J-4_Exhibit_5_Bond_Forms.pdf

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BID BOND opening date) OMB NO.: 9000-0045

(See instruction on reverse)

Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC 20405.

PRINCIPAL (Legal name and business address) one

0 INDIVIDUAL 0 PARTNERSHIP

0 JOINT VENTURE 0 CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PENAL SUM OF BOND BID IDENTIFICATION

PERCENT AMOUNT NOT TO EXCEED BID DATE INVITATION NO.

OF BID

PRICE MllLlON(S) THOUSAND(S) HUNDRED(S) CENTS

FOR (Construction, Supplies, or Services)

We, the Principal and Surety(ies) are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has submitted the bid identified above.

THEREFORE:

The above obligation is void if the Principal -(a) upon acceptance by the Government of the bid identified.above, within the pe~iod specified therein for acceptance (sixty (60) days if no period is specified), executes the further contractual documents and gives the bond(s) required by the terms of the bid as accepted within the time specified (ten (10) days if no period is specified) after receipt of the forms by the prin.cipal; or (b) in the. event of failure to execute such further contractual documents and give such bonds, pays the Government for any cost of procuring the work which exceeds the amount of the bid.

Each Surety executing this instrument agrees that its obligation is not impaired by any extension(s) of the time for acceptance of the bid that the Principal may grant to the Government. Notice to the surety(ies) of extension(s) are waived. However, waiver of th~ notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the period originally allowed for acceptance of the bid.

WITNESS:

The Principal and Surety(ies) executed this bid bond and affixed their seals on the above date.

PRINCIPAL

1. 2. 3.

SIGNA TURE(S)

(Seal) (Sea/) (Sea/) Corporate

1. 2. 3. Seal

NAME(S) &

TITlE(S) (Typed)

INDIVIDUAL SURETY(IES)

1. 2.

SIGNATURE/S)

(Seal) (Seal)

NAME(S) 1. 2.

(Typed)

CORPORATE SURETY(IES)

STATE OF INC. LIABILITY LIMIT ($)

NAME &

ct ADDRESS

> 1. 2. Corporate tu SIGNATURE(S) Seal

~ NAME(S) & 1. 2.

m TITlE(S)

(Typed) STANDARD FORM 24 (REV. 10-9B)AUT.HORIZ~I? FOR lOCAL REPRODUCTION

Pb d b GS A -FAR ( 48 CFR) 53.228(a)PrevIous edition IS usable rescn e y

-..c,,'", NAME & STATE OF INC. ILiABILITY LIMIT ($) m ADDRESS

~ SIGNATURE(S) 1. 2. Corporate

~ Seal

:>II) NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. lLiABILITY LIMIT ($) Co) ADDRESS

~ SIGNATURE(S) 1. 2. Corporate

~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. lLiABILITY LIMIT ($)

0 ADDRESS

~ SIGNATURE(S) 1. 2. Corporate

~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. ILiABILITY LIMIT ($) w ADDRESS I

~ 1. 2. Corporate w SIGNATURE(S)

S I~ ea :>In NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. I LIABILITY LIMIT ($)

II.. ADDRESS I

~ 1. 2. Corporate w SIGNATURE(S)

S I~ ea :>In NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. ILiABILITY LIMIT ($)

~ ADDRESS I

>- 1. 2. Corporate

~ SIGNATURE(S)

S I~ ea

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

INSTRUCTIONS

1. This form is authorized for use when a bid guaranty is required. Any deviation from this form will require the written approval of the Administrator of General Services.

2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved.

3. The bond may express penal sum as a percentage of the bid price. In these cases, the bond may state a maximum dollar limitation (e.g., (e.g., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporations executing the bond as sureties must appear on the D.ep,artment of t~e Treasury's list of approved sureties .and must act within the limitation listed therein. where more than one corporate surety IS Involved, their names and addresses shall appear In the spaces (Surety A, Surety 8, etc.) headed "CORPORATE SURETY(IES)." In the space designed "SURETY(IES)" on the face of the form, insert only the letter identification of the sureties.

