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or' co <br />~ ,.~ Ji~f~C~ <br />~ 7876 <br />o~ (~oEozacfa <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 <br />