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PAYMENT BOND <br /> Any singular reference to Contractor, Surety,Owner, or other party shall be considered plural where applicable. <br /> CONTRACTOR(Name and Address): SURETY(Name, and Address of Principal Place of <br /> Business): <br /> OWNER(Name and Address): <br /> CONTRACT <br /> Effective Date of Agreement: <br /> Amount: <br /> Description (Name and Location): <br /> BOND <br /> Bond Number: <br /> Date(Not earlier than Effective Date of <br /> Agreement): <br /> Amount: <br /> Modifications to this Bond Form: <br /> Surety and Contractor, intending to be legally bound hereby, subject to the terms set forth below, do each <br /> cause this Payment Bond to be duly executed by an authorized officer, agent, or representative. <br /> CONTRACTOR AS PRINCIPAL SURETY <br /> (Seal) (Seal) <br /> Contractor's Name and Corporate Seal Surety's Name and Corporate Seal <br /> By: By: <br /> Signature Signature(Attach Power of Attorney) <br /> Print Name Print Name <br /> Title Title <br /> Attest: Attest: <br /> Signature Signature <br /> Title Title <br /> Note: Provide execution by additional parties, such as joint venturers, if necessary. <br /> EJCDC C-615 Payment Bond(2007) <br /> Prepared by the Engineers Joint Contract Documents Committee. <br /> 00 61 13.16 Page 1 of 3 <br /> 125 <br />