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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