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Witness: <br />(Proprietorship or Partnership) <br />Attest: (Corporation) <br />Title : Susan McQueen, Corporate Secretary <br />(Corp. Sec. or Asst. Sec.. only) <br />(Corporate Seal) <br />{pwner, Partner, or Corp. <br />Pres. or Vice Pres. only> <br />Selective Insurance Company <br />of America <br />Wi <br />Rose Magee <br />(Surety Company) <br />By: <br />Title: Windy Lebbad <br />(Attorney in Fact) <br />Countersigned <br />Erica Joyce+f L ~ : _, ~ i ~ ~~ ~ ~------ <br />(N.C. Licensed Reside Ag nt) <br />Senn Dunn Tnsu <br />4505 Falls of Neuse Rd., Suite 650 <br />Raleigh, NC 27609 <br />Name and Address-Surety Agency <br />Selective Insurance Company of America <br />3420 Toringdon Way, Suite 300 <br />McQuee Construction, Inc. <br />Contr tor: (Trade or Corporate Name ) <br />By: _ .~.. <br />Title: H .McQueen, President <br />(Surety Corporate Seal) <br />Charlotte, NC 28277 <br />Surety Company Name and N.C. <br />Regional or Branch Offrce Address <br />