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Orange County West Campus Office Building -HVAC <br />PDC Project 23020 Payment Bond 00 90 00.02 - 3 <br />Executed in ________________________________counterparts. <br />Witness:___________________________________________ <br />Contractor (Trade or Corporate Name) <br />______________________________ By: <br /> ______________________________________________ <br />(Proprietorship or Partnership) <br />Attest: (Corporation) Title: ____________________________________________ <br />(Owner,Partner,or Corporate <br />President or Vice President Only) <br />By: _______________________________________ <br />Title: ______________________________________(CORPORATE SEAL) <br />(Corporate Secretary or Assistant Secretary only) <br />___________________________________________ <br />(Surety Company) <br />Witness:By: ________________________________________ <br />____________________________________Title: <br /> ______________________________________ <br />(Attorney in Fact) <br />Countersigned: <br />____________________________________ <br />____________________________________ <br />(North Carolina Licensed Resident Agent) <br />(SURETY CORPORATE SEAL) <br />____________________________________ <br />____________________________________ <br />Name and Address -Surety Agency <br />____________________________________ <br />Docusign Envelope ID: 8DED1454-68D2-4E36-9FC6-E56FF2124E5D