Fill and Sign the Colorado Corporate Llc Form

Prepared by, recording requested by and return to: ----------------------Above this Line for Official Use Only---------------------Name: ______________________ Company: _____________________ Address: _____________________ City: ____________________ State: _____ Zip: _________ Phone: ______________________ Fax: ______________________ NOTICE OF BOND (Colorado Revised Statute §38-22-129(1)) Notice is hereby given that prior to commencement of work on improvements of the property located at [address] _______________________________________________________________ , and described as [legal description] ______________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ , a performance bond and a labor and materials payment bond in the amount of $ _________________ and $ __________________ respectively, and equal to 150% of the contract price was executed by the contractor and one or more corporate sureties authorized to do business in this state. This the _____ day of _______________ , 20 _____ . ___________________________ Signature of Principal Contractor _____ ______________________ Print or Type Name Notice of Bond Page 1 of 2 STATE OF COLORADO COUNTY OF _____________________ The foregoing instrument was acknowledged before me this _____________________ (date) by _________________________________________ (name of person acknowledged.) ______________________________ Notary Public Printed Name: _________________ My Commission Expires: _____________________ CO § 38-22-129(1) Notice of Bond Page 2 of 2