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Affidavit W bonds
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Affidavit W bonds
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Last modified
1/31/2019 11:45:00 AM
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1/31/2019 11:44:43 AM
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10 of 10 <br />The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and <br />compliance or noncompliance with any formalities connected with the Contract or the changes do not affect <br />Surety's obligation under this Bond. <br />Signed and sealed this day of , 20 . <br />WITNESS: BY: <br />(Name of Corporation) <br />_________________________ <br />Secretary <br />(Signature) <br />(CORPORATE SEAL) <br />(Type Name and Title Signed Above) <br />IN THE PRESENCE OF; INSURANCE COMPANY: <br />BY: <br />*Agent and Attorney-in-Fact <br />*(Power of Attorney must be attached) <br />(Address) <br />______________________________ <br />(City/State/Zip Code) <br />______________________________ <br />(Telephone) <br />STATE OF FLORIDA <br />COUNTY OF _________________________ <br />The foregoing instrument was acknowledged before me this _____ day of __________________, <br />20____, by _________________________________________________________ [name of person], as <br />__________________________________ [type of authority], for ________________________________ [name <br />of party on behalf of whom instrument was executed]. <br />AFFIX NOTARY STAMP HERE: ______________________________________ <br />Signature: Notary Public – State of Florida <br />______________________________________ <br />Print or Type Commissioned Name <br />Personally Known __________ OR Produced Identification __________ <br />Type of Identification Produced ________________________________
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