321 1134i6161 . <br /> BY: <br /> (Affix Corporate <br /> !'� <br /> ; � - <br /> APK <br /> y, <br /> Richard W . Heinmiller 6 <br /> Attorney-In-FactJp `a' S ?. . Y . ; ' <br /> k 11 t <br /> i ✓'E ! <br /> Name of Local Agency James P . Reagan' Agec ,� z�G . f <br /> 8 East Main Street, ' . tr <br /> Marcellus , NY 13108 ` " <br /> Business Address <br /> STATE OF FLORIDA <br /> COUNTY OF INDIAN RIVER 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-in4act 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 /> Notary Public , State of Florida <br /> My Commission Expires. <br /> * * END OF SECTION <br /> 00612 - Payment Bond <br /> 00612 - 5 <br /> F:1Erg1negdna%Cepite1 Projecte10217- 3' w ina Road&d Dooiaaenta100612 - Payment Swtd.doc Rev. 05101 <br />