Acknowledgment

REPUBLIC OF THE PHILIPPINES

)

[City/Province]

) S.S.

BEFORE ME, a Notary Public for and in [City/Province] this [date] day of [month] [year] personally appeared:

 

CTC No.

Date of Issue

Place of Issue

[Company]

 

 

 

[Authorized 
Representative of 
Company]

 

 

 

[Performance Security 
Issuer]

 

 

 

[Authorized 
Representative of 
Performance Security 
Issuer]

 

 

 

all known to me and to me known to be the same persons who executed the foregoing Surety Bond and they acknowledged to me that the same is their own free voluntary act and deed.

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