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DocuSign Envelope ID:98CAB32E-1814-4C97-B61E-B14BE79B81EA <br /> Orange County,North Carolina <br /> Lake Orange Erosion Control Barrier Replacement <br /> PAYMENT BOND <br /> CONTRACTOR(name and address): SURETY(name and address of principal place of business): <br /> OWN E R(name and address): <br /> CONSTRUCTION CONTRACT <br /> Effective Date of the Agreement: <br /> Amount: <br /> Description (name and location): <br /> BOND <br /> Bond Number: <br /> Date(not earlier than the Effective Date of the Agreement of the Construction Contract): <br /> Amount: <br /> Modifications to this Bond Form: ❑ None ❑ See Paragraph 18 <br /> Surety and Contractor, intending to be legally bound hereby, subject to the terms set forth below, do <br /> each cause this Payment Bond to be duly executed by an authorized officer, agent, or representative. <br /> CONTRACTOR AS PRINCIPAL SURETY <br /> (seal) (seal) <br /> Contractor's Name and Corporate Seal Surety's Name and Corporate Seal <br /> By: By: <br /> Signature Signature(attach power of attorney) <br /> Print Name Print Name <br /> Title Title <br /> Attest: Attest: <br /> Signature Signature <br /> Title Title <br /> Notes: (1)Provide supplemental execution by any additional parties,such as joint venturers.(2)Any singular reference <br /> to Contractor,Surety,Owner,or other party shall be considered plural where applicable. <br /> E1CDC'C-615,Payment Bond <br /> Copyright Q12013 National Society of Professional Engineers,American Council of Engineering Companies, <br /> and American Society of Civil Engineers. All rights reserved. 1 of 3 <br />