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IN TESTIMONY WHEREOF,the said PRtNCiPAL and the said SURE7Y have caused this instrument to be <br /> signed by their respec#ive offcers this day of A.D. <br /> PRINCIPAL <br /> (Company Name) (Company Neme) <br /> By: gy_ <br /> (Signature&Tifte) (Signature 8 Titis) <br /> Attest: Attest: <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 1LLINOIS, <br /> COUNTY OF <br /> �� ,a Notary Public in and for said county,do hereby certify that <br /> (Insert names of individuais signing on behaff or PRINCIPAL) <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 PRINCIPAL,appeared before me this day in person and acknowledged respectively,that they signed and delivered said <br /> instrument as their free and vofuntary 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 expires <br /> Notary Pub(ic (SEAL) <br /> SURETY <br /> By: <br /> (Name of Surety) (Signature of Attomey-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 ofi individuals signing on behalf or SURETY) <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 expires <br /> Notary PuBlic {SEAL) <br /> CITY OF DECATUR <br /> Approved this 16"' day of Septembe� ,A.D. 2019 <br /> Attest: <br /> City Council <br /> Kim L.Akhoff,City Clerk (Awarding Authority) <br /> Citv Clerk <br /> Julie Moore Wolfe (E#air�aa/Mayor/Rresideatj <br /> Page 2 of 2 IL 494-0372 BLR 12321(Rev.7l05) <br /> Printed on 9/6/2019 1120:49 AM <br />