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DOCUMENT 00 61 13 <br />PAYMENT BOND <br />CONTRACTOR (name and address): SURETY (name and address of principal place of <br />business): <br />OWNER (name and address): <br />CONSTRUCTION CONTRACT <br />Effective Date of the Agreement: <br />Amount: <br />Description (name and location): <br />BOND <br />Bond Number: <br />Date (not earlier than the Effective Date of the Agreement of the Construction Contract): <br />Amount: <br />Modifications to this Bond Form: None See Paragraph 18 <br />Surety and Contractor, intending to be legally bound hereby, subject to the terms set forth below, do each cause this <br />Payment Bond to be duly executed by an authorized officer, agent, or representative. <br />CONTRACTOR AS PRINCIPAL SURETY <br />(seal) (seal) <br />Contractor's Name and Corporate Seal Surety's Name and Corporate Seal <br />By: <br />Signature <br />By: <br />Signature (attach power of attorney) <br />Print Name Print Name <br />Title Title <br />Attest: Attest: <br />Signature Signature <br />Title Title <br />Payment Bond <br />00 61 13-1 <br />