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PENAL SUM FORM <br />BID BOND <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 />151 N. Franklin Street <br />Chicago, IL 60606 <br />OWNER (Name and Address): <br />City of South Bend, IN Department of Public Works <br />County -City Building Room 1316 227 West Jefferson Street <br />South Bend, IN 46601 <br />BID <br />Bid Due Date: 9/22/2020 <br />Description (Project Name— Include location): <br />WWTP Final Clarifier Nos. 4-5, Aeration Tank Nos. 1-4 and Disinfection Improvements (3113 Riverside Drive, South Bend, IN 46626) <br />BOND <br />Bond Number: N/A <br />Date: 9/22/2020 <br />Penal sum Five Percent 5% of the Pro osal, includln all add atemates $ -Pro Deal Add Alternates <br />(Words) (Figures) <br />Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth below, do each cause <br />N\t1lttr <br />this Bid Bond to be duly executed by an aq*leer, agent, or representative. <br />BIDDER" <br />Thieneman Construction. Inc. "' ntaN Casualty Company (Seal) <br />�j' Seal <br />Bidder's Name Cor r to S I' �" 's Name and Corporate Seal <br />�� .•„ <br />By. Si atur �, qNA . N Signature (Attach Power of <br />Attorney) <br />Attest: <br />M <br />Print Name <br />Sheree Hsieh <br />Print Name <br />Adtorn��+-in-Fe+cl <br />Title <br />Attest: <br />Signature Brenda Johnston <br />Coe <br />) � <br />.._. <br />Title JI ° I " <br />rf Co d4 n Title Attorney -in -Fact <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 i of 2 <br />