Atch 4 Bond Forms .pdf

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ATTACHMENT #4

STANDARD FORMS (BONDS)

1. STANDARD FORM 24 – BID BOND

2. STANDARD FROM 25 - PERFORMANCE BOND

3. STANDARD FORM 25A - PAYMENT BOND

BID BOND

( See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date) OMB NO.: 9000-0045

Expires: 11/30/2012 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 aspects 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) TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL

JOINT VENTURE

PARTNERSHIP

CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT

OF BID

PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION (S) THOUSAND(S) HUNDRED(S) CENTS

BID IDENTIFICATION

BID DATE

FOR (Construction, supplies, or Services)

INVITATION NO.

OBLIGATION

We, the Principal and Surety (ies) are firmly bound to the United States of America (hereinafter call 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 or 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 period 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 principal; or (b) in the event of failure to executes 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 obligations is not impaired by any extension(s) of the time for acceptance of the bid that the principal may grand to the Government. Notice to the surety (ies) of extensions (s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the periods 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

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1. 2.

2.

3.

(Seal) (Seal) (Seal) Corporate Seal

INDIVIDUAL SURETY(IES)

NAME(S)

(Seal) (Seal)

CORPORATE SURETY(IES)

SU

R

ET

Y

A

NAME &

ADDRESS

STATE OF INC. LIABILITY LIMIT ($)

2. Corporate

AUTHORIZED FOR LOCAL REPRODUCTION

Pervious edition is usable

STANDARD FORM 24 (REV. 10-98)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

B

Corporate

LIABILITY LIMIT ($)STATE OF INC.

1.NAME(S) &

C

LIABILITY LIMIT ($)

STATE OF INC.

D

E

F

G

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., ab 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., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporation executing the bond as sureties must appear on the Department of the 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 address shall appear in the spaces (Surety A, Surety B, 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 Individual surety (Standard Form 28), or each individual surety, shall 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

BID BOND

( See instructions on reverse)

DATE BOND EXECUTED (Must not be later than bid opening date)

OMB NO.: 9000-0045

Expires: 11/30/2012

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 aspects 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)

TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL

JOINT VENTURE

PARTNERSHIP

CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PERCENT OF BID PRICE

PENAL SUM OF BOND

AMOUNT NOT TO EXCEED

MILLION (S)

THOUSAND(S)

HUNDRED(S)

CENTS

BID IDENTIFICATION

BID DATE

FOR (Construction, supplies, or Services)

INVITATION NO.

We, the Principal and Surety (ies) are firmly bound to the United States of America (hereinafter call 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 or 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 period 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 principal; or (b) in the event of failure to executes 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 obligations is not impaired by any extension(s) of the time for acceptance of the bid that the principal may grand to the Government. Notice to the surety (ies) of extensions (s) are waived. However, waiver of the notice applies only to extensions aggregating not more than sixty (60) calendar days in addition to the periods originally allowed for acceptance of the bid.

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

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

3.

3.

(Seal)

(Seal)

(Seal)

Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal)

(Seal)

CORPORATE SURETY(IES)

SURETY A

NAME & ADDRESS

STATE OF INC.

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

Corporate Seal

AUTHORIZED FOR LOCAL REPRODUCTION Pervious edition is usable

STANDARD FORM 24 (REV. 10-98)

Prescribed by GSA - FAR (48 CFR) 53.228(a)

SURETY B

NAME & ADDRESS

STATE OF INC.

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)

STATE OF INC.

2.

2.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY C

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY D

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY E

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY F

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY G

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., ab 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., 20% of the bid price but the amount not to exceed dollars).

4. (a) Corporation executing the bond as sureties must appear on the Department of the 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 address shall appear in the spaces

(Surety A, Surety B, 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 Individual surety (Standard Form 28), or each individual surety, shall 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

8.2.0.3062.1.452232.445150

DATE BOND EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:

PRINCIPAL (Legal Name and business Address):

TYPE OF ORGANIZATION ( X ONE) INDIVIDUAL: 0

TYPE OF ORGANIZATION ( X ONE) JOINT VENTURE: 0

TYPE OF ORGANIZATION ( X ONE) CORPORATION: 0

TYPE OF ORGANIZATION ( X ONE) PARTNERSHIP: 0

STATE OF INCORPORATION :

SURETY(IES) (Name and business address):

PERCENT OF BID PRICE:

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. THOUSAND(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. HUNDRED(S):

DATE Enter 2 digit month, 2 digit day and 4 digit year.:

BID IDENTIFICATION INVITATION NUMBER:

FOR (CONSTRUCTION SUPPLIES, OR SERVICES):

Principal signature(s) 1:

