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DocuSign Envelope ID: 313DA256 -1EDE- 4396- A716- 4C53B809027E <br />Witness: H.M. Kern Corporation <br />Contractor, (Trade or Corporate Name) <br />By <br />(Proprietorship or Partnership) <br />Attest; (Corporation) Title: Jason Kepley, Vice - President <br />(Owner, Partner, or Corp. Pres. or Vice Pres. only) <br />By <br />Title: loshua D. H filer, Corp�xatr6 etary <br />(Corp. Sec. or A !` eC.061 <br />(Corporate <br />z Jk - <br />Arch Insurance Company ,��lrrll�� " "'�����` <br />(Surety Company) <br />tness: <br />By: <br />le: Wendy E. Lahn1 Attorney -in -Fact <br />Debra S. Ritter, Witness <br />Countersigned: <br />(Surety Corporate Seal) <br />Wendy E Lahm, NC Licensed Resident Agent <br />(N.C. Licensed Resident Agent) <br />Marsh & McLennan Agency LLC <br />5605 Carnegie Blvd,, Ste. 300, Charlotte, NC 28209 <br />Marne and Address- Surety Agency <br />Arch Insurance Company <br />14045 Ballantyne Place, Ste. 160, Charlotte, NC 28277 <br />Surety Company Name and N.C. <br />Regional or Branch Office Address <br />f, <br />I C <br />j1r, ; <br />Ue <br />r <br />