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IN WITNESS WHEREOF, this instrument is executed in two or more counterparts, each <br />.one of which shall be deemed an original, this day of , 2011. <br />SURETY: <br />By <br />Attorney-in-Fact <br />(Address) <br />ATTEST: <br />(Surety) <br />[SEAL] <br />(Witness as to Surety) <br />(Address) <br />CONTRACTOR AS PRINCII'AL: <br />By <br />(Address) <br />ATTEST: <br />(Contractor as Principal) <br />[SEAL] <br />(Witness as to Contractor as Principal) <br />(Address) <br />NOTE: Date of BOND must not be prior to date of Contract. If Contractor is partnership, all <br />partners should. execute BOND. <br />IMPORTANT: Surety companies executing Bonds must appear on the Treasury Department's most <br />current list (Circular 570 as amended) and be authorized to transact business in the state <br />where the project is located. <br />END OF SECTION <br />PAYMENT BOND 00615 - 3 <br />