Principal signature(s) 2:

Principal signature(s) 3:

1. Name(s) and title(s) (types):

2. Name(s) and title(s) (types):

3. Name(s) and title(s) (types):

INDIVIDUAL SURETY(IES) 1. NAME(S) (TYPED) :

INDIVIDUAL SURETY(IES) 2. NAME(S) (TYPED) :

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES), SURETY A NAME AND ADDRESS:

STATE OF INC.:

CORPORATE SURETY(IES), SURETY A 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY A 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY A 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY A 2.SIGNATURES:

CORPORATE SURETY(IES) LIABILITY LIMIT(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. MILLION(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. CENTS:

CORPORATE SURETY(IES), SURETY B 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY B NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY B STATE OF INC.:

CORPORATE SURETY(IES), SURETY B 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY E 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY B 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY E 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY C 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY C 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY C STATE OF INC.:

CORPORATE SURETY(IES), SURETY C 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY C 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY C NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY D 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY D 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY D STATE OF INC.:

CORPORATE SURETY(IES), SURETY D 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY D 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY D NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY E STATE OF INC.:

CORPORATE SURETY(IES), SURETY E 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY E 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY E NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY F 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY F STATE OF INC.:

CORPORATE SURETY(IES), SURETY F 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY F 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY F NAME AND ADDRESS:

CORPORATE SURETY(IES), SURETY G 2.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY G 2.SIGNATURES:

CORPORATE SURETY(IES), SURETY G STATE OF INC.:

CORPORATE SURETY(IES), SURETY G 1.NAME(S) AND TITLE(S):

CORPORATE SURETY(IES), SURETY G 1.SIGNATURES:

CORPORATE SURETY(IES), SURETY G NAME AND ADDRESS:

CORPORATE SURETY(IES) B LIABILITY LIMIT(S):

CORPORATE SURETY(IES) C LIABILITY LIMIT(S):

CORPORATE SURETY(IES) D LIABILITY LIMIT(S):

CORPORATE SURETY(IES) E LIABILITY LIMIT(S):

CORPORATE SURETY(IES) F LIABILITY LIMIT(S):

CORPORATE SURETY(IES) G LIABILITY LIMIT(S):

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

CORPORATE SURETY(IES), SURETY F 2.SIGNATURES:

1. 2.

(Seal) (Seal) (Seal)

(Seal) (Seal)

TITLE(S

STANDARD FORM 25 (REV. 5-96)

Prescribed by GSA-FAR (48 CFR) 53.228 (b)

Previous edition not usable

PERFORMANCE BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must be same or later than date of contract) OMB No.: 9000-0045

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

SURETY(IES) (Name(s) and business address(es) PENAL SUM OF BOND

MILLION(S) THOUSANDS HUNDRED(S) CENTS

CONTRACT DATE CONTRACT NO.

We, the Principal and Surety (ies), are firmly bound to the Unites 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, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action 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 undertaking, 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 of 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 contracts is subject to the Miller Act, (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.

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

LIABILITY LIMIT ($)STATE OF INC.

1.NAME(S) &

BOND

PREMIUM

RATE PER THOUSAND ($) TOTAL ($)

1. This form is authorized for use in connection with Government contracts. 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., and 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. (a) Corporations executing the bond as sureties must appear on the department of the Treasury's list of approved sureties and must act within the limitation listen therein. Where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE

SURETY(IES)." In the space designated "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 Individual Surety (standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning their financial capability.

4. Corporation executing the bond shall affix their corporate seals.

Individual 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.

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

STANDARD FORM 25 (REV. 5-96) BACK

CORPORATE SURETY(IES) (Continued)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

3.

3.

(Seal)

(Seal)

(Seal)

Corporate Seal

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

NAME(S)

(Typed)

1.

1.

2.

2.

(Seal)

(Seal)

CORPORATE SURETY(IES)

SURETY A

NAME & ADDRESS

STATE OF INC.

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S

(Typed)

1.

1.

2.

2.

Corporate Seal

STANDARD FORM 25 (REV. 5-96)

Prescribed by GSA-FAR (48 CFR) 53.228 (b)

AUTHORIZED FOR LOCAL REPRODUCTION Previous edition not usable

PERFORMANCE BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must be same or later than date of contract)

OMB No.: 9000-0045

Expires: 11/30/2012

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)

TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL

JOINT VENTURE

PARTNERSHIP

CORPORATION

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

PENAL SUM OF BOND

MILLION(S)

THOUSANDS

HUNDRED(S)

CENTS

CONTRACT DATE

CONTRACT NO.

