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WEST BEND <br />A MUTUAL INSURANCE COMPANY, <br />Rider to Bond <br />Effective 05/10/2021 , this rider is hereby attached to and made a part of Bond No. 2490838 <br />West Bend Mutual Insurance Company hereby agrees and gives consent to revise the information contained in the <br />original bond as follows: <br />Name of Principal: Day's Construction -Asphalt Inc. <br />Address of Principal: <br />855 Taft St, Gary, IN 46404-1255 <br />Name of Obligee: <br />City of South Bend & St Joseph County <br />Building Department <br />Address of Obligee: <br />125 S Lafayette Blvd Ste 100 <br />South Bend, IN 46601-1575 <br />Effective Date: <br />05/10/2021 <br />Expiration Date: <br />05/10/2022 <br />Bond Penalty: <br />$ 5,000.00 <br />Bond Type: <br />License & Permit Compliance Bond <br />Type of Work: <br />Asphalt Contractor <br />PROVIDED, however, that the liability of the Surety as changed by this rider shall not be cumulative and that all other <br />terms and conditions shall remain the same. <br />WEST BEND MUTUAL INSURANCE COMPANY <br />4, 4� <br />Name Typed Kevin A. Steiner <br />Dated this 10th day of May 2021 <br />Indicated Change: Name of Company <br />( seal ) <br />MICHIGAN ONLY: This policy is exempt from the filing requirements of Section 2236 of the Insurance <br />Code of 1956, 1956 PA 218 and MCL 500.2236. <br />NB 0025 0418 Page 1 of 1 <br />PO Box 620976 1 Middleton, W1 53562 1 Phone: (608) 410-3410 1 Fax: (877) 674-2663 1 www.thesilverlining.com <br />