(b) Where individual sureties are involved, a completed Affidavit of Indi~idual sl;l~ety (Standard .F~rm ?8), for ~ach individl;lal s,urety, sh~1I accompany the bond. The Government may require the surety to furnish additional substantiating Information concerning Its financial capability.

5. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Corporate Seal";

and shall affix an adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.

6. Type the name and title of each person signing this bond in the space provided.

7. In its application to negotiated contracts, the terms "bid" and "bidder" shall include "proposal" and "offeror."

STANDARD FORM 24 (REV. 10-98) BACK

DATE BOND EXECUTED (Must be same or later than date of PER~ORM~NCE BOND contract! OMB No.: 9000-0045 (See instructions on reverse)

Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, ~ -" DC 20405 ,;ti' t PRINCIPAL (Legal name and business address! TYPE OF ORGANIZATION ("X" onel

:~"~f

?;, '. .0 INDIVIDUAL 0 PARTNERSHIP

l~;

"i:~~1,~

SURETY(IES) (Name{s) and business address{es!

MILLlON(S)

OBLIGATION:

We, the Principal and Surety(ies), are firmly bound to the United States of America (hereinafter called the Government) in the above penal sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However, where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself, jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit of liability is indicated, the limit of liability is the full amount of the penal sum.

CONDITIONS:

The Principal has entered into the contract identified above.

THEREFORE:

The above obligation is void if the Principal -

(a)(1) Performs and fulfills all the undertakings, covenants, terms, conditions, and agreements of the contract during the original term of the contract and any extensions thereof that are granted by the Government, with or without notice to the Surety(ies), and during the life of any guaranty required under the contract, and (2) performs and fulfills all the undertakings, covenants, terms conditions, and agreements of any and all duly authorized modifications of the contract that hereafter are made. Notice of those modifications to the Surety(ies) are waived.

(b) Pays to the Government the full amount of the taxes imposed by the Government, if the said contract is subject to the Miller A~t, (40 U.S.C.

270a-270e), which are collected, deducted, or withheld from wages paid by the Principal in carrying out the construction contract with respect to which this bond is furnished.

WITNESS:

The Principal and Surety(ies) executed this performance bond and affixed their seals on the above date.

PRINCIPAL

1. 2. 3.

SIGNATURE(S)

(Seal) (Seal) (Seal) Corporate

1 2. 3. SealNAME(S) & .

TITLE(S)

(Typed)

INDIVIDUAL SURETY(IES)

1. 2.

SIGNATURE(S)

(S I)(Seal) ea

NAME(S) 1. 2.

(Typed)

CORPORATE SURETY(IES)

STATE OF INC.

NAME &

~ ADDRESS

> 1. 2. Corporate ~ SIGNATURE(S) Seal

::> NAME(S) & 1. 2.

In TITLE(S)

(Typed!

STANDARD FORM 25 (REV. 5-96)

AUT"HORIZ~I? FOR LOCAL REPRODUCTION P "b d b GSA-FAR (48 CFR) 53.228(b) PrevIous edition not usable rescn e y

""",,_"L

"1

CORPORATE SURETY(IES) (Continued)

NAME & STATE OF INC. LIABILITY LIMIT

~ ADDRESS $

> 1t1:I SIGNATURE(S) .2. Corporate

~ Seal

(/) NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

U ADDRESS $

> 1t1:I SIGNATURE(S) .2. Corporate

~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

0 ADDRESS $

> 1t1:I SIGNATURE(S) .2. Corporate

~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

w ADDRESS $ > 1t1:I SIGNATURE(S) .2. Corporate

~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

I£. ADDRESS $

> 1. 2 t1:I SIGNATURE(S) .Corporate ~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

0 ADDRESS $

~ SIGNATURE(S) 1. 2. Corporate

~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

BOND RATE PER THOUSAND ($) TOTAL ($)

PREMIUM

INSTRUCTIONS

1. This form is authorized for use in connection with Govemment SURETY(IES)." In the space designated "SURETY(IES)" on the contracts. Any deviation from this form will require the written face of the form, insert only the letter identification of the sureties.

approval of the Administrator of General Services.

