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055 <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): ELJ, INC <br />133 BATTING CAGE TRAIL <br />JACKSONVILLE, NC 28540 <br />SURETY (Name and Address of Principal Place of Business): <br />PENNSYLVANIA NATIONAL MUTUAL CASUALTY INSURANCE COMPANY <br />HARRISBURG, PA <br />OWNER (Name and Address): LEE COUNTY <br />408 SUMMIT DRIVE <br />SANFORD, NC 27330 <br />BID <br />Bid Due Date: 1/4/2017 <br />Description (Project Name and Include Location): SAN LEE PARK SANITARY SEWER <br />BOND SERVICE TO NATURE CENTER <br />Bond Number: <br />Date (Not earlier than Bid due date): 1/4/2017 <br />Penal sum DTIM DDD0r7'&T'T <br />(Words) <br />5% <br />(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 />W INC. (Seal) <br />Bidder's Name and Corporate Seal <br />By: /0//,. /A <br />Signature <br />- H <br />EDDIE LEE JONES JR. <br />Attest: <br />Print Name <br />CORP. SECT <br />Title <br />SURETY PENNSYLVANIA NATIONAL MUTUAL <br />CASUALTY INSURANI"'-'OMPANY <br />Surety's Name and Corporate Seal <br />�{pppl/ffff <br />Signature (Attach Power of Ao� <br />WILLIAM S. WILLIS = ` <br />Print Name ' ' �?J*n`; , <br />ATTORNEY-IN-FACT ``'r�sy!.� Aa•�,� <br />Title <br />Attest: <br />8ignqf4me <br />ACCOUNT MANAGER <br />Title <br />Note: Above addresses are to be used for giving any required notice. Provide execution by any additional <br />Parties_suchas iointventurers,ifnecessarv. <br />EJCDC C-430 Bid Bond (Penal Sum Form) <br />Prepared by the Engineers Joint Contract Documents Committee. <br />Page 1 of 2 <br />