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<br />SIGNED and SEALED this <br /> <br />20th <br /> <br />day of <br /> <br />April <br /> <br />2006 <br /> <br />Tri-State Striping, Inc. <br />, <br />PRINCIPAL <br /> <br />IMPORTANT NOTICE <br />An individual doing business <br />under a firm name must give both <br />names, and the individual shall <br />designate himself CIS sole owner. <br /> <br />(SEAL OF PRINCIPAL) <br /> <br />By: ,./ <br />/' ?t . d. .' , <br />./"title: res I ~nt- <br /> <br />L '.- <br /> <br />If a partnership, so state, and at <br />least one member of such <br />partnership must sign, <br /> <br />If a corporation, the full corpo. <br />rate name must be used and <br />the execution must be by an officer <br />of the corporation, <br /> <br />Great American Insurance Company <br />SURETY <br /> <br />580 Walnut Street, PO Box 256956, Cincinnati. OR 45202 <br />COMPLETE MAILING ADDRESS <br /> <br />(SEAL OF SUR':: T'f I <br /> <br />By: <br /> <br />f?:lt/~ <br /> <br />J . Padden, Attornev-in-~act <br /> <br />Title: <br /> <br />1020 - 36th Street SW, PO Box 2108, Fargo, ND 58107-2108 <br />COMPLETE MAILING ADDRESS <br /> <br />Any other person executmg for <br />the principal or surety must al- <br />tach a power of attomey, <br /> <br />NOTICE TO SURETY <br />Section 26.1-03-01, N.D.C.C. Provides: <br /> <br />"Limitation on risks acceptable by company. An insurance company transacling an insurance business in this <br />state may not expose itself to loss on anyone risk or hazard to an amount exceeding ten percent of its paid-up capital <br />and surplus if a stock company, or ten percent of its surplus if a mutual company, unless the excess is reinsured," <br /> <br />If excess reinsurance agreements are required on this bond, an affidavit executed by an officer of the surety shall be <br />attached, stating that such reinsurance agreements have been entered into and are in effect at the time the bond is <br />executed, giving the name an address of all companies with whom such agreements have been entered, and that <br />copies of such reinsurance agreements will be furnished to the North Dakota commissioner of insurance, <br /> <br />ACKNOWLEDGMENT OF PRINCIPAL <br /> <br />State of N'Jrt6.D l<orCt.. <br />(lass <br /> <br />ss, <br /> <br />County of <br /> <br />On this :/'15"" day of April 2006 before me a notary_ public In and for the state of <br />AbJJ.'~ ~~~ ' personally appeared Th,.1.5 j)n ;J ~.L , known to me to <br />be Y; (title) of the principal described iA the 'hin instrument and who executed the <br />same and acknowledged to me that the same was executed for and on behalf of said principal. <br /> <br />&~"t\.I C/~{A/uU/~ <br />Notary Public, State of NtJrfi, -.J)). ko.-r-u <br /> <br />.: :.: /~. "i;i..\r: ;:~i~Ly' <br /> <br />. ;,_, ~. ~A'- r' : ;.'; -):;\: <br /> <br />r <br /> <br />!". :';::~'l~.f~~_~.'~,l~::.':~~)li~.~'~~:~~:'j. 'EJ;' <br />- . -..,..'r...:.'....-,.....,-.,~'-.~.....y..'.. <br /> <br />C<1 <br /> <br /> <br />(NOTARY SEALl <br /> <br />My Commission eXPiresJJ'J~ c:;.5: d.007 <br /> <br />2 of 3 <br />