SBA Form 991 Surety Bond Guartantee Agreement

OMB Control No: 3245-0007
Expiration Date: XX/XX/XXXX

U.S. SMALL BUSINESS ADMINISTRATION
SURETY BOND GUARANTEE AGREEMENT ADDENDUM
Business Name:
Business Trade Name:

SBG Number:

Instructions: If work has begun on the project, the small business must complete this form and submit it to the surety agent of choice
with the application. The completed form must include the signatures of the Principal and Obligee in part 3. This form may be
completed electronically in the Capital Access Financial System (CAFS) located at located at https://www.sba.gov/partners/suretybond-partners-agents/operate-surety-partner-or-agent. If the form is prepared electronically, the completed form must be printed,
signed and then uploaded into CAFS. If CAFS is unavailable, a paper copy of the form is available on the Office of Surety Guarantees
(OSG) website at https://www.sba.gov/document/sba-form-991-surety-bond-guarantee-agreement-addendum where it may be
printed, completed, signed and mailed to the OSG office at 409 3rd St., S.W. Suite 8600 Washington, D.C. 20416. When the work under
a contract has actually begun, an SBA official having delegated authority to approve the bond in question (see Part 101 of 13 CFR) may
nevertheless guarantee a bond or bonds pursuant to Part 115 of 13 CFR, upon receipt, satisfactory to SBA, of all the items below.
1.
2.

Evidence (certified copy of contract or sworn affidavit) from Principal that the surety bond requirement was contained in the
original job contract, or documentation, satisfactory to SBA, as to why a surety bond was not previously secured and is now
being required is attached hereto.
In the spaces below the Principal has certified that all suppliers and subcontractors are paid to date. If additional space is
needed, attach an additional sheet. A waiver of lien from each, or an explanation satisfactory to SBA why such certification
cannot be produced, is attached hereto.

Suppliers
1.
2.
3.
4.
5.

Bill to Date

Paid to Date

Waiver of Lien Attached Hereto

Subcontractors
1.
2.
3.
4
5.

3. Certifications by Principal and Obligee.
By signing below, I certify on behalf of the Principal or Obligee that all information provided in connection with the application for a
surety bond guaranty from SBA is true, correct and complete to the best of my knowledge. I understand that knowingly making a
false statement or submitting false information is a violation of Federal law and could result in criminal prosecution or civil penalties
under 18 U.S.C. §§ 287, 371, 1001, 15 U.S.C. § 645, or 31 U.S.C. § 3729. The Principal also hereby certifies that all taxes and labor
costs in connection with this job are current. The Obligee also hereby certifies that all payments due the Principal under the contract
to present status have been made and that the job has been satisfactorily completed to present status. Please provide reason why
bond was not required prior to job starting.
Signature of Principal

Type or Print Name

Date

Signature of Obligee
Type or Print Name
Date
4. All documents required from the Principal and Obligee are attached hereto and all items on this form have been certified to
the SBA’s satisfaction.
SBA Signature

Type or Print Name

Date

PLEASE NOTE: The estimated burden for completing this form is approximately 10 minutes per response. You are not required to respond to any
collection of information unless it displays a currently valid OMB Control number (3245-0007). Comments on the burden should be sent to U.S. Small
Business Administration, Director, Records Management Division, 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.
PLEASE DO NOT SEND COMPLETED FORMS TO OMB

FORM 991 (03/19) Previous Editions are Obsolete