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LJCDC: <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 />HRP Construction Inc. <br />PO Box 266 <br />South Bend, IN 46624-0266 <br />SURETY (Name, and Address of Principal Place of Business); <br />Fidelity and Deposit Company of Maryland <br />Chicago, IL <br />OWNER (Name and Address): <br />M <br />City of South Bend Board of Public Works <br />County -City Building Room 1316, 227 West Jefferson Blvd <br />South Bend, IN 46601 <br />Bid Due Date: 22 October 2019 <br />Description (Project Name— Include Location): Historic Leeper Park Improvements, Bid Package 2; Project <br />No. 118-010B <br />BOND <br />Bond Number: N/A <br />Date: 15 October 2019 <br />Penal sum Five Percent of the Total Bid <br />5% of Total Bid <br />(Words) (Figures) <br />Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause <br />this Bid Bond to be duly executed by an authorized officer, agent, or representative. <br />BIDDER SURETY <br />HRP Construction Inc. (Seal) <br />Bidder's e and p S <br />By: <br />Signature <br />Matthew D. Cain <br />Print Name <br />President <br />Title <br />Fidelity and Deposit Company of Maryland (Seal) <br />Surety's Name and Corporate Seal <br />11 ure Attach ower f Attorney) <br />'flniler L. Kasznia <br />Print Name <br />Attorney -in -Fact <br />Title <br />Attest: Attest: C <br />Su not <br />g�. Signature <br />Title Nancy Knapik, Vice President Title Carolyn Kolbe, Secretary <br />Note: Addresses are to be used for giving any required notice. <br />Provide execution by any additional parties, such 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 1 of 2 <br />