SF25A-16d (1).docx
DOCX document 17 KB Posted
- Attached to
- Water main extension Grayhorse, Oklahoma
- Solicitation number
- 246-25-Q-0078
About this file
The document is a Standard Form 25A Payment Bond, which is a legal instrument used to guarantee payment to laborers and material suppliers for a federal contract. The bond is associated with a water main extension project in Grayhorse, Oklahoma, solicited by the Indian Health Service under RFQ 246-25-Q-0078. The procurement is a 100% Indian-owned set-aside under NAICS code 237110, with an estimated award value between $25,000 and $100,000.
Key project details include a 90-calendar day performance period, an official site visit scheduled for July 17, 2025, and a quote submission deadline of August 12, 2025. Vendors must provide a firm fixed-price quote, technical specifications, two relevant past performance references, a Buy Indian Act Indian Economic Enterprise Representation Form, and a bid bond. Quotes will be evaluated on an acceptable/non-acceptable basis, ranked by price, and assessed for technical acceptability, with the award going to the lowest-priced, technically acceptable offeror meeting all specifications.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Construction Clauses-DEVIATION FEB 2025.docx | DOCX document | |
| IHS IEE Representation Form_Jan 2022_508 Compliant.pdf | ||
| SF18-95a Request for Quote.docx | DOCX document | |
| Bid Sheet.pdf | ||
| Drawings-Stamped Plans-.pdf | ||
| J Bills Stamped Specs-.pdf | ||
| SF24-16d (1).docx | DOCX document | |
| ok30 (1).txt | TXT text file | |
| SF25-16d1 (1).docx | DOCX document | |
| Map with meeting location. WATER LINE EXTENSION-GRAYHORSE INDIAN VILLAGE.pdf |
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Text version
PAYMENT BOND
(See instructions on reverse)
| DATE BOND EXECUTED (Must be same or later than date of contract) |
| OMB Control Number: 9000-0045 Expiration Date: 8/31/2022 |
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 |
| CONTRACT DATE |
| CONTRACT NUMBER |
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 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 payment bond and affixed their seals on the above date.
PRINCIPAL
SIGNATURE(S)
1.
(Seal) 2.
(Seal) 3.
(Seal)
Corporate 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)
| SURETY 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)
Prescribed by GSA-FAR (48 CFR) 53.2228(c)
CORPORATE SURETY(IES) (Continued)
| SURETY B |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
(Typed)
| 1. |
| 2. |
| SURETY C |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
| 1. |
| 2. |
| SURETY D |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
| 1. |
| 2. |
| SURETY E |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
| 1. |
| 2. |
| SURETY F |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
| 1. |
| 2. |
| SURETY G |
| NAME & ADDRESS |
| STATE OF INCORPORATION |
| LIABILITY LIMIT |
| SIGNATURE(S) |
| 1. |
| 2. |
NAME(S) & TITLE(S)
| 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. 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 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. The Government 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) BACK
File details come from the government source that posted it. Updated .