Orange County NC Website
DocuSign Envelope ID:29F350EB-C553-4EEB-BD97-898B3775EE03 <br /> ACKNOWLEDGEMENT OF PRINCIPAL—IF A CORPORATION <br /> STATE OF 4P.44� S <br /> COUNTY ......... <br /> On thi ............. of ••.• •, More me personally appeared <br /> ,. o be known, who, being by me duly sworn, 1* dep and say; that he/she <br /> ides t that he/she is the .G :.......,... of <br /> the corporation described in and which executed the within insurance <br /> instrument; that lie/she knows the seal of said corporation; that the seal affixed to said instrument is such <br /> corporate seal; that is was so affixed by the Board of Directors of said corporation; and that ��Xshy ped <br /> his/her name thereto by fake order. <br /> l�y ..y. .. >y ..n <br /> ACKNOWLEDGEMENT FOR PRINCIPAL,IF LIMITED LIABILITY COMPAwi <br /> STATE OF .........................) SS <br /> COUNTY OF .......................} <br /> Onthis ............................. day of .,.........................,..,....., .....,.......... before me personally <br /> appeared ............................. .......................................... to me known and known to me to be the <br /> ...............................................of ....,..............,,...,................................................... a <br /> Limited Liability Company, described in and who executed the foregoing insurance instrument and acknowledged to me <br /> that he/she executed the foregoing insurance instrument and acknowledged to me that he/she executed the same as and for <br /> the act and deed of said Limited Liability Company. <br /> ACKNOWLEDGMENT OF SURETY COMPANY <br /> STATE OF ..NEW YORK ....... SS <br /> COUNTY OF'.... >......} <br /> MARCH 12, 2015 SUSAN LUPSKT <br /> Onthis .............................. .. before me personally came......,.............. .,......,....,........,... <br /> to me known, who, being by me duly sworn, did depose and say; that he/she resides in <br /> NASSAU COUNTY State of..> ,.New.York.......................•.....at he/she is the Attorney-In-Fact <br /> of the ,ARGH INSURANCE COMPANY................ . ........>>.>,the corporation described in Which executed the <br /> above instrument; that he/she knows the seal of said corporation; that the seal affixed to said instrument is such <br /> corporate seal; that is was so affixed by order of the Board of Directors of said corporation; and that he/she <br /> signed his/her naive thereto by like order; and the affiant did further depose and say that the Superintendent of <br /> Insurance of the State of New York, has, pursuant to Section I I I I of the Insurance Law of the State of New <br /> York,issued to ..ARCH INSURANC COMPANY...................... ...... ..................(Surety) his/her certificate of <br /> qualification evidencing the qualification of said Company and its sufficiency under any law of the State of <br /> New York as surety and guarantor, and the propriety of accepting g it as such; and that such <br /> certificate has not been revoked. <br /> GRACE ACKERSr?M ,,,.....�` <br /> Notary public,State of New York ........ .......... ....... ..... <br /> Nassau county Not Publi <br /> ve Sores June 14,,2016 <br /> NY acknowledgment <br />