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IN TESTIMONY WHEREOF,the said PRINCIPAL and the said SURETY have caused this instrument to be <br /> signed by their respective officers this day of A.D. <br /> PRINCIPAL <br /> (Company Name} (Company Name) <br /> By: gY: <br /> (Signature&Title) (Signature&Title) <br /> Attest: AtFest: <br /> (Signature&Title) (Signature&Titie) <br /> (if PRiNCIPAL is a joint venture of two or more contractors,the company names and authorized signature of each contractor must be <br /> affixed.) <br /> STATE OF ILLINOIS, <br /> COUNTY OF <br /> �� , a Notary Pubiic in and for said county,do hereby certify that <br /> (Insert names of individuals signing on behalf or PRINCIPAL) <br /> who are each personally known to me to be the same persons whose names are subscri6ed to the foregoing instrument on behalf <br /> of PRINCIPAL,appeared before me this day in person and acknowledged respectively,that they signed and delivered said <br /> inst�ument as their free and voluntary act for the uses and purposes therein set forth. <br /> Given under my hand and notarial seal this day o# A.D. <br /> My commission expires (SEAL) <br /> Notary Public <br /> SURETY <br /> By: <br /> (Name of Surety) (Signature of Attorney-in-Fact) <br /> STATE OF ILLINOIS. (SEAL) <br /> COUNTY OF <br /> �• ,a Notary Public in and for said county,do hereby certify that <br /> (Insert names of individuals signing an behalf or SURETI� <br /> who are each personally known to me to be the same persons whose names are subscribed to the foregoing instrument on behalf <br /> of SURETY,appeared before me this day in person and acknowledged respectively,that they signed and delivered said <br /> instrument as their free and voluntary act for the uses and purposes therein set forth. <br /> Given under my hand and notarial seal this day of A.D. <br /> My commission e�ires <br /> Notary Public (SEAL) <br /> CITY OF DECATUR <br /> Approved this 16"' day of September ,A.D. 2019 <br /> Attest: <br /> City Gouncil <br /> Kim L.Althoff,City Clerk (Awarding Authority) <br /> City Clerk <br /> Julie Moore Wolfe (6qai�raaa/MayorlRFesi�e� <br /> Page 2 of 2 tL 494-0372 BLR 12321 (Rev.7/05) <br /> Printed on 9/6l2019 11:20:49 AM <br />