Form SBA Form 994B SBA Form 994B Surety Bond Guarantee Underwriter Review

OMB Control No: 3245-0007
Expiration Date:
U.S. SMALL BUSINESS ADMINISTRATION
SURETY BOND GUARANTEE UNDERWRITING REVIEW
Instructions:This form contains business and financial information about the applicant and contract specific information. It is
submitted electronically by the surety company or agent with the initial application for the small business and is updated annually. The
electronic application system can be accessed at www.sba.gov/surety-bonds.
SURETY COMPANY

CONTRACTORS BUSINESS NAME & ADDRESS (Inc. County & Zip)

AGENCY / BRANCH OFFICE NAME

SBG NUMBER

PART 1: CONTRACTOR BUSINESS INFORMATION ( COMPLETED WITH INITIAL APPLICATION AND UPDATED ANNUALLY)
TYPE OF BUSINESS

NAICS CODE

TYPE OF CONTRACTUAL WORK THIS FIRM HAS DONE PREVIOUSLY

LARGEST PREVIOUS CONTRACT
SUCCESSFULLY UNDERTAKEN?

LARGEST PREVIOUS WORK PROANY DISPUTES/DEFAULTS?
CURRENT PROJECTS ON
GRAM SUCCESSFULLY
SCHEDULE?
UNDERTAKEN?
If “Yes” Include
If “No” Include
$
$
# OF JOBS
 YES  NO comments
 YES  NO comments
CONTRACTOR EVER FAILED TO COMPLETE JOB?
HAS CONTRACTOR EVER DEFAULTED ON A CONTRACT FORCING A
 YES  NO IF “YES” INCLUDE COMMENTS
SURETY TO SUFFER A LOSS?
 YES  NO IF “YES” INCLUDE COMMENTS
CONTRACTOR HAVE ADEQUATE EQUIPMENT?
 YES  NO
CONTRACTOR TAXES CURRENT?
CONTRACTOR INSURANCE COVERAGE
CONTRACTOR PREVIOUSLY BONDED?
 YES  NO IF “NO” INCLUDE COMMENTS
SUFFICIENT?
 YES  NO
 YES  NO
LARGEST CONTRACT AMOUNT BONDED AND SUCCESSFULLY
PROVIDE NAME OF SURETY/SURETIES?
COMPLETED?
$
HISTORY OF AND REASONS FOR SURETY CHANGES?
CONTINUATION SHEETS PROVIDED?
RESUME(S) OF OFFICERS, OWNERS AND/OR KEY EMPLOYEES ON FILE?
 YES  NO
 YES  NO
CONTRACTOR’S QUESTIONNAIRE ON FILE?
BUSINESS PLAN ON FILE?
 YES  NO
 YES  NO
INDEMNITIES POSTED?
IF “NO” INCLUDE
(Company & Personal)  YES  NO
COMMENTS
DOES SURETY RECOMMEND FINANCIAL / MANAGEMENT / TECHNICAL ASSISTANCE BY SBA?  YES  NO

IF YES, WHAT TYPE & WHY?

PART 2: CONTRACTOR FINANCIAL INFORMATION AND WORK IN PROCESS (Completed with initial application and as required by
SBA)
CURRENT COMPANY FINANCIAL STATEMENT ON FILE?
 YES  NO
DATE OF FINANCIAL STATEMENTS
DATE FISCAL YEAR ENDS

CURRENT PERSONAL FINANCIAL STATEMENT ON FILE?
 YES  NO
FINANCIAL STATEMENT PREPARED BY WHOM?

F/S SHOW DISCLAIMER?
TYPE OF FINANCIAL STATEMENT
 YES  NO
 CASH  ACCRUAL  % OF COMPLETION  OTHER (Specify)
NET WORTH
NET QUICK ASSETS
NET WORKING CAPITAL
$
COMPANY
$
PERSONAL
$
COMPANYS
$
COMPANY
WORKING CAPITAL SUFFICIENT
ALL RECEIVABLES 90 DAYS CURRENT?
IF “NO” HOW MUCH IS
 YES  NO
 YES  NO
NEEDED? SOURCES?
IF NOT, AMOUNT PAST DUE $
ALL PAYABLES 90 DAYS CURRENT?  YES  NO
IF NOT, AMOUNT PAST DUE $
SURETY VERIFIED BANK BALANCE?
AVERAGE BANK BALANCE
CONTRACTOR HAVE BANK LINE
CREDIT LINE AMOUNT
 YES  NO
$
OF CREDIT? YES  NO
WITH WHOM?

