BOND_FORMSALL_1.pdf

PDF 125 KB Posted

Attached to
REPLACE LOAD BANK Federal contract opportunity
Solicitation number
RFQP06201700013
Issued by
Department of Justice Bureau of Prisons Federal Correctional Institution Mendota

About this file

Bond Forms

View the file

Other files for this federal contract opportunity

Other files attached to REPLACE LOAD BANK, newest first.
File Type Posted
Instructions_to_Offerors.pdf PDF
SOW_LOAD_BANK_3_28_1_1.pdf PDF
Wage_Rate_Determination_CA170029.pdf PDF
RFQP06201700013_Solicitation.pdf PDF
NCIC_BP_S6601.docx DOCX document

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

3(5)250$1&(�%21'

�6HH�LQVWUXFWLRQV�RQ�UHYHUVH�

'$7(�%21'�(;(&87('��0XVW�EH�VDPH�RU�ODWHU�WKDQ�GDWH�RI

FRQWUDFW� 20%�1R�� ���������

3XEOLF�UHSRUWLQJ�EXUGHQ�IRU� WKLV�FROOHFWLRQ� RI� LQIRUPDWLRQ� LV�HVWLPDWHG�WR�DYHUDJH����PLQXWHV�SHU�UHVSRQVH��LQFOXGLQJ�WKH�WLPH�IRU�UHYLHZLQJ�LQVWUXFWLRQV��VHDUFKLQJ�H[LVWLQJ�GDWD

VRXUFHV��JDWKHULQJ�DQG�PDLQWDLQLQJ�WKH�GDWD�QHHGHG��DQG�FRPSOHWLQJ�DQG�UHYLHZLQJ�WKH�FROOHFWLRQ� RI� LQIRUPDWLRQ�� �6HQG�FRPPHQWV�UHJDUGLQJ�WKLV�EXUGHQ�HVWLPDWH�RU�DQ\�RWKHU

DVSHFW�RI�WKLV�FROOHFWLRQ� RI� LQIRUPDWLRQ�� LQFOXGLQJ�VXJJHVWLRQV�IRU� UHGXFLQJ�WKLV�EXUGHQ��WR�WKH�)$5�6HFUHWDULDW��095��� )HGHUDO�$FTXLVLWLRQ�3ROLF\�'LYLVLRQ��*6$��:DVKLQJWRQ�

685(7<�,(6���1DPH�V��DQG�EXVLQHVV�DGGUHVV�HV�

7<3(�2)�25*$1,=$7,21���;��RQH�

,1',9,'8$/ 3$571(56+,3

-2,17�9(1785( &25325$7,21

67$7(�2)�,1&25325$7,21

PENAL SUM OF BOND

0,//,21�6� 7+286$1'�6� +81'5('�6� &(176

&2175$&7�'$7( &2175$&7�12�

2%/,*$7,21�

:H��WKH�3ULQFLSDO�DQG�6XUHW\�LHV���DUH�ILUPO\�ERXQG�WR�WKH�8QLWHG�6WDWHV�RI�$PHULFD��KHUHLQDIWHU�FDOOHG�WKH�*RYHUQPHQW�� LQ�WKH�DERYH�SHQDO�VXP���)RU SD\PHQW� RI� WKH� SHQDO� VXP�� ZH�ELQG� RXUVHOYHV�� RXU� KHLUV�� H[HFXWRUV�� DGPLQLVWUDWRUV�� DQG� VXFFHVVRUV�� MRLQWO\� DQG� VHYHUDOO\�� �+RZHYHU�� ZKHUH� WKH 6XUHWLHV�DUH�FRUSRUDWLRQV� DFWLQJ�DV�FR�VXUHWLHV��ZH��WKH�6XUHWLHV��ELQG�RXUVHOYHV� LQ�VXFK�VXP��MRLQWO\�DQG�VHYHUDOO\��DV�ZHOO�DV��VHYHUDOO\��RQO\�IRU�WKH SXUSRVH� RI� DOORZLQJ� D�MRLQW� DFWLRQ� RU� DFWLRQV� DJDLQVW�DQ\�RU� DOO�RI� XV�� �)RU� DOO�RWKHU�SXUSRVHV��HDFK�6XUHW\�ELQGV�LWVHOI��MRLQWO\�DQG�VHYHUDOO\�ZLWK�WKH 3ULQFLSDO��IRU�WKH�SD\PHQW�RI�WKH�VXP�VKRZQ�RSSRVLWH� WKH�QDPH�RI�WKH�6XUHW\���,I�QR�OLPLW�RI�OLDELOLW\�LV�LQGLFDWHG��WKH�OLPLW�RI�OLDELOLW\�LV�WKH�IXOO�DPRXQW

