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PENAL SUM FORM <br />BID BOND <br />IMPORTANT- Surety compaaies eiceuiing BONDS must appear oo the Treacury Depsrtmeet's mott curreet list (Circuitr 570 aa ameoded) ond <br />be aut6oriud to tranact 6usinae in t6c state where t6e projeet is located. <br />Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. <br />DIliUMc (Ivame ana Aaaress/: <br />SURETY (Name andAddress oJPrincipal Place ofBusiness): <br />OWNER (Name arrdAddress): <br />BID <br />Bid Due Date: <br />Description (Project Name and Include Location): <br />BOND <br />Bond Number: <br />Date (Not earlier than Bid due date): <br />Penal sum <br />(Words) <br />$ <br />(Figures) <br />Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause this <br />Bid Bond to be duly executed by an authorized officer, agent, or representative. <br />BIDDER <br />(Seal) <br />Bidder's Name and Corporate Seal <br />By: <br />signacure <br />Print Name <br />Title <br />Attest: <br />Signature <br />SURETY <br />(Seal) <br />Surety's Name and Corporate Seal <br />sY: <br />Signature (Attach Power of Attorney) <br />Priat Name <br />Title <br />Attest: <br />Signature <br />Trtie Title <br />Note: Above addresses are to be used for giving any required notice. Provide execution by any additional <br />parties, such as joint venturers, if necessary. <br />EJCDC C430 Bjd Bond (Pwl Sum Form) <br />PrePmred by tbe EnBincen Jant Contnct Docaments Committa. <br />Page t or 2 9 <br />