SECURED?
 YES  NO

TERMS

HOW MUCH PRESENTLY OWING
$

SBA Form 994B (2/16) Previous Editions are Obsolete

1

HOW MUCH L/C PRESENTLY
UNUSED?
$

HAS SURETY REQUIRED EXTRA SECURITY
 YES  NO IF YES: WHAT TYPE INSTRUMENT
WORK IN PROCESS REPORT CURRENT AND REVIEWED
 YES  NO

i.e. A CD OR CASHIERS CHECK FROM CONTRACTOR
AMOUNT $ ______________________________________
HAS SURETY CHECKED WITH
DO ANY SUPPLIERS SHOW PAST
CURRENT SUPPLIERS?
DUE 60 DAYS OR MORE?
 YES  NO
 YES  NO

PART 3: CONTRACT INFORMATION (Completed with every application)
PROJECT DESCRIPTION:

OBLIGEE NAME AND ADDRESS:

PROJECT LOCATION:
CONTRACTOR IS

ON
THIS
JOB

 PRIME  SUBCONTRACTOR
CONTRACT AMOUNT
$
 NEGOTIATED  BID

OBLIGEE:  FEDERAL  LOCAL  STATE  PRIVATE  SPEC DIST
PROJECT TYPE
PHASED PROJECT
 CONSTRUCTION  SERVICE  SUPPLY  OTHER (Specify)
 YES  NO
IF BID, BID AMOUNT

IF BID, WHAT IS 2ND LOW BID

BID BOND
PERFORMANCE
PAYMENT
AMOUNT
AMOUNT
AMOUNT
$
$
$
LIQUIDUATED DAMAGES  YES  NO
AMOUNT $
(CALENDAR/WORKING DAY)

MAINTENANCE PROVISION
EXCEEDING 2 YRS. IN CONTRACT
 YES  NO
SUBCONTRACTORS INVOLVED
 YES  NO
PERCENT
%

ANTICIPATED PROJECT
STARTING DATE

CONTRACTOR STARTED JOB
IF “YES” DATE STARTED

ANTICIPATED PROJECT
COMPLETION DATE

CHANGE OF SURETY  YES  NO

BID: DATE & TIME

MAINTENANCE BOND REQUIRED
 YES  NO
$
NO. YEARS _______
BOND REQUIRED BY ORIGINAL
CONTRACT DOCUMENT
 YES  NO

If “YES” SBA Form 991 must be completed
entirely and submitted to SBA before the
 YES  NO
guarantee agreement can be executed
EXPLAIN IN COMMENTS SECTION
DATE OF LAST FINANCIAL STATEMENT
SURETY’S REVIEW

COMMENTS

IN OUR OPINION THE PRINCIPAL APPEARS TO HAVE THE FINANCIAL / MANAGEMENT / TECHNICAL ABILITIES TO SUCCESSFULLY
COMPLETE THIS CONTRACT, HOWEVER, I FEEL THIS CONTRACTOR FALLS BELOW THE NORMAL UNDERWRITING STANDARD OF OUR
COMPANY, AND WE WILL NOT ISSUE BONDS TO THIS CONTRACTOR WITHOUT THE SBA GUARANTEE. THESE BONDS ARE REQUIRED BY
THE ORIGINAL CONTRACT OR BID SOLICITATION.
ATTORNEY IN FACT
AGENCY NAME
DATE
TYPE NAME

TELEPHONE NO. (Include Area Code)
TO BE COMPLETED BY SBA

BASED ON THE UNDERWRITING DATA SUBMITTED:
RECOMMENDATION / ACTION
APPROVE
DECLINE
















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PLEASE NOTE: The estimated burden for completing this form is 5 minutes per response. You are not required to respond to any collection of information unless it
displays a currently valid OMB approval number. Comments on the burden should be sent to U.S. Small Business Administration Chief, AIB, 409 3rd ST., S.W.
Washington, D.C. 20416 and Desk Officer for the Small Business Administration, Office of Management and Budget, New Executive Office Building, Room 10202,
Washington, D.C. 20503.
SBA Form 994B (2/16) Previous Editions are Obsolete

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