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00030 <br />05 <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 />E. <br />408 SUN IIT DRIVE <br />SANFORD, NC 27330 <br />Bid Due Date: 1/4/2017 <br />Description (Project Nameand include Location): SAN LEE PARK SANITARY SEWER <br />BOND <br />Bond Number. <br />Date (Not earlier than Bid due date): 1/4/2017 <br />Penal sum FIVFt PER QRNT <br />(Words) <br />SERVICE TO NATURE CENTER <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 />BIDDER <br />EJ INC. (Seal) <br />Bidder's Name and Corporate Seal <br />By: <br />YY-., - - - <br />Signature V1 <br />EDDIE IIF3; JONES JK. <br />Attest: <br />PcintName <br />PENNSYLVANIA NATIONAL MUTUAL <br />SURETY CASUALTY INSURAN9,kVOMPANY <br />Surety's Name and Corporate Seal <br />By: % ! 7i71r� �I •�!A`� N�� <br />Signature (Attach Power of A qfflox <br />Print Name <br />ATTORNE_, Y=IN -FACT;" <br />Title <br />Attest: <br />Si <br />%-Vrl . ACCOUNT MANAGER <br />Title Title <br />Note: Above addresses are to be used for giving any required notice. Provide execution by any additional <br />oarties.suehas iointventluers ifnecessary <br />EJCDC C-430 Bid Hoed (penal Sum Form) <br />Pvq med by the P.ogimm Joint Contract Dowm ft Committee. <br />Page I 2if2 <br />