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<br />IN WITNESS WHEREOF, this instrument is executed in five countel"parts, each <br />one of which shall be deemed an original, this day o.r--- .' 19 <br /> <br />ATTEST: <br /> <br />Pr~iricipal <br /> <br />"(Principal) Secretary <br /> <br />By: <br /> <br />(SE!\L) <br /> <br />fiTil:ness as to Principal) <br /> <br />\Acldre s s ) <br /> <br />(Address <br /> <br />V\dcrr-ess ) <br /> <br />ATTEST: <br /> <br />Su l'et:y <br /> <br />[SUre ty) See re ta ry <br /> <br />By: <br />Aitorney-in-Fact <br /> <br />\WITiless as to Surety) <br /> <br />(Address) <br /> <br />"(7fcldt, e s s <br /> <br />(Add rE'ss) <br /> <br />NOTE: <br /> <br />Date of BOND must not be prior to date of ContrEct. If CONTRACTOR is <br />Partnership, all partners should execute BOND. <br /> <br />IMPORTANT: <br /> <br />Surety companies executing BONDS must appear on thE' Treasury <br />Department's most current list (Circular 570 as amended) and be <br />authorized to transact business in the state where the PRD.JECT is <br />located. <br /> <br />MPB - 3 <br />