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PENAL SUM FORM <br />I:] i7:��7►fI: <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 />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: March 10, 2020 <br />Description: CSO 003 Backwater Valve Replacement; Project No, 119-113 <br />BOND <br />Bond Number: N/A <br />Date (Not earlier than Bid due date): March 10, 2020 <br />Penal sum Five Percent of the Total Bid $ 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 this <br />Bid Bond to be duly executed by an authorized officer, agent, or representative. <br />BIDDER <br />HRP Construction Inc. <br />Bidder's Nm e and ,a) r t . <br />By: - <br />Signature <br />Matthew D. Cain <br />Print Name <br />President <br />Title <br />Attest: <br />Signat e <br />Nancy Knapik, Vice President <br />Title <br />SURETY <br />(Seal) i"9 d ,Nmt le3)(aA t'ownpan �x6 ?�Fi� rwBga�aci (Seal) <br />Surety's Name and Corporate Seal <br />By �.. <br />1 g att Ire (A a 1i Pow, r of Attorney) <br />Jennifer L. Kasmia <br />............ <br />Print Name <br />Attorney -in -Fact <br />Title <br />Attest: <br />Signat e <br />Cheryl Alkire , Secreta <br />Title <br />Note: Above addresses are to be used for giving any required notice. Provide execution by any additional <br />parties, such as joint ventures if necessary. <br />EJCDC C-430 Bid Bond (Penal Sum Form) <br />Prepared by the Engineers Joint Contract Documents Committee. <br />Paue 1 of 2 <br />