We, the Principal and Surety (ies), are firmly bound to the Unites 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, bind ourselves in such sum "jointly and severally" as well as "severally" only for the purpose of allowing a joint action 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 undertaking, 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 of 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 contracts is subject to the Miller Act, (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.

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

SURETY B

NAME & ADDRESS

STATE OF INC.

LIABILITY LIMIT ($)

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

1.

1.

2.

2.

Corporate Seal

Corporate Seal

LIABILITY LIMIT ($)

STATE OF INC.

2.

2.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY C

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY D

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY E

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY F

Corporate Seal

LIABILITY LIMIT ($)

2.

2.

STATE OF INC.

1.

1.

NAME(S) &

TITLE(S)(Typed)

SIGNATURE(S)

NAME & ADDRESS

SURETY G

BOND PREMIUM

\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg

RATE PER THOUSAND ($)

TOTAL ($)

1. This form is authorized for use in connection with Government contracts. 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., and 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. (a) Corporations executing the bond as sureties must appear on the department of the Treasury's list of approved sureties and must act within the limitation listen therein. Where more than one corporate surety is involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE

SURETY(IES)." In the space designated "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 Individual Surety (standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning their financial capability.

4. Corporation executing the bond shall affix their corporate seals.

Individual 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.

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

STANDARD FORM 25 (REV. 5-96) BACK

CORPORATE SURETY(IES) (Continued)

8.2.0.3062.1.452232.445150

DATE BOND EXECUTED (Must be same or later than date of contract). Enter 2 digit month, 2 digit day and 4 digit year.:

PRINCIPAL (LEGAL NAME AND BUSINESS ADDRESS):

SURETY(IES) (NAME (S) AND BUSINESS ADDRESS(ES):

TYPES OF ORGANIZATION ("X" ONE) INDIVIDUAL: 0

TYPES OF ORGANIZATION ("X" ONE) JOINT VENTURE: 0

TYPES OF ORGANIZATION ("X" ONE) PARTNERSHIP: 0

TYPES OF ORGANIZATION ("X" ONE) CORPORATION: 0

PENAL SUM OF BOND CENTS:

DATE Enter 2 digit month, 2 digit day and 4 digit year.:

CONTRACT NUMBER:

SIGNATURE. THIS IS A PROTECTED FIELD.:

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

PRINCIPAL NAME(S) AND TITLE(S) (TYPED):

PRINCIPAL NAME(S) AND TITLE(S) (TYPED):

PRINCIPAL NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY A NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY A STATE OF INCORPORATION.:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY A NAME(S) AND TITLE(S) (TYPED):

CORPORATE SURETY(IES) SURETY A NAME(S) AND TITLE(S) (TYPES):

SIGNATURE. THIS IS A PROTECTED FIELD:

INDIVIDUAL SURETY(IES) NAME(S) (TYPED):

INDIVIDUAL SURETY(IES) NAME(S) (TYPED):

PENAL SUM OF BOND. MILLION(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. THOUSAND(S):

PENAL SUM OF BOND. AMOUNT NOT TO EXCEED. HUNDRED(S):

CORPORATE SURETY(IES) SURETY A LIABILITY LIMIT(S):

SIGNATURE. THIS IS A PROTECTED FIELD:

STATE OF INCORPORATION:

BOND PREMIUM RATE PER THOUSAND(S) :

BOND PREMIUM TOTAL($):

CORPORATE SURETY(IES) SURETY B NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY B STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY B LIABILITY LIMIT(S):

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPES):

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPED):

CORPORATE SURETY(IES) SURETY C NAME(S) AND TITLE(S) (TYPES):

CORPORATE SURETY(IES) SURETY C NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY C LIABILITY LIMIT(S):

CORPORATE SURETY(IES) SURETY C STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY C NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPES):

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY D LIABILITY LIMIT(S):

CORPORATE SURETY(IES) SURETY D STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY D NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPES):

CORPORATE SURETY(IES) SURETY B NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY E LIABILITY LIMIT(S):

CORPORATE SURETY(IES) SURETY E STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY E NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY F NAME(S) AND TITLE(S) (TYPES):

CORPORATE SURETY(IES) SURETY F NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY F LIABILITY LIMIT(S):

CORPORATE SURETY(IES) SURETY F STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY F NAME AND ADDRESS:

CORPORATE SURETY(IES) SURETY G NAME(S) AND TITLE(S) (TYPES):

CORPORATE SURETY(IES) SURETY G NAME(S) AND TITLE(S) (TYPED):

SIGNATURE. THIS IS A PROTECTED FIELD:

SIGNATURE. THIS IS A PROTECTED FIELD:

CORPORATE SURETY(IES) SURETY G LIABILITY LIMIT(S):

CORPORATE SURETY(IES) SURETY G STATE OF INCORPORATION.:

CORPORATE SURETY(IES) SURETY G NAME AND ADDRESS:

LIABILITY LIMITNAME &

PAYMENT BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must be same or later than date of contract)

MILLION(S)

CONTRACT DATE CONTRACT NO.

THOUSAND(S) HUNDRED(S) CENTS

PENAL SUM OF BONDSURETY(IES) (Name(s) and business address(es)

OBLIGATION:

CONDITIONS:

WITNESS:

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 is indicated, the limit of liability is the full amount of the penal sum.

The above obligation is void if the Principal promptly makes payment to all persons having a direct relationship with the Principal or a subcontractor of the Principal for furnishing labor, material or both in the prosecution of the work provided for in the contract identified above, and any authorized modifications of the contract that subsequently are made. Notice of those modifications to the Surety(ies) are waived.

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

Public reporting burden for this collection of information is estimate 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.

OMB No.:9000-0045

Previous edition is usable

(Seal)

STANDARD FORM 25A (REV. 10-98)

Prescribed by GSA-FAR (48 CFR) 53.2228(c)

LIABILITY LIMIT

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

CORPORATE SURETY(IES) (Continued)

STATE OF INC. LIABILITY LIMIT

1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under the Act of August 24, 1935, 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.

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. (a) Corporations executing the bond as sureties must appear on the Department of the 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 B, etc.) headed "CORPORATE SURETY(IES)."

In the space designated "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 Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning their financial capability.

4. 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.

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

Corporate Seal

NAME & ADDRESS

NAME(S) &

TITLE(S)

(Typed)

SURETY A

PAYMENT BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must be same or later than date of contract)

PRINCIPAL (Legal name and business address)

TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL

CORPORATION

PARTNERSHIP

JOINT VENTURE

STATE OF INCORPORATION

MILLION(S)

CONTRACT DATE

CONTRACT NO.

THOUSAND(S)

HUNDRED(S)

CENTS

PENAL SUM OF BOND

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

OBLIGATION:

CONDITIONS:

WITNESS:

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 is indicated, the limit of liability is the full amount of the penal sum.

The above obligation is void if the Principal promptly makes payment to all persons having a direct relationship with the Principal or a subcontractor of the Principal for furnishing labor, material or both in the prosecution of the work provided for in the contract identified above, and any authorized modifications of the contract that subsequently are made. Notice of those modifications to the Surety(ies) are waived.

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

PRINCIPAL

INDIVIDUAL SURETY(IES)

CORPORATE SURETY(IES)

Public reporting burden for this collection of information is estimate 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.

OMB No.:9000-0045

Expires: 11/30/2012

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME(S)

(Typed)

SIGNATURE(S)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable

1.

(Seal)

(Seal)

2.

(Seal)

(Seal)

3.

2.

2.

2.

2.

2.

3.

(Seal)

1.

1.

1.

1.

1.

STATE OF INC.

Corporate Seal

STANDARD FORM 25A (REV. 10-98)

Prescribed by GSA-FAR (48 CFR) 53.2228(c)

Corporate Seal

Corporate Seal

Corporate Seal

Corporate Seal

Corporate Seal

Corporate Seal

LIABILITY LIMIT

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

CORPORATE SURETY(IES) (Continued)

SURETY B

SURETY C

SURETY D

SURETY E

SURETY F

SURETY G

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S)

NAME(S) &

TITLE(S)

(Typed)

SIGNATURE(S)

NAME & ADDRESS

2.

1.

1.

1.

1.

1.

1.

1.

1.

1.

1.

1.

1.

STATE OF INC.

LIABILITY LIMIT

2.

2.

LIABILITY LIMIT

2.

LIABILITY LIMIT

2.

2.

STATE OF INC.

LIABILITY LIMIT

STATE OF INC.

2.

2.

2.

STATE OF INC.

LIABILITY LIMIT

STATE OF INC.

2.

2.

2.

1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under the Act of August 24, 1935, 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.

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. (a) Corporations executing the bond as sureties must appear on the Department of the 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 B, etc.) headed "CORPORATE SURETY(IES)."

In the space designated "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 Individual Surety (Standard Form 28) for each individual surety, shall accompany the bond. The Government may require the surety to furnish additional substantiating information concerning their financial capability.

4. 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.

