SF 1415 Consent of Surety and Increase of Penalty

CONSENT OF SURETY AND
INCREASE OF PENALTY

1. CONTRACT NUMBER

D

2. MODIFICATION NUMBER 3. DATED

OMB Control Number: 9000-0045
Expiration Date: 8/31/2022

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4. 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. The principal and surety (co-sureties) further agree that on or after the execution of this
consent, the penalty of the performance bond or bonds is increased by
the payment bond or bonds is increased by

) and the penalty of

dollars ($
dollars ($

). However, the increase of the liability of

each co-surety resulting from this consent shall not exceed the sums shown below.

5. NAME OF SURETY(IES)
A.
B.

R

C.
A. BUSINESS ADDRESS

6. INCREASE IN LIABILITY
LIMIT UNDER
PERFORMANCE BOND

7. INCREASE IN LIABILITY
LIMIT UNDER PAYMENT
BOND

$

$

$

$

$

$

B. SIGNATURE*

C. TYPED NAME AND TITLE

8.
INDIVIDUAL
PRINCIPAL

(Affix Seal)

D. DATE THIS CONSENT EXECUTED
A. CORPORATE NAME AND BUSINESS ADDRESS

A

B. PERSON EXECUTING CONSENT (Signature) *

BY

C. TYPED NAME AND TITLE

9.
CORPORATE
PRINCIPAL

(Affix Corporate Seal)

D. DATE THIS CONSENT EXECUTED

*The Principal or authorized representative shall execute this Consent of Surety and Increase of Penalty 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.

10. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)

A. CORPORATE/INDIVIDUAL SURETY'S NAME AND ADDRESS

B. PERSON EXECUTING CONSENT (Signature)

F

BY

A

(Affix Seal)

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED
A. CORPORATE/INDIVIDUAL SURETY'S NAME AND ADDRESS

B. PERSON EXECUTING CONSENT (Signature)

BY

B

(Affix Seal)

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

T

Add signature blocks similar to Block C on the back of this form if necessary for additional co-sureties.
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is NOT usable

STANDARD FORM 1415 (REV. XX/20XX)
Prescribed by GSA-FAR (48 CFR) 53.228(l)

A. CORPORATE/INDIVIDUAL SURETY'S NAME AND ADDRESS

C

D

B. PERSON EXECUTING CONSENT (Signature)

BY

C. TYPED NAME AND TITLE

(Affix Seal)

D. DATE THIS CONSENT EXECUTED

R

A

F

T

STANDARD FORM 1415 (REV. XX/20XX) BACK