Orange County NC Website
1N WITNESS WHEREOF, the above-bounden parties have executed this instrument under their <br />several seals an the daft indicated. above, .the name and corporate seal of each corporate patty being hereto <br />a(~I'rxed and chose presents duly signed by its undcrsigrted representative, pursuant to authority of its gaveming <br />body. <br />Execu#ed in Six counterparts. <br />Witness: <br />(Proprietorship or Parfierihip) <br />H.M. Kern Corporation <br />Contrae .(Trade ar Co rate 1~lazne) ~Y . <br />`i, ~y , /K <br />By: ~Gt <br />Peter Upchurch <br />Attest: {Corpor~.ic~n) <br />By: /,~ [lam <br />Kristen Ratliff <br />Tula: rotary <br />(Corp. Sec. or AS&t. Sec. only} <br />'Cit1e: Vice President <br />(Owner,`1?ait3ie~ or Gorrp. Pres. or Vice Pre.-s. onty) <br />egr•. <br />~..;, : } (Carpari'ite Sen.!) <br />F ~ ~, <br />North'Arn~ncan"Specialty Insurance Company , <br />rety Company) <br />Title: Ramona Fewell <br />(Attorney !n Fact) <br />Sea!) <br />(N.C. Licensed Resident Agent) <br />Marsh & McLennan Agency LLC <br />(MMA) - Rutherfoord Division <br />6230 Fairview Road, Suite 230 <br />Charlotte, NC 28210 <br />Name and Address-Surety Agency <br />North American Specialty Insurance Company <br />6230 Fairview Rd. <br />Charlotte, NC 28210 <br />Surety Company Narrte and N.C. <br />Regional or ;3ranch Office Address <br />Debra S. Ritter <br />