(b) Where individual sureties are involved, a completed Affidavit

2. Insert the full legal name and business address of the Principal in of Individual Surety (Standard Form 28) for each individual surety, the space designated "Principal" on the face of the form. An shall accompany the bond. The Government may require the surety authorized person shall sign the bond. Any person signing in a to furnish additional substantiating information concerning their representative capacity (e.g., an attorney-in-fact) must furnish financial capability.

evidence of authority if that representative is not a member of the firm, partnership, or joint venture, or an officer of the corporation involved. 4. Corporations executing the bond shall affix their corporate seals.

Individuals shall execute the bond opposite the word "Corporate

3. (a) Corporations executing the bond as sureties must appear on Seal", and shall affix an adhesive seal if executed in Maine, New the Department of the Treasury's list of approved sureties and must Hampshire, or any other jurisdiction requiring adhesive seals.

act within the limitation listed therein. Where more than one corporate surety is involved, their names and addresses shall appear in the 5. Type the name and title of each person signing this bond in the spaces (Surety A, Surety 8, etc.) headed "CORPORATE space provided.

STANDARD FORM 25 (REV. 5-96) BACK

CORPORATE SURETYIIES) (Continued)

NAME & STATE OF INC. LIABILITY LIMIT

m ADDRESS $

> 1~ SIGNATURE(S) .2. Corporate

~ Seal

II) NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

(.) ADDRESS $

> 1~ SIGNATURE(S) .2. Corporate

~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

C ADDRESS $

> 1. 2 ~ SIGNATURE(S) .Corporate ~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

w ADDRESS $

> 1~ SIGNATURE(S) .2. Corporate

~ Seal

~ NAME(S) & 1. 2TITLE(S) .

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

II.. ADDRESS $

> 1 2 ~ SIGNATURE(S) ..Corporate ~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

NAME & STATE OF INC. LIABILITY LIMIT

~ ADDRESS $

~ SIGNATURE(S) 1. 2. Corporate

~ Seal

~ NAME(S) & 1. 2.

TITLE(S)

(Typed)

INSTRUCTIONS

1. This form, for the protection of persons supplying labor and material, is designated "SURETY(IES)" on the face of the form, insert only the letter used when a payment bond is required under the Act of August 24, 1935, identification of the sureties.

49 Stat. 793 (40 U.S.C. 270a-270e). Any deviation from this form will require the written approval of the Administrator of General Services. (b) Where individual sureties are involved, a completed Affidavit of

Individual Surety (Standard Form 28) for each individual surety, shall

2. Insert the full legal name and business address of the Principal in the accompany the bond. The Government may require the surety to space designated "Principal" on the face of the form. An authorized furnish additional substantiating information concerning their financial person shall sign the bond. Any person signing in a representative capability.

capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the firm, partnership, or joint 4. Corporations executing the bond shall affix their corporate seals.

venture, or an officer of the corporation involved. Individuals shall execute the bond opposite the word "Corporate Seal", and shall affix an adhesive seal if executed in Maine, New Hampshire,

3. (a) Corporations executing the bond as sureties must appear on the or any other jurisdiction requiring adhesive seals.

Department of the Treasury's list of approved sureties and must act within the limitation listed therein. Where more than one corporate surety 5. Type the name and title of each person signing this bond in the is involved, their names and addresses shall appear in the spaces (Surety space provided.

A, Surety B, etc.) headed "CORPORATE SURETY(IES)." In the space

STANDARD FORM 25A (REV.10-98) BACK

L

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