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pdfOMB Control No: 3245-0007
Expiration Date: XX/XX/XXXX
U.S. SMALL BUSINESS ADMINISTRATION
SURETY BOND GUARANTEE UNDERWRITING REVIEW
Instructions: This information will be used to assist SBA in the underwriting of the bond guarantee. Providing the information is
voluntary; however, without the information, a final decision on your application may not be possible. The Surety Company or agent
may print and upload the original or prepopulated Surety Bond Guarantee (SBG) Underwriting Review form to the Capital Access
Financial System (CAFS) located at https://www.sba.gov/partners/surety-bond-partners-agents/operate-surety-partner-or-agent. If
the application is submitted electronically, the prepopulated form can be printed from the Capital Access Financial System. If CAFS is
unavailable, the paper version is available on the Office of Surety Guarantees website at https://www.sba.gov/document/sba-form994b-surety-bond-guarantee-underwriting-review.
SURETY COMPANY:
CONTRACTOR BUSINESS NAME & ADDRESS: (Inc. County & Zip)
AGENCY / BRANCH OFFICE NAME:
SBG NUMBER:
PART I: 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
PROGRAM SUCCESSFULLY
UNDERTAKEN:
$:
HAS THE CONTRACTOR EVER FAILED TO COMPLETE JOB?
Yes No If Yes, Include comments
DISPUTES/DEFAULTS:
Yes If Yes, include comments
No
CURRENT PROJECTS ON
SCHEDULE:
Yes
No If No, include comments
HAS THE CONTRACTOR EVER DEFAULTED ON A CONTRACT
FORCING A SURETY TO SUFFER A LOSS?
Yes No If Yes, include comments
DOES THE CONTRACTOR HAVE ADEQUATE EQUIPMENT? Yes No
ARE THE CONTRACTOR TAXES CURRENT?
IS THE CONTRACTOR INSURANCE
Yes No If No, include comments
COVERAGE SUFFICIENT?
Yes No
HAVE THE CONTRACTOR BEEN
PREVIOUSLY BONDED?
Yes No
LARGEST CONTRACT AMOUNT BONDED AND SUCCESSFULLY
PROVIDE NAME OF SURETY/SURETIES:
COMPLETED: $
HISTORY OF AND REASONS FOR SURETY CHANGES:
CONTINUATION SHEETS PROVIDED: Yes No RESUME(S) OF OFFICERS, OWNERS AND/OR KEY EMPLOYEES ON FILE: Yes No
ARE THE CONTRACTOR’S QUESTIONNAIRE ON FILE? Yes No
IS A BUSINESS PLAN ON FILE? Yes No
ARE COMPANY INDEMNITIES POSTED? Yes No
ARE PERSONAL INDEMNITIES POSTED? Yes No
DOES SURETY RECOMMEND FINANCIAL / MANAGEMENT / TECHNICAL ASSISTANCE BY SBA?
Yes No If Yes, what type & why?
PART II: CONTRACTOR FINANCIAL INFORMATION AND WORK IN PROCESS (Completed with initial application and as required by SBA)
ARE CURRENT COMPANY FINANCIAL STATEMENTS ON FILE?
ARE CURRENT PERSONAL FINANCIAL STATEMENTS ON FILE?
Yes No
Yes No
DATE OF FINANCIAL STATEMENTS:
DATE FISCAL YEAR ENDS:
FINANCIAL STATEMENT PREPARED BY:
F/S SHOWS DISCLAIMER?
TYPE OF FINANCIAL STATEMENT:
Yes No
Cash Sample Accrual % of Completion Other (Specify)
NET WORTH:
NET QUICK ASSETS:
NET WORKING CAPITAL:
COMPANY $:
COMPANY $:
COMPANY $:
PERSONAL $:
WORKING CAPITAL SUFFICIENT Yes No If No, How much is
ALL RECEIVABLES 90 DAYS CURRENT: Yes No If No, amount
needed? Sources?
past due
ALL PAYABLES 90 DAYS CURRENT: Yes No If No, amount past
due
SURETY VERIFIED BANK
AVERAGE BANK BALANCE:
CONTRACTOR HAVE BANK LINE CREDIT LINE AMOUNT:
SBA Form 994B (3/19) Previous Editions are Obsolete
Page 1 of 2
BALANCE: Yes No
WITH WHOM?
OF CREDIT: Yes No
SECURE: Yes No
TERMS:
HOW MUCH PRESENTLY
OWING?
HOW MUCH L/C
PRESENTLY UNUSED?
HAS THE SURETY REQUIRED EXTRA SECURITY? i.e. A CD OR CASHIERS CHECK FROM CONTRACTOR
YES NO IF YES: WHAT TYPE INSTRUMENT AMOUNT
AMOUNT$:
WORK IN PROCESS REPORT CURRENT AND
SURETY CHECKED WITH CURRENT
SUPPLIERS SHOW PAST DUE 60 DAYS OR
REVIEWED:
SUPPLIERS: Yes No
MORE:
Yes No If No, review your file and
Yes No
attach your report or SBA Form 994F
PART III: CONTRACT INFORMATION (Completed with every application)
PROJECT DESCRIPTION:
OBLIGEE NAME AND ADDRESS:
PROJECT LOCATION:
OBLIGEE:
Federal Local State Private Spec. Dist.
CONTRACTOR IS:
PROJECT TYPE:
PHASED PROJECT:
Prime Subcontractor
Construction Service Supply
Yes No
Other (Specify)
CONTRACT AMOUNT
$:
NEGOTIATED BID
IF BID, BID AMOUNT
$:
IF BID, WHAT IS 2ND LOW BID
$:
BID BOND AMOUNT
$:
PERFORMANCE AMOUNT
$:
PAYMENT AMOUNT $:
MAINTENANCE PROVISION
EXCEEDING 2 YRS. IN
CONTRACT:
YES NO
LIQUIDATED DAMAGES: Yes
No
Amount $:
Calendar Working Days
SCHEDULED STARTING DATE:
SUBCONTRACTORS INVOLVEMENT: Yes
No
Percentage %:
BID DATE:
BID TIME:
MAINTENANCE
BOND REQUIRED:
YES NO
$:
NO. YEARS:
BOND REQUIRED BY ORIGINAL CONTRACT
DOCUMENT: Yes No
SCHEDULED COMPLETION DATE:
CONTRACTOR STARTED JOB: Yes No
If Yes, Date Started:
If Yes, SBA Form 991 must be completed entirely
and submitted to SBA before the guarantee
agreement can be executed.
CHANGE OF SURETY: Yes No 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)
PLEASE NOTE: The estimated burden for completing this form is 10 minutes per response. You are not required to respond to any
collection of information unless it displays a currently valid OMB Control l number. The number for this collection of formation is 32450007. 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/or 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 (3/19) Previous Editions are Obsolete
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File Type | application/pdf |
File Title | SBA Form 994B |
Subject | Surety Bond Guarantee Underwriting Review |
Author | [email protected] |
File Modified | 2019-06-20 |
File Created | 2019-06-20 |