RI�WKH�SHQDO�VXP�

&21',7,216�

7KH�3ULQFLSDO�KDV�HQWHUHG�LQWR�WKH�FRQWUDFW�LGHQWLILHG�DERYH�

7+(5()25(�

7KH�DERYH�REOLJDWLRQ� LV�YRLG�LI�WKH�3ULQFLSDO��

� � � � �D���� 3HUIRUPV� DQG� IXOILOOV� DOO� WKH� XQGHUWDNLQJV�� FRYHQDQWV�� WHUPV�� FRQGLWLRQV�� DQG�DJUHHPHQWV�RI� WKH�FRQWUDFW� GXULQJ�WKH�RULJLQDO� WHUP�RI� WKH FRQWUDFW�DQG�DQ\�H[WHQVLRQV�WKHUHRI�WKDW�DUH�JUDQWHG�E\�WKH�*RYHUQPHQW��ZLWK�RU�ZLWKRXW�QRWLFH�WR�WKH�6XUHW\�LHV���DQG�GXULQJ�WKH�OLIH�RI�DQ\�JXDUDQW\ UHTXLUHG� XQGHU� WKH� FRQWUDFW�� DQG� ���� SHUIRUPV� DQG� IXOILOOV� DOO� WKH� XQGHUWDNLQJV�� FRYHQDQWV�� WHUPV� FRQGLWLRQV�� DQG� DJUHHPHQWV� RI� DQ\� DQG�DOO� GXO\ DXWKRUL]HG�PRGLILFDWLRQV�RI�WKH�FRQWUDFW�WKDW�KHUHDIWHU�DUH�PDGH���1RWLFH�RI�WKRVH�PRGLILFDWLRQV�WR�WKH�6XUHW\�LHV��DUH�ZDLYHG�

�����E� 3D\V�WR�WKH�*RYHUQPHQW�WKH�IXOO�DPRXQW�RI�WKH�WD[HV�LPSRVHG�E\�WKH�*RYHUQPHQW�� LI�WKH�VDLG�FRQWUDFW� LV�VXEMHFW�WR�WKH�0LOOHU�$FW������8�6�&� ���D����H���ZKLFK�DUH�FROOHFWHG�� GHGXFWHG��RU�ZLWKKHOG�IURP�ZDJHV�SDLG�E\�WKH�3ULQFLSDO� LQ�FDUU\LQJ�RXW� WKH�FRQVWUXFWLRQ� FRQWUDFW�ZLWK�UHVSHFW�WR

ZKLFK�WKLV�ERQG�LV�IXUQLVKHG�

:,71(66�

7KH�3ULQFLSDO�DQG�6XUHW\�LHV��H[HFXWHG�WKLV�SHUIRUPDQFH�ERQG�DQG�DIIL[HG�WKHLU�VHDOV�RQ�WKH�DERYH�GDWH�

35,1&,3$/

6,*1$785(�6�

�6HDO�

�6HDO�

�6HDO�

1$0(�6��

���7,7/(�6�

����7\SHG�

&RUSRUDWH

6HDO

,1',9,'8$/�685(7<�,(6�

6,*1$785(�6�

1$0(�6��

�7\SHG�

�6HDO�

�6HDO�

$87+25,=('�)25�/2&$/�5(352'8&7,21

3UHYLRXV�HGLWLRQ�QRW�XVDEOH

67$1'$5'�)250�����5(9��������

3UHVFULEHG�E\�*6$�)$5�����&)5���������E�

&25325$7(�685(7<�,(6�

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

35,1&,3$/��/HJDO�QDPH�DQG�EXVLQHVV�DGGUHVV�

&25325$7(�685(7<�,(6���&RQWLQXHG�

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

,16758&7,216

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., 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.

