IN WITNESS WHEREOEF, this instrument is executed
in THREE (3) counterparts, each one of
(number)
which shall be deemed an original,
this day of ,20 17
ATTEST:
GEORGE R. CAIRNS & SONS, INC.
Principal
By:
(Principal) Secretary - So
(SEAL) BY FE Y (bee
Glenn D. Cairns, President
(Address)
8 Ledge Road
By C4arhe L vinthts Windham, NH 03067
Witness as to Principal
8 eclew eel [iiedlhaon ‘i HY
(Address) Sey Q7
Witness as to Surety
TRAVELERS GASUALTY AND SURETY COMPANY
OF AMERICA
(Surety)
rts Li / bw D>
Attorney - in - Fact aaa
Lf — William Ver Planck, Attorney-In-Fact
(Address)
Paula J. Cantara AGENCY: P.O. Box 511
AGENCY: P.O. Box 511, Concord, NH 03302-0511 Concord, NH 03302-0511
(Address)
NOTE: Date of BOND must not be prior to date of Contract.
If CONTRACTOR is partnership, all partners should execute BOND.
IMPORTANT: Surety companies executing BONDS must appear on the Treasury Department's
most current list (Circular 570 as amended) and be authorized to transact business in the State of
New Hampshire.
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