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DOCUMENT 00 6113 <br /> PAYMENT BOND <br /> Any singular reference to Contractor,Surety,Owner or other party shall be considered plural where applicable. <br /> CONTRACTOR(Name and Address): SURETY(Name and Address of Principal Place of Business): <br /> OWNER(Name and Address): <br /> CONTRACT <br /> Date: <br /> Amount: <br /> Description(Name and Location): <br /> BOND <br /> Bond Number: <br /> Date(Not earlier than Contract Date): <br /> Amount: <br /> Modifications to this Bond Form: <br /> Surety and Contractor,intending to be legally bound hereby, subject to the terms printed on the reverse side hereof,do each <br /> cause this Payment Bond to be duly executed on its behalf by its authorized officer,agent,or representative. <br /> CONTRACTOR AS PRINCIPAL SURETY <br /> Company: (Seal) (Seal) <br /> Surety's Name and Corporate Seal <br /> Signature: By: <br /> Name and Title: Signature and Title: <br /> (Attach Power of Attorney) <br /> Attest: <br /> (Space is provided below for signatures of additional parties, Signature and Title <br /> if required.) <br /> CONTRACTOR AS PRINCIPAL SURETY <br /> Company: (Seal) (Seal) <br /> Surety's Name and Corporate Seal <br /> Signature: By: <br /> Name and Title: Signature and Title: <br /> (Attach Power of Attorney) <br /> Attest: <br /> Signature and Title <br /> Payment Bond <br /> 006113-1 <br />