67$1'$5'�)250�����5(9���������%$&.

%21' 35(0,80

5$7(�3(5�7+286$1'���� 727$/����

3$<0(17�%21'

�6HH�LQVWUXFWLRQV�RQ�UHYHUVH�

'$7(�%21'�(;(&87('��0XVW�EH�VDPH�RU�ODWHU�WKDQ�GDWH�RI

FRQWUDFW� 20%�1R�����������

3XEOLF�UHSRUWLQJ�EXUGHQ�IRU� WKLV�FROOHFWLRQ� RI� LQIRUPDWLRQ� LV�HVWLPDWH�WR�DYHUDJH����PLQXWHV�SHU�UHVSRQVH�� LQFOXGLQJ�WKH�WLPH�IRU�UHYLHZLQJ�LQVWUXFWLRQV��VHDUFKLQJ�H[LVWLQJ�GDWD

VRXUFHV��JDWKHULQJ�DQG�PDLQWDLQLQJ�WKH�GDWD�QHHGHG��DQG�FRPSOHWLQJ�DQG�UHYLHZLQJ�WKH�FROOHFWLRQ� RI� LQIRUPDWLRQ�� �6HQG�FRPPHQWV�UHJDUGLQJ�WKLV�EXUGHQ�HVWLPDWH�RU�DQ\�RWKHU

DVSHFW�RI�WKLV�FROOHFWLRQ� RI� LQIRUPDWLRQ�� LQFOXGLQJ�VXJJHVWLRQV�IRU� UHGXFLQJ�WKLV�EXUGHQ��WR�WKH�)$5�6HFUHWDULDW��095��� )HGHUDO�$FTXLVLWLRQ�3ROLF\�'LYLVLRQ��*6$��:DVKLQJWRQ�

35,1&,3$/��/HJDO�QDPH�DQG�EXVLQHVV�DGGUHVV�

685(7<�,(6���1DPH�V��DQG�EXVLQHVV�DGGUHVV�HV�

7<3(�2)�25*$1,=$7,21���;��RQH�

,1',9,'8$/ 3$571(56+,3

-2,17�9(1785( &25325$7,21

67$7(�2)�,1&25325$7,21

3(1$/��680��2)��%21' 0,//,21�6� 7+286$1'�6� +81'5('�6� &(176

&2175$&7�'$7( &2175$&7�12�

2%/,*$7,21�

:H��WKH�3ULQFLSDO�DQG�6XUHW\�LHV���DUH�ILUPO\�ERXQG�WR�WKH�8QLWHG�6WDWHV�RI�$PHULFD��KHUHLQDIWHU�FDOOHG�WKH�*RYHUQPHQW�� LQ�WKH�DERYH�SHQDO�VXP���)RU

SD\PHQW� RI� WKH� SHQDO� VXP�� ZH�ELQG� RXUVHOYHV�� RXU� KHLUV�� H[HFXWRUV�� DGPLQLVWUDWRUV�� DQG� VXFFHVVRUV�� MRLQWO\� DQG� VHYHUDOO\�� �+RZHYHU�� ZKHUH� WKH

6XUHWLHV�DUH�FRUSRUDWLRQV� DFWLQJ�DV�FR�VXUHWLHV��ZH��WKH�6XUHWLHV��ELQG�RXUVHOYHV� LQ�VXFK�VXP��MRLQWO\�DQG�VHYHUDOO\��DV�ZHOO�DV��VHYHUDOO\��RQO\�IRU�WKH

SXUSRVH� RI� DOORZLQJ� D�MRLQW� DFWLRQ� RU� DFWLRQV� DJDLQVW�DQ\�RU� DOO�RI� XV�� �)RU� DOO�RWKHU�SXUSRVHV��HDFK�6XUHW\�ELQGV�LWVHOI��MRLQWO\�DQG�VHYHUDOO\�ZLWK�WKH

