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<br /> � D
<br /> H State O Cf/oloNadJ/
<br /> o Bond No.TPI-3225688
<br /> paid Rond
<br /> PROJECT:COAL BASIN/WASTE ROCK DUMP RECLAMATION PROJECT NO.PKA-6-375
<br /> 5% of the amount bid not to exceed TEN THOUSAND AND 00/100
<br /> KNOW ALL MEN BY THESE PRESENTS:
<br /> WHEREAS, JAY WAGNER DBA WAGNER CONSTRUCTION
<br /> 600 HOCKETT DR. CRAIG,81625
<br /> hereinafter called the "PRINCIPAL",is submitting a PROPOSAL for the above described project, to the STATE OF COLORADO,
<br /> hereinafter called the "OBLIGEE". DIVISION OF MINERALS AND GEOLOGY
<br /> WHEREAS, the Advertisement for Bids has required as a condition of receiving the Proposals that the Principal submit with the
<br /> PROPOSAL a PROPOSAL GUARANTY in an amount not less than five per cent (5%) of the proposal, which sum it is specifically
<br /> agreed is to be forfeited as Liquidated Damages in the event that the Principal defaults in his obligation as hereinafter specified, and, in
<br /> pursuance of which Requirement,this Bid Bond is made, executed and delivered.
<br /> NOW,THEREFORE,the Principal and
<br /> TIG PREMIER INSURANCE COMPANY
<br /> 70 W. MICHIGAN AVE ADMINISTRATIVE OFFICE
<br /> BATTLE CREEK,MI 49016
<br /> a corporation of the State of CA duly authorized to transact business in Colorado, as Surety, are
<br /> held and firmly bound unto the igee, in a sumo ive per cent %) of the Principal's total bid price, lawful money of the United
<br /> States for the payment of which sum, well and truly to be made to the Obligee, we bind ourselves, our heirs, executors,
<br /> administrators, successors and assigns,jointly and severally, firmly by these presents.
<br /> FURTHER THAT, a condition of this obligation is such that the principal shall maintain his Proposal in full force for thirty (30)
<br /> days after the opening of the proposals for this project, or, if the Principal's Proposal is accepted, the Principal shall, within the
<br /> prescribed time, execute the required Agreement. furnish the required Performance Bond, Labor and Material Payment Bond, Insurance
<br /> Policy, and Certificates of Insurance, then his obligation shall be null and void, otherwise it shall remain in full force and effect, and
<br /> subject to forfeiture upon demand as Liquidated Damages.
<br /> IN WITNESS WHEREOF said Principal and Surety have executed this Bond, this 25 day of June
<br /> A.D., 1996,
<br /> (Corporate Seal) THE PRINCIPAL
<br /> JAY WAGNER DBA WAGNER CONSTRUCTION
<br /> 600 HOCKETT DR. CRAIG,CO 81625
<br /> Address
<br /> ATTEST:
<br /> By
<br /> Secretary
<br /> SIGNATURES: If the "Principal" is doing business as a corporation, t Bid Bond shall be signed by an officer, i.e., President or
<br /> Vice-President. The signature of the officer signing s all be attested to by the Secretary and properly sealed.
<br /> If the"Principal" is an individual or a partnership,the Bid Bond shall so in 'cate and be properly signed.
<br /> (Corporate Seal) THE SURETY
<br /> TIG PREM ER SURANCE COMPANY
<br /> By _
<br /> Attorney-in-Fact �~
<br /> TERRENCE E. DREILING
<br /> THIS BOND MUST BE ACCOMPANIED BY POWER OF ATTORNEY, EFFECTIVELY DATED
<br /> State Form SC-6. 14
<br /> Issued 9/1/65(Rev. 7/1/89)
<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 /> 395-061-01-6146
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