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Witness: ________________________________ <br /> (Contractor: Trade or Corporate Name) <br /> <br />_____________________________ By:_____________________________ <br />(Proprietorship or Partnership) <br /> <br />Attest: (Corporation) Title:____________________________ <br /> (Owner, Partner, or Corp. Pres. <br /> or Vice Pres. Only) <br /> <br /> <br />By:____________________________ <br /> <br />Title:____________________________ <br /> (Corp Sec or Ass't Sec Only) <br /> <br /> (Corporate Seal) <br /> <br /> <br /> (Surety Company) <br /> <br />Witness: By:________________________ <br /> <br />________________________________ Title:______________________ <br /> (Attorney in Fact) <br /> <br />Countersigned: <br /> <br />_________________________________ (Surety Corporate Seal) <br />_________________________________ <br />(N.C. Licensed Resident Agent) <br /> <br /> <br />_________________________________ <br />_________________________________ <br />_________________________________ <br />(Name and Address - Surety Agency) <br /> <br />_________________________________ <br />_________________________________ <br />_________________________________ <br />(Surety Company Name and NC Regional <br />or Branch Office Address) <br />DocuSign Envelope ID: BBF56E0A-3618-497E-AA70-92F097E8F598