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Change Order No. 3 (final)-PCA - Demo of Vacant & Abandoned Houses Phase IX Project No 116-074A - Indiana Earth, Inc.
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Change Order No. 3 (final)-PCA - Demo of Vacant & Abandoned Houses Phase IX Project No 116-074A - Indiana Earth, Inc.
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3/31/2025 1:59:32 PM
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1/25/2017 9:54:02 AM
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Board of Public Works
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Projects
Document Date
1/24/2017
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CONSENT OF SURETY <br />TO FINAL PAYMENT <br />OWNER _ <br />G707 <br />ARCHITECT — <br />CONTRACTOR <br />(Instructions on reverse side) <br />— <br />SURETY — <br />OTHER <br />Bond No. 2217271 <br />— <br />TO (OWNER) <br />(Name and address) <br />ARCHITECT'S PROJECT NO: <br />City of South Bend, Board of Public Works <br />227 West Jefferson Boulevard <br />Contract Date: 8/23/2016 <br />South Bend, IN 46601 <br />PROJECT: <br />(Name and address) Demolition of Vacant and Abandoned Houses, Phase IX, Divisions A & C <br />CONTRACT AMOUNT: $258,432.94 <br />In accordance with the provisions of the Contract between the Owner and the Contractor as indicated above, the <br />(here insert name and address of Surety ) <br />North American Specialty Insurance Company <br />650 Elm Street <br />Manchester, NH 03101 <br />on bond of <br />(here insert name and address of Contractor) <br />Indiana Earth, Inc. <br />10343 Mckinley Highway <br />Osceola, IN 46561 <br />hereby approves of the final payment to the Contractor, <br />any of its obligations to <br />(here insert name and address of Owner) <br />City of South Bend, Board of Public Works <br />227 West Jefferson Boulevard <br />South Bend, IN 46601 <br />as set forth in the said Surety Company's bond. <br />SURETY, <br />CONTRACTOR, <br />AIA DOCUMENT <br />and agrees that final payment to the Contractor shall not relieve the Surety Company of <br />OWNER, <br />IN WITNESS WHEREOF, the Surety Company has hereunto set its hand this 13th day of December � 2016 <br />in venting the month following by the numeric date and year) (Insert <br />North American Specialty Insurance Company <br />j Surety Co, r�r parry <br />Signatur <br />Title e of Authorize l-RepresentatNB <br />Thomas O. Chambers Attorney -in -Fact <br />AIA DOCUMENT G7117 CONSENT OF SURETY COMPANY TO FINAL PAYMENT 1994 EDITION AIA® One Page <br />© THE AMERICAN INSTITUTE OF ARCHITECTS, 1735 NEW YORK AVE., NW <br />
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