Exhibit H Performance Bond FL-40 (Rev 12.22).pdf

PDF 131 KB Posted

Attached to
Fire House Generator and ATS Replacement
Solicitation number
ISD_363232_DA
Issued by

About this file

This is Standard Form 25 Performance Bond template (FRA Form FL-40, Rev. 12/12/2022) used for Fermi Research Alliance, LLC subcontracts. The form requires the Principal and Surety(ies) to be bound to both the United States Government and Fermi Research Alliance, LLC for the penal sum specified in the bond.

The template includes spaces for identifying the Principal's organization type, state of incorporation, and business address, along with sections for both individual and corporate sureties to provide their information and signatures. The bond conditions require the Principal to perform all subcontract terms and pay any applicable government taxes. Key components include instructions for proper execution, requirements for corporate seals, and provisions for multiple corporate sureties (designated as Sureties A through G) with their respective liability limits. The form specifies that corporate sureties must appear on the Department of Treasury's list of approved sureties and includes fields for bond premium rates and totals.

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Text version

PERFORMANCE BOND

(See instructions on reverse)

DATE BOND EXECUTED (Must be same or later than date of subcontract) OMB Control Number: 9000-0045

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: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.

PRINCIPAL (Legal name and business address) TYPE OF ORGANIZATION ("X" one)

INDIVIDUAL PARTNERSHIP JOINT VENTURE

CORPORATION OTHER (Specify)

STATE OF INCORPORATION

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

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

SUBCONTRACT DATE SUBCONTRACT NUMBER

OBLIGATION:

We, the Principal and Surety(ies), are firmly bound to the United States of America (hereinafter referred to as “Government”) and Fermi Research Alliance, LLC 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 subcontract identified above.

THEREFORE:

The above obligation is void if the Principal-

(a) (1) Performs and fulfills all the understanding, covenants, terms, conditions, and agreements of the subcontract during the original term of the subcontract and any extensions thereof that are granted by Fermi Research Alliance, LLC, with or without notice of the Surety(ies) and during the life of any guaranty required under the subcontract, and

(2) Performs and fulfills all the undertakings, covenants, terms, conditions, and agreements of any and all duly authorized modifications of the subcontract that hereafter are made. Notice of those modifications to the Surety(ies) are waived.

(b) Pays to Fermi Research Alliance, LLC the full amount of the taxes imposed by the Government, if the said subcontract is subject to 41 USC Chapter 31, Subchapter III, Bonds, which are collected, deducted, or withheld from wages paid by the Principal in carrying out the construction subcontract 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

SIGNATURE(S)

1. 2. 3.

Corporate Seal

(Seal) (Seal) (Seal)

NAME(S) &

TITLE(S)

(Typed)

1. 2. 3.

INDIVIDUAL SURETY(IES)

SIGNATURE(S)

1.

(Seal)

2.

(Seal)

NAME(S)

(Typed)

1. 2.

CORPORATE SURETY(IES)

S U

R E

T Y

A

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT ($)

Seal SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 25 (REV. 8/2016)

FRA FORM FL-40 (REV. 12/12/2022)

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

CORPORATE SURETY(IES) (Continued)

S U

R E

T Y

B

NAME &

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

R

E T

C

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

R

E T

D

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

R

E T

E

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

R

E T

F

1. 2.

NAME(S) &

TITLE(S)

R

E T

G

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

BOND

PREMIUM

RATE PER THOUSAND ($) TOTAL ($)

INSTRUCTIONS

1. This form is authorized for use in connection with Fermi Research Alliance, LLC subcontracts. There shall be no deviation from this form.

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 limitations listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of bonds, unless a co-surety arrangement isproposed.

(b) When multiple corporate sureties are 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 identifier corresponding to each of the sureties. Moreover, when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bonds, provided that the sum total of their liability equals 100% of the bond penal sum.

(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety shall accompany the bond. Fermi Research

Alliance, LLC may require the surety to furnish additional substantiating information concerning its financial capability.

4. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the words "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. 8/2016) BACK

FRA FORM FL-40 (REV. 12/12/2022)

File details come from the government source that posted it. Updated .