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SEAL BAY COUNTY STATE OF FLORIDA PUBLIC WORKS DEPARTMENT SURETY BOND KNOW ALL MEN BY THESE PRESENTS: That , as Principal, and , a corporation duly authorized to do business in the State of Florida, as Surety, are held and firmly bound unto Bay County, a political subdivision of the State of Florida, in the principal sum of –One Hundred Thousand and no/100 Dollars ($100,000)-- for the payment of which we hereby jointly and severally bind ourselves, our heirs, executors, administrators, successors and assigns firmly, by these presents. SIGNED, SEALED AND DATED this the day of , . year THE CONDITIONS OF THE ABOVE OBLIGATION ARE SUCH THAT: WHEREAS, the above bounden Principal may receive a permit or permits from Bay County, Florida, which said permit or permits authorize the above bounden Principal to disturb, excavate, or place any constructions in any public road, right-of-way or easement of Bay County in the rendition of services or work as particularly set forth in each permit, and in and by the terms of said permit or permits, the above bounden Principal agrees and is bound to repair, replace, and restore the parts of the public roads and pavement thereof which have been removed to their respective former status and condition, and is bound to insure prompt payment of any loss, damage, cost and expenses that may be incurred by B a y C o u n t y or any adjoining property owner in connection with such work, including cost of erecting and maintaining of any warning signals, barricades, or other preventative measures to eliminate safety hazards, and maintain traffic flow, by reason of the failure of the applicant to restore or repair any damage to any public road or right-of-way of Bay County, or the failure of the applicant to comply with the Bay County Utility Accommodation Guide and all conditions of the permit. NOW, THEREFORE, if the above bounden shall keep and perform all and singular the terms, provisions and conditions of said permit or permits which may be issued to him, and shall repair, replace and restore the parts of the public roads referred to, and the pavement thereof, to their respective former status and condition, then, in that event this obligation shall be null and void; otherwise to remain in full force and virtue. The term of this bond shall be from 12:01 AM , to 12:01 AM date year , . (one year minimum) date year COMPANY (Principal) By: Title: Address: Telephone: SURETY COMPANY Countersigned: By: Attorney-in-Fact By: Resident Agent State of Florida Name of Firm: Address: