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1, CD`! § <br />................. <br />f116•4EEn3 JI1IR( LOhIUAGi <br />llU{;L'!fENIS 4USt�liillE <br />BID BOND <br />PENAL SUM FORM <br />Any singular reference to Bidder, Surety, Owner or other party shall be considered plural where applicable. <br />BIDDER (Name and Address): <br />Thieneman Construction, Inc. <br />17219 Foundation Parkway <br />Westfield, IN 46074 <br />SURETY (Name, and Address of Principal Place of Business): <br />Continental Casualty Company <br />333 S. Wabash Avenue <br />Chicago, IL 60604 <br />OWNER (Name and Address): <br />City of South Bend, Indiana <br />Department of Public Works <br />County -City Building Room 1316 <br />227 West Jefferson Street <br />South Bend, IN 46601 <br />BID <br />Bid Due Date: November 28, 2017 <br />Description (Project Name— Include Location): <br />Wastewater Treatment Plant, Headworks Influent Gate Improvements (3113 Riverside Drive, South Bend, Indiana 46628) <br />BOND <br />Bond Number: NIA <br />Date: November 28, 2017 <br />Penal sum Five Percent of the Maxii <br />Surety and Bidder, intending to be <br />this Bid Bond to be duly executed' <br />Fount <br />/% (Figures) <br />�,r sub)ect to the terms set forth below, do. each cause <br />agent, or representative. <br />BIDDER m Z : 19gg�---%CMETY <br />Thieneman Construction, Inc. U14'. (Seall-' ntinental Casualty Company (Seal) <br />Bidder's Name and Corporate Seal ��,��' "'••.(?!?;NP'Zrety's Name and Corporate Seal <br />Signature Signature (Attach Power of Attorney) <br />)Aof ' , A Cynthia L. Jenkins <br />Print Name Print Name <br />Arm VVIato Attorney in Fact <br />Title Title <br />Attest: Attes'tL <br />Slgnatu e 2-A-1e—, Signature <br />Title j�,�res„ �, r �r�s� Title Attorney in Fact <br />Note: Addresses are to be used or giving any required notice. Provide execution by any additional parties, such <br />as joint venturers, if necessary. <br />EJCDC® C-430, Bid Bond (Penal Sum Form). Published 2013. <br />Prepared by the Engineers Joint Contract Documents Committee. <br />Page 00 4313-1 of 2 <br />