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One CBI, LLC
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(19-01-01) Gateway Park Center
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One CBI, LLC
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Last modified
3/13/2019 3:20:04 PM
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3/13/2019 3:17:39 PM
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The Surety hereby waives notice of and agrees that any changes in or under the Contract Documents and <br />compliance or noncompliance with any formalities connected with the Contract or the changes do not affect <br />Surety's obligation under this Bond. <br />Signed and sealed this day of <br />WITNESS: <br />Secretary <br />(CORPORATE SEAL) <br />LiE <br />(Name of Corporation) <br />(Signature) <br />(Type Name and Title Signed Above) <br />IN THE PRESENCE OF; INSURANCE COMPANY: <br />* (Power of Attorney must be attached) <br />STATE OF FLORIDA <br />COUNTY OF <br />20_, <br />1=l'E <br />*Agent and Attorney -in -Fact <br />(Address) <br />(City/State/Zip Code) <br />(Telephone) <br />The foregoing instrument was acknowledged before me this <br />by <br />(type of authority], for <br />of party on behalf of whom instrument was executed]. <br />AFFIX NOTARY STAMP HERE: <br />Personally Known <br />Type of Identification Produced <br />day of , <br />[name of person], as <br />[name <br />Signature: Notary Public — State of Florida <br />Print or Type Commissioned Name <br />OR Produced Identification <br />
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