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DocuSign Envelope ID: 93698938-95BE-4883-84A3-DE66A8D303C3 <br />BID BOND (PENAL SUM FORM) <br />Bidder <br />Name: Engineered Fluid, Inc DBA EFI-Solutions <br />Address (principal place of business): <br />PO Box 723, 1221 N Elm, Centralia, IL 62801 <br />Owner <br />Name: City of South Bend, IN <br />Address (principal place of business): <br />227 West Jefferson Blvd, Suite 1300 N <br />South Bend, Indiana 46601 <br />Bond <br />Penal Sum <br />Date• of Bond: <br />$100,000 <br />May Sth, 2024 <br />Surety <br />Name: Travelers Casualty and Surety Company <br />of America <br />Address (principal place of business): <br />One Tower Square, Hartford, CT 06183 <br />Bid <br />Project (name and location): <br />Fellow Street Booster Station Contract A - <br />Station Procurement <br />Project No. 121-070A <br />City of South Bend, Indiana <br />Bid Due Date: <br />04/02/2024 <br />Surety and Bidder, intending to be legally bound hereby, subject to the terms set forth in this Bid Bond, <br />do each cause this Bid Bond to be duly executed by an authorized officer, agent, or representativef: <br />Bidder <br />Engineered Fluid, Inc DBA EFI-Solutions <br />Bpi �:' ��• <br />Name: Dave Ealy <br />(Printed or typed) <br />Title: C.B.O. / V.P. / Owner <br />MOF <br />Name: Gina Foster <br />(Prin <br />Title: Senior Sales Coordin <br />Surety <br />Travelers Casualty and Surety Company*of America <br />(F II forif <br />emurety) (ccrporate sea!) <br />By: <br />1 nature Attach Power of Atiorney) <br />Name: Chelsea Eilers 11 <br />(Printed or typed)••..,..•...._.•.. <br />Attorney -in -Fact <br />Title: ,,,,„„�,„„ �,,,,. <br />Attest: I <br />Official Seal <br />Gina Marie Foster Name: <br />or f>fp.�rdj'y Public State of Illinois <br />Commission Expires 212�'i�Fp 6 <br />J' ...(Signature) <br />Scott Voellinger <br />(Printed or typed) <br />anaging Director <br />Notes: (1) Note: Addresses are to be used for giving any required notice. (2) Provide execution by any additional parties, such as <br />joint venturers, if necessary. <br />EJCDCm C-430, Bid Bond (Penal Sum Form). <br />Copyright° 2018 National Society of Professional Engineers, American Council of Engineering Companies, <br />and American Society of Civil Engineers. All rights reserved. <br />Page 1 of 2 <br />