Orange County NC Website
Witness <br />(Proprietorship or Partnership) <br />Attest: (Corporation) <br />Pres. or Vice Pres. only) <br />Title : Sp,~~ <br />(Corp. Se r Asst. Sec.. only) <br />(Corporate Seal) <br />Witness <br />K. <br />Countersigned <br />An¢ela D. Ifamsev <br />(N.C. Licensed Resident Agent) <br />Wachovia Insurance Services <br />P.O. Box 220748 <br />Charlotte. NC 28222-0748 <br />Name and Address-Surety Agency <br />Great American Insurance Company <br />4824 Parkway Plaza, Suite 130 <br />Charlotte, NC 28217-1968 <br />Surety Company Name and N.C. <br />Regional or Branch Office .Address <br />Bro ) Company, Inc., <br />db Brooks G neral Contractors <br />C ntractor. or orporate Name ) <br />Title <br />(Owne ,Partner, or Corp. <br />GREAT AMERICAN INSURANCE COMPANY <br />(Surety Company) <br />By: <br />~'j{~e; Angela D sey, Attorney-In-Fact <br />(Attorney in Fact) <br />(Surety Corporate Seal) <br />-: ~ <br />.~ ~ <br />