3ULQFLSDO��IRU�WKH�SD\PHQW�RI�WKH�VXP�VKRZQ�RSSRVLWH� WKH�QDPH�RI�WKH�6XUHW\���,I�QR�OLPLW�RI�OLDELOLW\�LV�LQGLFDWHG��WKH�OLPLW�RI�OLDELOLW\�LV�WKH�IXOO�DPRXQW

RI�WKH�SHQDO�VXP�

&21',7,216�

7KH�DERYH�REOLJDWLRQ� LV�YRLG�LI�WKH�3ULQFLSDO�SURPSWO\�PDNHV�SD\PHQW�WR�DOO�SHUVRQV�KDYLQJ�D�GLUHFW�UHODWLRQVKLS�ZLWK�WKH�3ULQFLSDO�RU�D�VXEFRQWUDFWRU�RI

WKH� 3ULQFLSDO� IRU� IXUQLVKLQJ� ODERU��PDWHULDO�RU� ERWK� LQ�WKH�SURVHFXWLRQ� RI� WKH�ZRUN� SURYLGHG� IRU� LQ�WKH�FRQWUDFW� LGHQWLILHG�DERYH�� DQG�DQ\�DXWKRUL]HG

PRGLILFDWLRQV�RI�WKH�FRQWUDFW�WKDW�VXEVHTXHQWO\�DUH�PDGH���1RWLFH�RI�WKRVH�PRGLILFDWLRQV�WR�WKH�6XUHW\�LHV��DUH�ZDLYHG�

:,71(66�

7KH�3ULQFLSDO�DQG�6XUHW\�LHV��H[HFXWHG�WKLV�SD\PHQW�ERQG�DQG�DIIL[HG�WKHLU�VHDOV�RQ�WKH�DERYH�GDWH�

35,1&,3$/

6,*1$785(�6�

�6HDO�

�6HDO�

�6HDO�

1$0(�6��

���7,7/(�6�

����7\SHG�

&RUSRUDWH

6HDO

,1',9,'8$/�685(7<�,(6�

6,*1$785(�6�

1$0(�6��

�7\SHG�

�6HDO�

�6HDO�

$87+25,=('�)25�/2&$/�5(352'8&7,21

3UHYLRXV�HGLWLRQ�LV�XVDEOH

67$1'$5'�)250���$��5(9��������

3UHVFULEHG�E\�*6$�)$5�����&)5����������F�

&25325$7(�685(7<�,(6�

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

&25325$7(�685(7<�,(6���&RQWLQXHG�

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

1$0(� $''5(66

6,*1$785(�6�

1$0(�6�� 7,7/(�6�

�7\SHG�

67$7(�2)�,1&� /,$%,/,7<�/,0,7

&RUSRUDWH

6HDO

,16758&7,216

����7KLV�IRUP��IRU�WKH�SURWHFWLRQ�RI�SHUVRQV�VXSSO\LQJ�ODERU�DQG�PDWHULDO��LV

XVHG�ZKHQ�D�SD\PHQW�ERQG�LV�UHTXLUHG�XQGHU�WKH�$FW�RI�$XJXVW����������

���6WDW����������8�6�&�� ���D����H��� �$Q\�GHYLDWLRQ� IURP� WKLV�IRUP�ZLOO

UHTXLUH�WKH�ZULWWHQ�DSSURYDO�RI�WKH�$GPLQLVWUDWRU�RI�*HQHUDO�6HUYLFHV�

��� �,QVHUW�WKH�IXOO� OHJDO�QDPH�DQG�EXVLQHVV�DGGUHVV�RI�WKH�3ULQFLSDO�LQ�WKH

VSDFH� GHVLJQDWHG� �3ULQFLSDO�� RQ� WKH� IDFH� RI� WKH� IRUP�� � $Q� DXWKRUL]HG

SHUVRQ� VKDOO� VLJQ� WKH� ERQG�� � $Q\� SHUVRQ� VLJQLQJ� LQ� D� UHSUHVHQWDWLYH

FDSDFLW\� �H�J��� DQ� DWWRUQH\�LQ�IDFW�� PXVW� IXUQLVK� HYLGHQFH� RI� DXWKRULW\� LI

WKDW� UHSUHVHQWDWLYH� LV� QRW� D� PHPEHU� RI� WKH� ILUP�� SDUWQHUVKLS�� RU� MRLQW

YHQWXUH��RU�DQ�RIILFHU�RI�WKH�FRUSRUDWLRQ� LQYROYHG�

��� � �D��&RUSRUDWLRQV� H[HFXWLQJ� WKH� ERQG�DV�VXUHWLHV�PXVW�DSSHDU�RQ� WKH

'HSDUWPHQW� RI� WKH� 7UHDVXU\

V� OLVW� RI� DSSURYHG� VXUHWLHV� DQG� PXVW� DFW

ZLWKLQ�WKH�OLPLWDWLRQ�OLVWHG�WKHUHLQ���:KHUH�PRUH�WKDQ�RQH�FRUSRUDWH�VXUHW\

LV�LQYROYHG��WKHLU�QDPHV�DQG�DGGUHVVHV�VKDOO�DSSHDU�LQ�WKH�VSDFHV��6XUHW\

$��6XUHW\�%��HWF���KHDGHG��&25325$7(����685(7<�,(6������,Q�WKH�VSDFH���

