or' co
<br />~ ,.~ Ji~f~C~
<br />~ 7876
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<br />PROJECT: HAWKS NESA MINE - BACK FILLING ~ DRAINAGE
<br />CONTROL
<br />TPI- 3225688
<br />DCd ~OK[I
<br />PROTECT No. RN-MINES COAL 10
<br />5% of the amount bid not to exceed THREE THOUSAND T[d0 HUNDRED FIFTY DOLLARS AND 00/100---
<br />KNOW All MEN BY THESE PRESENTS: ($3, 2SO.OO)
<br />WHEREAS, JAY WAGNER DBA WAGNER CONSTRUCTION
<br />600 HOCKETT DRIVE
<br />CRAIG, COLORADO 81625
<br />hereinaNer called the "PRINCIPAL", is submining a PROPOSAL for the above described protect, to the STATE OF COLORADO, hereinafter
<br />called the "OBLIGEE". DIVISION OF MINERALS AND ~ GEOLOGY
<br />W FIEREAS, :ha Ad~.e: tisemcnt lo: Bid; hm required c: o cocddicn of receiving tF.e Proposals 'hat the Prmnpd subm~~ v.ith the
<br />PROPOSAL a PROPO SAE GUARANTY in an amount nor less than Iwe per cent (5%) 01 the Proposol, whrch sum it s specil ically agreed is to
<br />be forfeited as L~qu~dated Domoges in the event that the Prtnc~pal deioults to his obltgotton as hereinafter spec tlted, and, in pursvonce of
<br />which Requirement, this Bid Bond is made, executed and delivered
<br />NOW, THEREFORE, the Principal and
<br />TIG PREMIER INSIIRANCE COMPANY
<br />P.O. BO% 1998
<br />BATTLE CREEK, MICRIGAN 49016
<br />a corporation of the Store of Ca 11fOiRld ,duly authorized to transact businessmColorodo,as
<br />Surety, ore held and firmly bound unto the Obligee, in the sum of five per cent (5%) of the Principal's total bid price, lawful money of the
<br />United Stores for the payment of which sum, well and truly to be made to the Obligee, we bind ourselves, our hens, executors,
<br />administrators. successors and assigns, jointly and severally, firmly by these presents
<br />FURTHER THAT, o condition of this obligation is such that the Principal shall mointatn his Proposal in full force and effect for thirty
<br />(30) days alter the opening of the proposals for the protect, or, it the Principal's Proposal is accepted, the Principal aholl, within the
<br />prescribed lime. execute the required Agreement, furnish the required Perlormonce Bond, Labor and Motertal Payment Bond. Insu ronce
<br />Policy, and Cerrilnotes of Insurance, then this obltgotion shall be null and void, otherwise it shall remain in lull force and effect, and
<br />wbtect ro lorle~ture upon demand os Ltquidoted Domoges
<br />' IN WITNESS WHEREOF said Principal and Surety hove executed this Bond, this 2nd day of SAP-~ %. D.,
<br />194_.
<br />(Corporate Seal) THE PRINCIPAL
<br />JAY WAGNER DBA WAGNER CONSTRUCTION
<br />ATTEST:
<br />SIGNATURES
<br />,~~I~ Address
<br />- BY L
<br />Secretory
<br />IF the "Principal" is doing business as a Corporation, the Bid Bond shall 6e signed by an officer, i.e., President'or
<br />Vt<e-President. The signotu re of the o(licer signing shall be arrested to by the Secretary and properly sealed. .
<br />II the "Principal" is an individual or o partnership, the Bid Bond shall so-ittdicote and be properly signed.
<br />(Corporate Seal) THE SURETY/ ; _ ~',
<br />TIG ~ IER . 'i I AL
<br />Ry L
<br />Attorney-in-Fact
<br />ANITA M. LOVE
<br />iH15 BOND MUST BE ACCOMPANIED BY POWER OF ATTORNEY, EFFECTIVELY DATED
<br />Slate Form SC~6. 14 /
<br />Issued 9/1/65 IHev. 7/1/69)
<br />FAILURE TO PROVIDE A PROPERLY EXECUTED BID BOND WITH A PROPERLY EXECUTED
<br />POWER OF ATTORNEY WILL RESULT IN THE BIDDERS PROPOSAL BEING DEEMED NON-
<br />RESPONSIVE.
<br />39161-Ot-6116
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