Exhibit P - FL-42 (Rev 1.25) - Payment Bond.pdf

PDF 2 MB Posted

Attached to
Demolition of Sites 50 and 55 - Request for Proposal
Solicitation number
374682GMK
Issued by

About this file

This is a Payment Bond form (Standard Form 25A, Fermi Forward Form FL-42) used to protect persons supplying labor and material on subcontracts. The bond is required under 40 USC Chapter 31, Subchapter III and serves as a guarantee that the Principal will promptly pay all persons having a direct relationship with them or their subcontractors for furnishing labor, material, or both in the prosecution of work under the identified subcontract and any authorized modifications thereof.

The form requires completion of Principal information (legal name, business address, and organization type), identification of Surety(ies) with their names and business addresses, and specification of the penal sum (bond amount) in millions, thousands, hundreds, and cents. The bond must be executed by authorized representatives of both the Principal and Surety(ies), with corporate sureties required to affix corporate seals and appear on the Department of the Treasury's list of approved sureties. Individual sureties must be accompanied by a completed Affidavit of Individual Surety (Standard Form 28). The form accommodates multiple corporate sureties (up to seven) with allocated liability limits, provided their total liability equals 100% of the bond's penal sum. The bond date must be the same as or later than the subcontract date, and notice of subcontract modifications to the Surety(ies) is waived.

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Other files

File Type Posted
Amendment 01 to RFP NO 374682GMK .pdf PDF
Exhbit V - Site 50 House.pdf PDF
Amendment 02 to RFP NO 374682GMK .pdf PDF
Exhibit W - Site 55 House.pdf PDF
Exhibit F - 014100_Quality_Requirements_-_March_2025_FermiForward.pdf PDF
Exhibit G - 024200Site_Demolition_Removal_and_Recycling.pdf PDF
Exhibit K -Price Proposal Form 374682GMK.pdf PDF
Exhibit O - Bond Bid FL-41.pdf PDF
Exhibit S - Sample Subcontract.pdf PDF
Exhibit T - 014100 Quality Requirements.pdf PDF
Exhibit R - WD IL20250008 Mod 13.pdf PDF
Exhibit A - 13-1-69 Demo GPP SOW.pdf PDF
Exhibit C - 010010_General_Requirements.pdf PDF
Exhibit D - 013100_ESH_Requirements_03-2025_FFDG.pdf PDF
Exhibit E - 013300_Submittals.pdf PDF
Exhibit H - FFDG General Terms and Conditions for Construction.pdf PDF
Exhibit L - Fermilab Subcontractor Injury and Illness Data Questionnaire.pdf PDF
Exhibit M - SARC_Subcontractor Annual RepsCerts Rev 7.pdf PDF
Exhibit U - Instructions for Access-Request-form-for-Business-Visitors.pdf PDF
Request for Proposal 374682GMK Demolition of Sites 50 and 55 Rev1.pdf PDF
Exhibit B - 13-1-69_Demo_GPP_Final_Design.pdf PDF
Exhibit I - 2025 Construction Insurance Requirements.pdf PDF
Exhibit J - SF1413-23a.pdf PDF
Exhibit N - PUR-466_Proposal Certifications_r5_10.14.25.pdf PDF
Exhibit Q - FL-40 - Performance Bond.pdf PDF
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Text version

PAYMENT 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 and Fermi Forward Discovery Group, LLC (FermiForward), 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.

CONDITIONS:

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 subcontract identified above, and any authorized modifications of the subcontract that subsequently are made. Notice of those modifications to the Surety(ies) are waived.

WITNESS:

The Principal and Surety(ies) executed this payment 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

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is NOT usable

STANDARD FORM 25A (REV. 8/2016)

FERMIFORWARD FORM FL-42 (1/7/2025)

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

CORPORATE SURETY(IES) (Continued)

S U

R E

T Y

B

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

C

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

D

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

E

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

F

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

S U

R E

T Y

G

NAME &

ADDRESS

STATE OF INCORPORATION LIABILITY LIMIT

Corporate Seal

SIGNATURE(S)

1. 2.

NAME(S) &

TITLE(S)

(Typed)

1. 2.

INSTRUCTIONS

1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under 40 USC Chapter 31, Subchapter III, Bonds. 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 the bond, unless a co-surety arrangement is proposed.

(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 Forward DiscoveryGroup, 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 25A (REV. 8/2016)

FERMIFORWARD FORM FL-42 (1/7/2025)

DATE BOND EXECUTED Must be same or later than date of subcontract:
PRINCIPAL Legal name and business address:
INDIVIDUAL: Off
PARTNERSHIP: Off
JOINT VENTURE: Off
CORPORATION: Off
OTHER Specify: Off
STATE OF INCORPORATION:
SURETYIES Names and business addresses:
MILLIONS:
THOUSANDS:
HUNDREDS:
CENTS:
SUBCONTRACT DATE:
SUBCONTRACT NUMBER:
STANDARD FORM 25A REV 82016 BACK:
PRINCIPAL:
CORPORATE SURETYIES Continued:
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