GHVLJQDWHG��685(7<�,(6���RQ�WKH�IDFH�RI�WKH�IRUP��LQVHUW�RQO\�WKH�OHWWHU

LGHQWLILFDWLRQ�RI�WKH�VXUHWLHV�

�����E���:KHUH�LQGLYLGXDO�VXUHWLHV�DUH�LQYROYHG��D�FRPSOHWHG�$IILGDYLW�RI

,QGLYLGXDO� 6XUHW\� �6WDQGDUG� )RUP� ���� IRU� HDFK� LQGLYLGXDO� VXUHW\�� VKDOO

DFFRPSDQ\� WKH� ERQG�� � 7KH� *RYHUQPHQW� PD\� UHTXLUH� WKH� VXUHW\� WR

IXUQLVK� DGGLWLRQDO� VXEVWDQWLDWLQJ� LQIRUPDWLRQ� FRQFHUQLQJ� WKHLU� ILQDQFLDO

FDSDELOLW\�

��� �&RUSRUDWLRQV� H[HFXWLQJ� WKH� ERQG� VKDOO� DIIL[�WKHLU�FRUSRUDWH� VHDOV��

,QGLYLGXDOV�VKDOO�H[HFXWH�WKH�ERQG�RSSRVLWH� WKH�ZRUG��&RUSRUDWH� 6HDO��

DQG�VKDOO�DIIL[�DQ�DGKHVLYH�VHDO� LI�H[HFXWHG�LQ�0DLQH��1HZ�+DPSVKLUH�

RU�DQ\�RWKHU�MXULVGLFWLRQ�UHTXLULQJ�DGKHVLYH�VHDOV�

��� � 7\SH� WKH� QDPH� DQG� WLWOH� RI� HDFK� SHUVRQ� VLJQLQJ� WKLV� ERQG� LQ� WKH

VSDFH�SURYLGHG�

67$1'$5'�)250���$��5(9��������%$&.

CONTINUATION SHEET

(For Standard Forms 24, 25, and 25A)

NAME OF PRINCIPAL (Legal name and business address) TYPE OF BOND

BID PERFORMANCE PAYMENT

FURNISHED IN

CONNECTION

WITH -

BID CONTRACT

DATED -

AUTHORIZED FOR LOCAL REPRODUCTION

PREVIOUS EDITION USABLE

STANDARD FORM 25B (REV. 10-83)

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

CORPORATE SURETY(IES)

S U

R E T Y

H

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

I

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

J

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

K

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

L

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

M

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

N

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

O

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

CORPORATE SURETY(IES) (Continued) S U

R E T Y

P

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

Q

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

R

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

S

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

T

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

U

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

S U

R E T Y

V

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

S U

R E T Y

W

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

S U

R E T Y

Y

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

S U

R E T Y

X

Name & Address

Signature(s)

Name(s) & Title(s) (Typed)

STATE OF INC. LIABILITY LIMIT

1. 2.

1. 2.

Corporate Seal

STANDARD FORM 25B BACK (REV. 10-83)

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