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pdfDATE BOND EXECUTED (Must be same or later than date of
contract)
PERFORMANCE BOND
(See instructions on reverse)
OMB Number: 9000-0045
Expiration Date: 6/30/2016
PAPERWORK REDUCTION ACT STATEMENT: Public reporting burden for this collection of information is estimated to average 60 minutes per response,
including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the
collection of information. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing
this burden, to U.S. General Services Administration, Regulatory Secretariat (MVCB)/IC 9000-0045, Office of Governmentwide Acquisition Policy,1800 F Street,
NW, Washington, DC 20405.
TYPE OF ORGANIZATION ("X" one)
PRINCIPAL (Legal name and business address)
INDIVIDUAL
PARTNERSHIP
JOINT VENTURE
CORPORATION
STATE OF INCORPORATION
SURETY(IES) (Name(s) and business address(es)
PENAL SUM OF BOND
THOUSANDS
MILLION(S)
CONTRACT DATE
HUNDRED(S)
CENTS
CONTRACT NO.
OBLIGATION
We, the Principal and Surety(ies), are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For
payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the
Sureties are corporations acting as co-sureties, we the sureties bind ourselves in such sum "jointly and severally" as well as
"severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds
itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is
indicated, the limit of liability is the full amount of the penal sum.
CONDITIONS
The Principal has entered into the contract identified above.
THEREFORE
The above obligation is void if the Principal(a)(1) Performs and fulfills all the undertaking, covenants, terms, conditions, and agreements of the contract during the original term of the
contract and any extensions thereof that are granted by the Government, with or without notice of the Surety(ies) and during the life of any guaranty
required under the contract, and (2) performs and fulfills all the undertakings, covenants, terms, conditions, and agreements of any and all duly
authorized modifications of the contract that hereafter are made. Notice of those modifications to the Surety(ies) are waived.
(b)
Pays to the Government the full amount of the taxes imposed by the Government, if the said contract is subject to 41 U.S.C. Chapter 31,
Subchapter III, Bonds, which are collected, deducted, or withheld from wages paid by the Principal in carrying out the construction contract with
respect to which this bond is furnished.
WITNESS
The Principal and Surety(ies) executed this performance bond and affixed their seals on the above date.
PRINCIPAL
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
3.
(Seal)
1.
(Seal)
2.
(Seal)
3.
Corporate
Seal
INDIVIDUAL SURETY(IES)
SIGNATURE(S)
1.
1.
NAME(S)
(Typed)
2.
(Seal)
(Seal)
2.
SURETY A
CORPORATE SURETY(IES)
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S
(Typed)
1.
2.
1.
2.
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable
LIABILITY LIMIT ($)
Corporate
Seal
STANDARD FORM 25 (REV. 3/2013)
Prescribed by GSA-FAR (48 CFR) 53.228 (b)
SURETY G
SURETY F
SURETY E
SURETY D
SURETY C
SURETY B
CORPORATE SURETY(IES) (Continued)
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
STATE OF INC.
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
2.
1.
2.
BOND
PREMIUM
LIABILITY LIMIT ($)
Corporate
Seal
LIABILITY LIMIT ($)
Corporate
Seal
LIABILITY LIMIT ($)
Corporate
Seal
LIABILITY LIMIT ($)
Corporate
Seal
LIABILITY LIMIT ($)
Corporate
Seal
LIABILITY LIMIT ($)
Corporate
Seal
TOTAL ($)
RATE PER THOUSAND ($)
INSTRUCTIONS
1. This form is authorized for use in connection with Government
contracts. Any deviation from this form will require the written
approval of the Administrator of General Services.
2. Insert the full legal name and business address of the Principal in
the space designated "Principal" on the face of the form. An
authorized person shall sign the bond. Any person signing in a
representative capacity (e.g., an attorney-in-fact) must furnish
evidence of authority if that representative is not a member of the firm,
partnership, or joint venture, or an officer of the corporation involved.
3. (a) Corporations executing the bond as sureties must appear on
the Department of the Treasury's list of approved sureties and must
act within the limitation listed therein. Where more than one corporate
surety is involved, their names and addresses shall appear in the
spaces (Surety A, Surety B, etc.) headed "CORPORATE
SURETY(IES)." In the space designated "SURETY(IES)" on the
face of the form, insert only the letter identification of the sureties.
(b) Where individual sureties are involved, a completed Affidavit
of Individual Surety (Standard Form 28) for each individual surety,
shall accompany the bond. The Government may require the surety
to furnish additional substantiating information concerning their
financial capability.
4. Corporations executing the bond shall affix their corporate seals.
Individuals shall execute the bond opposite the words "Corporate
Seal", and shall affix an adhesive seal if executed in Maine, New
Hampshire, or any other jurisdiction requiring adhesive seals.
5. Type the name and title of each person signing this bond in the
space provided.
STANDARD FORM 25 (REV. 3/2013) BACK
File Type | application/pdf |
File Modified | 2014-06-02 |
File Created | 2014-06-02 |