15-_SF_1414.pdf

Standard Form PDF 263 KB Posted

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Progreso Levee Improvements
Solicitation number
IBM14B0001
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J.15 SF 1414 - Consent of Surety

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Who attaches SF 1414

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Text version

b. BUSINESS ADDRESS

CONSENT OF SURETY

6. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)

1. CONTRACT NUMBER

a. NAME OF PRINCIPAL c. SIGNATURE

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

d. TYPED NAME

ZIP CODESTATECITY

STREET ADDRESS

a. NAME OF PRINCIPAL

f. DATE THIS CONSENT EXECUTED

e. TYPED TITLE

d. TYPED NAME

c. PERSON EXECUTING CONSENT (Signature)

ZIP CODESTATECITY

STREET ADDRESS

b. BUSINESS ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTEDCITY ZIP CODESTATE

b. BUSINESS ADDRESS

STREET ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

(Add similar signature blocks on the back of this form if necessary for additional co-Sureties)

ZIP CODESTATECITY

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable

STANDARD FORM 1414 (REV. 5-97)

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

STREET ADDRESS

b. BUSINESS ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

b. BUSINESS ADDRESS

STREET ADDRESS

CITY STATE ZIP CODE

4. INDIVIDUAL

PRINCIPAL (Affix Seal)

(Affix Seal)

(Affix Seal)

(Affix Seal)

(Affix Seal)

5. CORPORATE

PRINCIPAL

A

B

C

The Surety (Co-Sureties) consents (consent) to the foregoing contract modification and agrees (agree) that its (their) bond or bonds shall apply and extend to the contract as modified or amended.

The Principal or authorized representative shall execute this consent of surety with the modification to which it pertains. If the representative (e.g., attorney-in-fact) that signs the consent is not a member of the partnership, or joint venture, or an officer of the corporation involved, a Power-of-Attorney or a Certificate of Corporate Principal must accompany the consent.

2. MODIFICATION NUMBER 3. DATED

b. BUSINESS ADDRESS

CONSENT OF SURETY

6. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)

1. CONTRACT NUMBER

a. NAME OF PRINCIPAL

c. SIGNATURE

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

d. TYPED NAME

ZIP CODE

STATE

CITY

STREET ADDRESS

a. NAME OF PRINCIPAL

f. DATE THIS CONSENT EXECUTED

e. TYPED TITLE

d. TYPED NAME

c. PERSON EXECUTING CONSENT (Signature)

ZIP CODE

STATE

CITY

STREET ADDRESS

b. BUSINESS ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED

CITY

ZIP CODE

STATE

b. BUSINESS ADDRESS

STREET ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME

e. TYPED TITLE

f. DATE THIS CONSENT EXECUTED (Add similar signature blocks on the back of this form if necessary for additional co-Sureties)

ZIP CODE

STATE

CITY

AUTHORIZED FOR LOCAL REPRODUCTION Previous edition is usable

STANDARD FORM 1414 (REV. 5-97)

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

STREET ADDRESS

b. BUSINESS ADDRESS

a. CORPORATE/INDIVIDUAL SURETY'S NAME

b. BUSINESS ADDRESS

STREET ADDRESS

CITY

STATE

ZIP CODE

4. INDIVIDUAL PRINCIPAL

(Affix Seal) (Affix Seal) (Affix Seal) (Affix Seal) (Affix Seal)

5. CORPORATE PRINCIPAL

A B C The Surety (Co-Sureties) consents (consent) to the foregoing contract modification and agrees (agree) that its (their) bond or bonds shall apply and extend to the contract as modified or amended.

The Principal or authorized representative shall execute this consent of surety with the modification to which it pertains. If the representative (e.g., attorney-in-fact) that signs the consent is not a member of the partnership, or joint venture, or an officer of the corporation involved, a Power-of-Attorney or a Certificate of Corporate Principal must accompany the consent.

2. MODIFICATION NUMBER

3. DATED

1. CONTRACT NUMBER:
4A. NAME OF PRINCIPAL:
4D. TYPED NAME:
4E. TYPED TITLE:
5B. ZIP CODE:
5B. STATE:
5B. CITY:
5B. STREET ADDRESS:
5A. NAME OF PRINCIPAL:
5C. PERSON EXECUTING CONSENT (Signature). DIGITAL SIGNATURE:
6A. C. PERSON EXECUTING CONSENT (Signature). This is a protected field:
6A. D. TYPED NAME:
6A. E. TYPED TITLE:
6A. F. DATE THIS CONSENT EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:
6A. B. ZIP CODE:
6A. B. STATE:
6A. B. CITY:
6A. B. STREET ADDRESS:
6A. A. CORPORATE/INDIVIDUAL SURETY'S NAME:
6B. B. CITY:
6B. B. STATE:
6B. B. ZIP CODE:
6B. F. DATE THIS CONSENT EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:
6B. E. TYPED TITLE:
6B. B. STREET ADDRESS:
6B. D. TYPED NAME:
6B. C. PERSON EXECUTING CONSENT (Signature). This is a protected field:
6B. A. CORPORATE/INDIVIDUAL SURETY'S NAME:
6C. B. CITY:
6C. B. STREET ADDRESS:
6C. B. STATE:
6C. B. ZIP CODE:
6C. F. DATE THIS CONSENT EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:
6C. E. TYPED TITLE:
6C. D. TYPED NAME:
6C. C. PERSON EXECUTING CONSENT (Signature). This is a protected field:
6C. A. CORPORATE/INDIVIDUAL SURETY'S NAME:
4B. STREET ADDRESS:
4B. CITY:
4B. STATE:
4B. ZIP CODE:
2. MODIFICATION NUMBER:
3. DATED. Enter 2 digit month, 2 digit day and 4 digit year.:
4F. DATE THIS CONSENT EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:
4C. SIGNATURE. This is a protected field:
5F. DATE THIS CONSENT EXECUTED. Enter 2 digit month, 2 digit day and 4 digit year.:
5E. TYPED TITLE:
5D. TYPED NAME:
5C. PERSON EXECUTING CONSENT (Signature). This is a protected field:

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