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i <br /> STATE OF IL <br /> COUNTY OF MACON <br /> I, a Notary Public in and for said county, do hereby certify that <br /> No ame <br /> ) I JOW19012 <br /> k4nae "meof Individuals signing on ehalf of PRINCIPAL <br /> who is/are each personally known to me to be the same person(s)whose name(s)is/are subscribed to the foregoing instrument on behalf <br /> of PRINCIPAL, appeared before me this day in person and acknowledged respectively, that he/she/they signed and delivered said <br /> instrument freely and voluntarily for the uses and purposes therein set forth. <br /> Given under my hand and notarial seal this ' day of <br /> ' Day Month, ear <br /> Notary Public Signature <br /> OFFICIAL SEAL <br /> yy R. Rodewf Il <br /> NotaMil.,State of Illinois <br /> My Co---------------mmission Expires 02-1&2026 <br /> ---------- <br /> Date co ssion expires <br /> ' <br /> Name of SuretySURETY <br /> ' American Contractors Indemnity Company By: <br /> Jeremy Crawford,Attorney-In-Fact <br /> STATE OF Minnesota <br /> COUNTY OF Hennepin <br /> ' I, Maira Motta Gomes Rasmussen a Notary Public in and for said county, do hereby certify that <br /> Notary Name <br /> Jeremy Crawford,Attorney-In-Fact <br /> ' Insert name of Individuals signing on behalf of SURETY <br /> who is/are each personally known to me to be the same person(s)whose name(s)is/are subscribed to the foregoing instrument on behalf <br /> of SURETY, appeared before me this day in person and acknowledged respectively,that he/she/they signed and delivered said instrument <br /> freely and voluntarily for the uses and purposes therein set forth. <br /> ' Given under my hand and notarial seal this 30th day of January, 2024 <br /> Day Month,Year <br /> Notary Public Signature <br /> MAIRA MOTTA DOMES RASMUSSEN <br /> ' (SEAL) Notary Public-Minnesota <br /> My commission Expires Jan 31 2027 <br /> Akz <br /> ' Date commission expires 1/31/2027 <br /> Approved this 5ill day of Fib, J04 <br /> -I . <br /> -bay Month,Year <br /> Attest: <br /> Local Public A en Clerk Si nature Date Awarding Authority <br /> (ac— City Council <br /> AytmQinqAuthority Signature Date <br /> Municipality Clerk ; <br /> ' —Local Publiog�cyType <br /> Printed 01/30/24 Page 2 of 2 BLR 12321 (Rev.03/10/21) <br /> r <br />