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07/21/2003 14:20 7816620301 WILSDNINSURANCE PAGE 01
a DD%
Western Surety Company
LICENSE AND PERMIT BOND
For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contreet,
Perknuance,Maintenance,Subdivislun,Agent to Sell Booting,and Fishing Licenses or Utility Guarantee Bond,
KNOW ALL MEN BY THESE PRESENTS: BOND No. L& P- 42956279
That we, Air Safe Inco rated
of the Salem of State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State
of as Surety, are held and firmly bound unto the
off— State of Obligee,in the amount.
(Valid only when a County,City,Town or Village is named as Obligee)
of One. Thousand Dollars DOLLARS($ 1,000
(NOT VALID FOR MORE THAN$26,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS 013LIGATION IS SUCH, That whereas, the Principal has been
licensed Abatement Contractor
by the Obligee.
1�{,1 e FORE, if the Principal shall faithfully perform the duties and comply with the laws and
or all amendments), pertaining to the license or permit, then this obligation to be void,
o g �' full force and effect fora period commencing on the 21st
Jul 2003 and ending on the 21st day a f
Ju 2004 y
unless renewed by continuation certificate.
rpt y, rminated at at�y time by the Surety upon sending notice in writing to the Obligee and to
t cl lid the Obligee or at such other address se the Surety deems reasonable, and at the expira-
do �� ) days £rum the mailing of notice or as Boon thereafter as permitted by applicable law,
which this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this 21st day of .lulu �Q3_.
Air Safe incorporated Principal
Air Safe Incorporated Principal
Countersigned WESTERN SU E T'Y COM^ANY
By By --t dIL
Resident Agent President
ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA i se (Corporate Officer)
County of Minnehaha f
On this day of before me,the unde.reigned officer,persona
appeared Stephen T.Pate who ack aowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation,and that he as such officer,being authorized so to do,executed the foregoing
instrument for the purpose therein contained,by signing the name of the corpo ` n by himself as such officer.
IN WITNESS WHEREOF, I have hereunto set my hand and official
3,RHONE
1 a AID L VOTABYPUBLIC aE�6
SOUTH nAxorn �; iotay Public, South Dakota
My Commimion Erpiree 6-12-200A Western Surety Company 6 101 S. Phillips Ave.
ca.m 8d9•A—,2.9t °00'111x0~-^Oi"'r'6j- ---••��+ Sioux Falls, SD 57104 • 1.606.336.0860