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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 />B <br />(Proprietorship or Partnership) <br />Attest: (Corporation) Title: Jason Kepley, Vice- President <br />(Owner, Partner, or Corp. Pres. or Vice Pres. only) <br />B <br />�1111f11!lINIJ <br />Title: ioshua D. Hyler, Corp, �e a�t 1M <br />(Corp. Sec. or Asst'. .:�t>ly }• s*� °: <br />(Corporate Sjaq ; y <br />Arch Insurance Company <br />(Surety Company) <br />Witness: By: ^- <br />r � kTitle: Wendy E. Lahm, A torney -in -Fact <br />(Mto ir-� <br />Debra S. Ritter, Witness <br />Countersigned: r <br />L� (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 />Name 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 />`���,1�r1li�f�rrrR er <br />r. <br />e <br />r,Irr+rr <br />P °�81'sfhi'1 .1 +i��l�� �r. <br />i.`kaYp. <br />