SF-25A PAYMENT BOND.pdf

Standard Form PDF 598 KB Posted

Attached to
Repairs to Greenhouse/Headhouse Ventilation and Cooling Systems Raleigh NC
Solicitation number
12405B20Q0038
Issued by

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Other versions and copies of SF 25A

File Revision Posted Attached to
Payment Bond SF25A-23a.pdf Revision not stated RF Roof Replacement Project
SF-25A_Payment_Bond_Form.pdf Revision not stated IE181 - WHS Greenhouse Construction
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SF25A-23a.pdf Revision not stated Replace HVAC Units, USCG Station Hatteras Inlet, NC
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SF25A-23a.pdf Revision not stated Z2GC--Repair Above Ground Storage Tanks, USCG Base Elizabeth City
SF25A-23a.pdf Revision not stated Z2JZ--Replace HVAC Units at Building 7 and 97, USCG Base Elizabeth CIty
Attachment VI - SF25A.pdf Revision not stated USCG Station Cape Charles Sewage Lift Station Repairs
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SF25A-23a.pdf Revision not stated Z2FA--USCG Outer Banks Housing Deck and Stair Replacement
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Printing C:\\DOCUME~1\\...\\SET2~1\\SF24.FRP Administrator D:20050405162709Z D:20050410144405- 04'00'

PAYMENT BOND

(See instructions on reverse)

DATE BOND EXECUTED

(Must be the same or later than date of contract)

OMB NO. : 9000-0045

Public reporting burden for this collection of information is estimated to average 25 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the FAR Secretariat (MVR), Federal Acquisition Policy Division, GSA, Washington, DC 20405.

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

INDIVIDUAL

JOINT VENTURE

PARTNERSHIP

CORPORATION

STATE OF INCORPORATION

SURETY(IES) (Name and business address)

PENAL SUM OF BOND

MILLION(S)

THOUSAND(S)

HUNDRED(S)

CENT(S)

CONTRACT DATE

CONTRACT NO.

OBLIGATION:

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.

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

WITNESS:

The Principal and Surety(ies) executed this performance bond and affixed their seals on the above date.

PRINCIPAL

Corporate Seal (Seal) (Seal) (Seal)

SIGNATURE(S)

1.

NAME(S) & TITLE(S) (Typed) 1.

2.

2.

3.

3.

INDIVIDUAL SURETY(IES)

2.

2.

(Seal) (Seal)

SIGNATURE(S)

1.

NAME(S) (Typed) 1.

CORPORATE SURETY(IES)

Corporate Seal

SURETY A

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

AUTHORIZED FOR LOCAL REPRODUCTION

STANDARD FORM 25A (REV. 10-98)

Previous edition is usable Prescribed by GSA - FAR (48 CFR) 53.228(c) This form was electronically produced by USDA/ARS/OCIO/ADB.

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed) Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal

NAME & ADDRESS

SURETY B

STATE OF INC.

LIABILITY LIMIT ($)

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed) 1.

1.

2.

2.

SURETY C

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

SURETY D

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

SURETY E

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

SURETY F

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

SURETY G

STATE OF INC.

LIABILITY LIMIT ($)

1.

1.

2.

2.

INSTRUCTIONS

1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under the Act of August 24, 1935, 49 Stat. 793 (40 U.S.C. 270a-270e). 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.

STANDARD FORM 25A (REV. 10-98) BACK

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed)

NAME & ADDRESS

SIGNATURE(S )

NAME(S) &

TITLE(S)