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

INSTRUCTIONS

8.2.0.3062.1.452232.445150

PRINCIPAL (Legal name and business address):

SURETY(IES) (Name(s) and business address(es):

TYPE OF ORGANIZATION ("X" one). INDIVIDUAL: 0

TYPE OF ORGANIZATION ("X" one). JOINT VENTURE: 0

TYPE OF ORGANIZATION ("X" one). PARTNERSHIP: 0

TYPE OF ORGANIZATION ("X" one). CORPORATION: 0

STATE OF INCORPORATION:

CONTRACT NUMBER:

CONTRACT DATE. Enter 2 digit month, 2 digit day and 4 digit year.:

DATE BOND EXECUTED (Must be same or later than date of contract). Enter 2 digit month, 2 digit day and 4 digit year.:

PENAL SUM OF BOND. MILLION(S):

PENAL SUM OF BOND. THOUSAND(S):

PENAL SUM OF BOND. HUNDRED(S):

PENAL SUM OF BOND. CENTS:

PRINCIPAL. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES). SURETY B. SIGNATURE(S). 1. DIGITAL SIGNATURE:

PRINCIPAL. SIGNATURE(S). 2. This is a protected field.:

PRINCIPAL. SIGNATURE(S). 3. This is a protected field.:

INDIVIDUAL SURETY(IES). SIGNATURE(S). 1. This is a protected field.:

INDIVIDUAL SURETY(IES). SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES). SURETY A. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES). SURETY A. SIGNATURE(S). 2. This is a protected field.:

PRINCIPAL. NAME(S) & TITLE(S) (Typed). 1.:

INDIVIDUAL SURETY(IES). NAME(S)

(Typed). 1.:

CORPORATE SURETY(IES). SURETY A. STATE OF INCOME.:

CORPORATE SURETY(IES). SURETY A. NAME AND ADDRESS.:

INDIVIDUAL SURETY(IES). NAME(S)

(Typed). 2.:

PRINCIPAL. NAME(S) & TITLE(S) (Typed). 2. :

PRINCIPAL. NAME(S) & TITLE(S) (Typed). 3. :

CORPORATE SURETY(IES). SURETY A. NAME(S) & TITLE(S) (Typed). 1.:

CORPORATE SURETY(IES). SURETY A. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES). SURETY A. LIABILITY LIMIT $.:

CORPORATE SURETY(IES) (Continued). SURETY C. NAME AND ADDRESS.:

CORPORATE SURETY(IES) (Continued). SURETY C. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY C. LIABILITY LIMIT $.:

CORPORATE SURETY(IES). SURETY C. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES). SURETY C. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY C. NAME(S) & TITLE(S) (Typed). 1. :

CORPORATE SURETY(IES) (Continued). SURETY D. NAME AND ADDRESS.:

CORPORATE SURETY(IES). SURETY D. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY E. NAME AND ADDRESS.:

CORPORATE SURETY(IES) (Continued). SURETY E. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY E. LIABILITY LIMIT $.:

CORPORATE SURETY(IES). SURETY E. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY E. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY E. NAME(S) & TITLE(S) (Typed). 1. :

CORPORATE SURETY(IES). SURETY E. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY F. NAME AND ADDRESS.:

CORPORATE SURETY(IES) (Continued). SURETY F. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY F. LIABILITY LIMIT $.:

CORPORATE SURETY(IES). SURETY F. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY F. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY G. NAME AND ADDRESS.:

CORPORATE SURETY(IES). SURETY G. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY G. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY G. LIABILITY LIMIT $.:

CORPORATE SURETY(IES). SURETY G. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY G. NAME(S) & TITLE(S) (Typed). 1. :

CORPORATE SURETY(IES) (Continued). SURETY G. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY F. NAME(S) & TITLE(S) (Typed). 1. :

CORPORATE SURETY(IES). SURETY F. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES). SURETY D. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY D. LIABILITY LIMIT $.:

CORPORATE SURETY(IES) (Continued). SURETY D. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY D. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY D. NAME(S) & TITLE(S) (Typed). 1. :

CORPORATE SURETY(IES) (Continued). SURETY C. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY B. NAME(S) & TITLE(S) (Typed). 2. :

CORPORATE SURETY(IES) (Continued). SURETY B. NAME(S) & TITLE(S) (Typed). 1.:

CORPORATE SURETY(IES). SURETY B. SIGNATURE(S). 2. This is a protected field.:

CORPORATE SURETY(IES). SURETY B. SIGNATURE(S). 1. This is a protected field.:

CORPORATE SURETY(IES) (Continued). SURETY B. LIABILITY LIMIT $.:

CORPORATE SURETY(IES) (Continued). SURETY B. STATE OF INCOME.:

CORPORATE SURETY(IES) (Continued). SURETY B. NAME AND ADDRESS.: