18._Attachment_19_SF1418-Performance_Bond.pdf
PDF 585 KB Posted
- Attached to
- DORM MANAGEMENT SERVICES Federal contract opportunity
- Solicitation number
- HSFLGL-17-R-00001
About this file
ATTACHMENT 19
View the file
Other files for this federal contract opportunity
Show all 50
DORM MANAGEMENT SERVICES has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
PERFORMANCE BOND FOR OTHER THAN
CONSTRUCTION CONTRACTS
(See instructions on reverse)
DATE BOND EXECUTED (Must be same or later than date of contract) OMB Control Number: 9000-0045
Expiration Date: 7/31/2019
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 25 minutes 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)
SURETY(IES) (Name(s) and business address(es))
OBLIGATION:
CONDITIONS:
The principal has entered into the contract identified above.
The principal and Surety(ies) executed this performance bond and affixed their seals on the above date.
The above obligation is void if the Principal: (1) Performs and fulfills all the undertakings, covenants, terms, conditions, and agreements of the contract during either the base term or an optional 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) is waived.
The guaranty for a base term covers the initial period of performance of the contract and any extensions thereof excluding any options. The guaranty for an option term covers the period of performance for the option being exercised and any extensions thereof.
The failure of a surety to renew a bond for any option term shall not result in a default of any bond previously furnished covering any base or option term.
THEREFORE:
WITNESS:
TYPE OF ORGANIZATION ("X" one)
STATE OF INCORPORATION
INDIVIDUAL
CORPORATION
PARTNERSHIP
JOINT VENTURE
PENAL SUM OF BOND
MILLION(S)
CONTRACT DATE
OPTION DATE
CONTRACT NUMBER
OPTION NUMBER
THOUSAND(S) HUNDRED(S) CENTS
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.
PRINCIPAL
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
1.
2.
INDIVIDUAL SURETY(IES)
CORPORATE SURETY(IES)
SIGNATURE(S)
NAME(S)
(Typed)
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
Corporate Seal
(Seal)(Seal) 1.
1.
1.
2.
2.
1.
2.
2.
2.
(Seal) (Seal) Corporate
Seal
SU
R
ET
Y
A
STATE OF INCORPORATION LIABILITY LIMIT
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable
STANDARD FORM 1418 (REV. 2-99)
Prescribed by GSA-FAR (48 CFR) 53.228(b)
SU
R
ET
Y
C
SU
R
ET
Y
E
SU
R
ET
Y
G
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
1. 2.
2.
STATE OF INCORPORATION LIABILITY LIMIT
Corporate Seal
Corporate Seal
LIABILITY LIMITSTATE OF INCORPORATION
2.
2.1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SU
R
ET
Y
F
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
1. 2.
2.
STATE OF INCORPORATION LIABILITY LIMIT
Corporate Seal
Corporate Seal
LIABILITY LIMITSTATE OF INCORPORATION
2.
2.1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SU
R
ET
Y
D
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed)
1.
1. 2.
2.
STATE OF INCORPORATION LIABILITY LIMIT
Corporate Seal
Corporate Seal
LIABILITY LIMITSTATE OF INCORPORATION
2.
2.1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SU
R
ET
Y
B
BOND
PREMIUM
RATE PER THOUSAND ($) TOTAL ($)
INSTRUCTIONS
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.
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.
6. Unless otherwise specified, the bond shall be submitted to the contracting office that awarded the contract.
(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.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.
STANDARD FORM 1418 (REV. 2-99) BACK
PERFORMANCE BOND FOR OTHER THAN
CONSTRUCTION CONTRACTS
(See instructions on reverse) DATE BOND EXECUTED (Must be same or later than date of contract) OMB Control Number: 9000-0045 Expiration Date: 7/31/2019 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 25 minutes 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) SURETY(IES) (Name(s) and business address(es))
OBLIGATION:
CONDITIONS:
The principal has entered into the contract identified above.
The principal and Surety(ies) executed this performance bond and affixed their seals on the above date.
The above obligation is void if the Principal: (1) Performs and fulfills all the undertakings, covenants, terms, conditions, and agreements of the contract during either the base term or an optional 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) is waived.
The guaranty for a base term covers the initial period of performance of the contract and any extensions thereof excluding any options. The guaranty for an option term covers the period of performance for the option being exercised and any extensions thereof.
The failure of a surety to renew a bond for any option term shall not result in a default of any bond previously furnished covering any base or option term.
THEREFORE:
WITNESS:
TYPE OF ORGANIZATION ("X" one)
STATE OF INCORPORATION
INDIVIDUAL
CORPORATION
PARTNERSHIP
JOINT VENTURE
PENAL SUM OF BOND
MILLION(S)
CONTRACT DATE
OPTION DATE
CONTRACT NUMBER
OPTION NUMBER
THOUSAND(S)
HUNDRED(S)
CENTS
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.
PRINCIPAL
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed) 1.
1.
2.
INDIVIDUAL SURETY(IES)
CORPORATE SURETY(IES)
SIGNATURE(S)
NAME(S)
(Typed)
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed) Corporate Seal (Seal) (Seal) 1.
1.
1.
2.
2.
1.
2.
2.
2.
(Seal) (Seal) Corporate Seal
SURETY A
STATE OF INCORPORATION
LIABILITY LIMIT
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition not usable STANDARD FORM 1418 (REV. 2-99) Prescribed by GSA-FAR (48 CFR) 53.228(b)
SURETY C
SURETY E
SURETY G
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed) 1.
1.
2.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
Corporate Seal Corporate Seal
LIABILITY LIMIT
STATE OF INCORPORATION
2.
2.
1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SURETY F
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed) 1.
1.
2.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
Corporate Seal Corporate Seal
LIABILITY LIMIT
STATE OF INCORPORATION
2.
2.
1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SURETY D
NAME &
ADDRESS
SIGNATURE(S)
NAME(S) &
TITLE(S)
(Typed) 1.
1.
2.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
Corporate Seal Corporate Seal
LIABILITY LIMIT
STATE OF INCORPORATION
2.
2.
1.
1.
NAME(S) &
TITLE(S)
(Typed)
SIGNATURE(S)
NAME &
ADDRESS
SURETY B
BOND
PREMIUM
\\iaimain\apps1\Pam_Ward\Logos\Pointer.jpg
RATE PER THOUSAND ($)
TOTAL ($)
INSTRUCTIONS
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.
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.
6. Unless otherwise specified, the bond shall be submitted to the contracting office that awarded the contract.
(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.
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.
STANDARD FORM 1418 (REV. 2-99) BACK
8.2.1.4029.1.523496.503679
| CORPORATE SURETY(IES). SURETY B. SIGNATURE(S). 2. DIGITAL SIGNATURE: |
| CORPORATE SURETY(IES). SURETY C. SIGNATURE(S). 1. THIS IS A PROTECTED FIELD: |
| CORPORATE SURETY(IES). SURETY B. SIGNATURE(S). 2. THIS IS A PROTECTED FIELD: |
| DATE BOND EXECUTED (Must be same or later than date of contract). Enter 2 digit month, 2 digit day and 4 digit year.: |
| CONTRACT DATE. Enter 2 digit month, 2 digit day and 4 digit year.: |
| OPTION DATE. Enter 2 digit month, 2 digit day and 4 digit year.: |
| TYPE OF ORGANIZATION ("X" one). PARTNERSHIP.: 0 |
| TYPE OF ORGANIZATION ("X" one). CORPORATION.: 0 |
| TYPE OF ORGANIZATION ("X" one). JOINT VENTURE: 0 |
| TYPE OF ORGANIZATION ("X" one). INDIVIDUAL.: 0 |
| SURETY(IES) (Name(s) and business address(es)): |
| PRINCIPAL (Legal name and business address): |
| CONTRACT NUMBER: |
| OPTION NUMBER: |
| CORPORATE SURETY(IES). SURETY B. STATE OF INCORPORATION: |
| PENAL SUM OF BOND. MILLION(S): |
| PENAL SUM OF BOND. THOUSAND(S): |
| PENAL SUM OF BOND. HUNDRED(S): |
| PENAL SUM OF BOND. CENTS: |
| CORPORATE SURETY(IES). SURETY B. NAME(S) AND TITLE(S) (Typed). 1: |
| CORPORATE SURETY(IES). SURETY B. NAME AND ADDRESS: |
| CORPORATE SURETY(IES). SURETY B. LIABILITY LIMIT $: |
| BOND PREMIUM. RATE PER THOUSAND ($): |
| BOND PREMIUM. TOTAL ($): |
File details come from the government source that posted it.