SF 1414 Consent of Surety

Bid Guarantees, Performance, Payments Bonds, and Alternative Payment Protection: FAR 52.228-1, 52.228-2, 52.228-13 thru 52.228-16; SF 24, 25, 25-A, 25-B, 34, 35, 273, 274, 275, 1414, 1415, 1416, 1418

SF 1414_ 2022

OMB: 9000-0045

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CONSENT OF SURETY

1. CONTRACT NUMBER

D

2. MODIFICATION NUMBER

3. DATED

OMB Control Number: 9000-0045
Expiration Date: XX/XX/20XX

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 USC § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The
OMB control number for this collection is 9000-0045. We estimate that it will take 1 hour to read the instructions, gather the facts, and answer the questions.
Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S.
General Services Administration, Regulatory Secretariat Division (MVCB), 1800 F Street, NW, Washington, DC 20405.

The Surety (Co-Sureties) consents (consent) to the foregoing contract modification and agrees (agree) that its (their) bond or
bonds shall apply and extend to the contract as modified or amended.
c. SIGNATURE

a. NAME OF PRINCIPAL

4.
INDIVIDUAL
PRINCIPAL

b. BUSINESS ADDRESS
STREET ADDRESS
CITY

R

e. TYPED TITLE

STATE

ZIP CODE

a. NAME OF PRINCIPAL

(Affix Seal)

f. DATE THIS CONSENT EXECUTED
c. PERSON EXECUTING CONSENT (Signature)

5.
b. BUSINESS ADDRESS
CORPORATE
PRINCIPAL STREET ADDRESS
CITY

d. TYPED NAME

STATE

ZIP CODE

d. TYPED NAME

(Affix Seal)

e. TYPED TITLE
f. DATE THIS CONSENT EXECUTED

6. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)

A

The Principal or authorized representative shall execute this consent of surety with the modification to which it pertains. If the
representative (e.g., attorney-in-fact) that signs the consent is not a member of the partnership, or joint venture, or an officer of
the corporation involved, a Power-of-Attorney or a Certificate of Corporate Principal must accompany the consent.
a. CORPORATE/INDIVIDUAL SURETY'S NAME

A

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

b. BUSINESS ADDRESS

e. TYPED TITLE

STREET ADDRESS
CITY

STATE

ZIP CODE

a. CORPORATE/INDIVIDUAL SURETY'S NAME

B

F

d. TYPED NAME

STREET ADDRESS
STATE

ZIP CODE

f. DATE THIS CONSENT EXECUTED
c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

b. BUSINESS ADDRESS
STREET ADDRESS
CITY

(Affix Seal)

e. TYPED TITLE

a. CORPORATE/INDIVIDUAL SURETY'S NAME

C

f. DATE THIS CONSENT EXECUTED
c. PERSON EXECUTING CONSENT (Signature)

b. BUSINESS ADDRESS

CITY

(Affix Seal)

(Affix Seal)

e. TYPED TITLE

STATE

ZIP CODE

T

f. DATE THIS CONSENT EXECUTED

(Add similar signature blocks on the back of this form if necessary for additional co-Sureties)
AUTHORIZED FOR LOCAL REPRODUCTION
STANDARD FORM 1414 (REV. XX/20XX)
Previous edition is NOT usable
Prescribed by GSA - FAR (48 CFR) 53.228(k)


File Typeapplication/pdf
File Modified2022-07-07
File Created2022-07-07

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