(Typed) CORPORATE SURETY(IES) (Continued)

ffSignImage01:
ffSignImage02:
ffSignImage03:
ffSignImage04:
ffSignImage05:
ffSignImage06:
ffSignImage07:
CHECK IF ORGANIZATION TYPE IS AN INDIVIDUAL: 0
CHECK IF ORGANIZATION TYPE IS A PARTNERSHIP: 0
CHECK IF ORGANIZATION TYPE IS A JOINT VENTURE: 0
CHECK IF ORGANIZATION TYPE IS A CORPORATION: 0
ENTER THE DATE THIS BOND WAS EXECUTED:
ENTER THE BID DATE:
ENTER THE MILLIONS AMOUNT OF THE PENAL SUM OF BOND:
ENTER THE THOUSANDS AMOUNT OF THE PENAL SUM OF BOND:
ENTER THE HUNDREDS AMOUNT OF THE PENAL SUM OF BOND:
ENTER THE CENTS AMOUNT OF THE PENAL SUM OF BOND:
ENTER THE LIABILITY AMOUNT FOR THE FIRST CORPORATE SURETY:
ENTER THE LEGAL NAME AND BUSINESS ADDRESS OF THE PRINCIPAL:
ENTER THE STATE OF INCORPORATION:
ENTER THE LEGAL NAME AND BUSINESS ADDRESS OF THE SURETY(IES):
ENTER THE CONTRACT NUMBER:
ENTER THE NAME OF THE FIRST PRINCIPAL:
ENTER THE NAME OF THE SECOND PRINCIPAL:
ENTER THE NAME OF THE THIRD PRINCIPAL:
ENTER THE NAME OF THE FIRST INDIVIDUAL:
ENTER THE NAME OF THE SECOND INDIVIDUAL:
ENTER THE NAME OF THE FIRST CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE FIRST CORPORATE SURETY:
ENTER THE FIRST NAME OF THE FIRST CORPORATE SURETY:
ENTER THE SECOND NAME OF THE FIRST CORPORATE SURETY:
Click to return to catalog:
Click to print form:
BtnNam:
Name of record: SF-25A PAYMENT BOND
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ENTER THE LIABILITY AMOUNT FOR THE SECOND CORPORATE SURETY:
ENTER THE LIABILITY AMOUNT FOR THE THIRD CORPORATE SURETY:
ENTER THE LIABILITY AMOUNT FOR THE FOURTH CORPORATE SURETY:
ENTER THE LIABILITY AMOUNT FOR THE FIFTH CORPORATE SURETY:
ENTER THE LIABILITY AMOUNT FOR THE SIXTH CORPORATE SURETY:
ENTER THE LIABILITY AMOUNT FOR THE SEVENTH CORPORATE SURETY:
ENTER THE NAME OF THE SECOND CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE SECOND CORPORATE SURETY:
ENTER THE FIRST NAME OF THE SECOND CORPORATE SURETY:
ENTER THE SECOND NAME OF THE SECOND CORPORATE SURETY:
ENTER THE NAME OF THE THIRD CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE THIRD CORPORATE SURETY:
ENTER THE FIRST NAME OF THE THIRD CORPORATE SURETY:
ENTER THE SECOND NAME OF THE THIRD CORPORATE SURETY:
ENTER THE NAME OF THE FOURTH CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE FOURTH CORPORATE SURETY:
ENTER THE FIRST NAME OF THE FOURTH CORPORATE SURETY:
ENTER THE SECOND NAME OF THE FOURTH CORPORATE SURETY:
ENTER THE NAME OF THE FIFTH CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE FIFTH CORPORATE SURETY:
ENTER THE FIRST NAME OF THE FIFTH CORPORATE SURETY:
ENTER THE SECOND NAME OF THE FIFTH CORPORATE SURETY:
ENTER THE NAME OF THE SIXTH CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE SIXTH CORPORATE SURETY:
ENTER THE FIRST NAME OF THE SIXTH CORPORATE SURETY:
ENTER THE SECOND NAME OF THE SIXTH CORPORATE SURETY:
ENTER THE NAME OF THE SEVENTH CORPORATE SURETY:
ENTER THE STATE OF INCORPORATION OF THE SEVENTH CORPORATE SURETY:
ENTER THE FIRST NAME OF THE SEVENTH CORPORATE SURETY:
ENTER THE SECOND NAME OF THE SEVENTH CORPORATE SURETY:
SIGNATURE AND TITLE:
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