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CERTIFICATE OF ACKNOWLEDGMENT <br />(For use where contractor is a corporation) <br />STATE OF <br />ss <br />COUNTY OF_ _) <br />On this day of , 20, before me personally appeared <br />and <br />to me personally known who, being duly sworn, did say that they are respectively the <br />that the seal affixed to the foregoing <br />instrument is the corporate seal of said corporation, and that said instrument was executed on behalf of the <br />corporation by authority of its Board of Directors, and said <br />and <br />corporation. <br />Notary Public <br />(Seal) <br />Full Name of Surety Company <br />Name of Attorney -in -Fact <br />Address of Local Agency <br />Address <br />acknowledged the instrument to be the free act and deed of said <br />Home Office Address <br />Name of Local Agency <br />Name of Agent Affixing Countersignature <br />Memorandum: Affix here Power of Attorney and Acknowledgment of Corporate Surety. <br />7 <br />