ATTACHMENT - 4 - SF25B PAYMENT BOND CONTINUATION SHEET.pdf
PDF 736 KB Posted
- Attached to
- JMTC-RI Concrete Trench Fill-In
- Solicitation number
- W9098S-20-R-0010
About this file
This Standard Form 25B Continuation Sheet provides details for a payment bond for an unnamed principal. It lists 26 corporate sureties (Sureties H through Y) acting as co-sureties, including each surety's name, address, state of incorporation, liability limit, and two name/title lines for corporate officers. The related federal contract opportunity is solicitation number W9098S-20-R-0010 for JMTC-RI Concrete Trench Fill-In work. The Department of the Army Materiel Command Joint Munitions Command is the contracting agency. The solicitation, Statement of Work attachment, and pricing matrix attachment provide additional requirement details.
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Other files
| File | Type | Posted |
|---|---|---|
| B08 - Solication(Amend).pdf | ||
| ATTACHMENT - 3 - SF25 PERFORMANCE BOND.pdf | ||
| B08 - Solication(Amend).pdf | ||
| ATTACHMENT - 4 - SF25A PAYMENT BOND.pdf | ||
| B08 - Solication.pdf | ||
| Attachment 1 Concrete Trench Fill SOW.pdf | ||
| Attachment 2 Pricing Matrix.xlsx | XLSX spreadsheet | |
| B08 - Solication.pdf |
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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: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
CONTINUATION SHEET
(For Standard Forms 24, 25, and 25A)
NAME OF PRINCIPAL (Legal name and business address) TYPE OF BOND
BID (SF 24) PERFORMANCE (SF 25) PAYMENT
(SF 25A)
FURNISHED IN
CONNECTION
WITH -
BID CONTRACT
DATED -
AUTHORIZED FOR LOCAL REPRODUCTION
Previous Edition is NOT Usable
STANDARD FORM 25B (REV. 4/2019)
Prescribed by GSA - FAR (48 CFR) 53.228(d)
CORPORATE SURETY(IES)
SU
R
ET
Y
H
Name and Address
Signature(s)
Name(s) and Title(s) (Typed)
SU
R
ET
Y
I
Signature(s)
SU
R
ET
Y
J
Signature(s)
SU
R
ET
Y
K
Signature(s)
SU
R
ET
Y
L
Signature(s)
SU
R
ET
Y
M
Signature(s)
SU
R
ET
Y
N
Signature(s)
SU
R
ET
Y
O
Signature(s)
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
1. 2.
Corporate Seal
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) & Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
OMB Control Number: 9000-0045 Expiration Date: 8/31/2022
1. 2.
1.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
2.
CORPORATE SURETY(IES) (Continued)
SU
R
ET
Y P
Signature(s)
SU
R
ET
Y
Q
Signature(s)
SU
R
ET
Y
R
Signature(s)
SU
R
ET
Y
S
Signature(s)
SU
R
ET
Y
T
Signature(s)
SU
R
ET
Y
U
Signature(s)
SU
R
ET
Y
V
Signature(s)
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
SU
R
ET
Y
W
Signature(s)
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
SU
R
ET
Y
Y
Signature(s)
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
SU
R
ET
Y
X
Signature(s)
STATE OF INCORPORATION LIABILITY LIMIT
1. 2.
STANDARD FORM 25B (REV. 4/2019) BACK
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Name(s) and Title(s) (Typed)
Name and Address
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
Corporate Seal
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
1. 2.
2.1.
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: U.S. General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F Street, NW, Washington, DC 20405.
CONTINUATION SHEET
(For Standard Forms 24, 25, and 25A) NAME OF PRINCIPAL (Legal name and business address)
TYPE OF BOND
BID (SF 24)
PERFORMANCE (SF 25)
PAYMENT
(SF 25A)
FURNISHED IN
CONNECTION
WITH -
BID
CONTRACT
DATED -
AUTHORIZED FOR LOCAL REPRODUCTION
Previous Edition is NOT Usable
STANDARD FORM 25B (REV. 4/2019)
Prescribed by GSA - FAR (48 CFR) 53.228(d)
CORPORATE SURETY(IES)
SURETY H
Name and Address Signature(s) Name(s) and Title(s) (Typed)
SURETY I
Signature(s)
SURETY J
Signature(s)
SURETY K
Signature(s)
SURETY L
Signature(s)
SURETY M
Signature(s)
SURETY N
Signature(s)
SURETY O
Signature(s)
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
1.
2.
Corporate Seal
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) & Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal OMB Control Number: 9000-0045 Expiration Date: 8/31/2022 1.
2.
1.
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
2.
CORPORATE SURETY(IES) (Continued)
SURETY P
Signature(s)
SURETY Q
Signature(s)
SURETY R
Signature(s)
SURETY S
Signature(s)
SURETY T
Signature(s)
SURETY U
Signature(s)
SURETY V
Signature(s)
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
SURETY W
Signature(s)
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
SURETY Y
Signature(s)
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
SURETY X
Signature(s)
STATE OF INCORPORATION
LIABILITY LIMIT
1.
2.
STANDARD FORM 25B (REV. 4/2019) BACK
Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Name(s) and Title(s) (Typed) Name and Address Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal Corporate Seal 1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
1.
2.
2.
1.
Standard Form 25B - Continuation Sheet (for Standard Forms 24, 25, and 25A)
| NAME OF PRINCIPAL (LEGAL NAME AND BUSINESS ADDRESS): |
| TYPE OF BOND. BID: 0 |
| TYPE OF BOND. PERFORMANCE: 0 |
| TYPE OF BOND. PAYMENT: 0 |
| FURNISHED IN CONNECTION WITH - BID: 0 |
| FURNISHED IN CONNECTION WITH -CONTRACT: 0 |
| DATED. Enter 2 digit month, 2 digit day and 4 digit year.: |
| SURETY H. NAME & ADDRESS: |
| SURETY H. STATE OF INCORPORATE: |
| SURETY H. LIABILITY LIMIT: |
| SURETY H. 1. Name(s) & Title (s) (Typed): |
| SURETY H. 2. Name(s) & Title (s) (Typed): |
| SURETY I. 2. Name(s) & Title (s) (Typed): |
| SURETY I. LIABILITY LIMIT: |
| SURETY I. STATE OF INCORPORATE: |
| SURETY I. 1. Name(s) & Title (s) (Typed): |
| SURETY I. NAME & ADDRESS: |
| SURETY J. 2. Name(s) & Title (s) (Typed): |
| SURETY J. LIABILITY LIMIT: |
| SURETY J. STATE OF INCORPORATE: |
| SURETY J. 1. Name(s) & Title (s) (Typed): |
| SURETY J. NAME & ADDRESS: |
| SURETY K. 2. Name(s) & Title (s) (Typed): |
| SURETY K. LIABILITY LIMIT: |
| SURETY K. STATE OF INCORPORATE: |
| SURETY K. 1. Name(s) & Title (s) (Typed): |
| SURETY K. NAME & ADDRESS: |
| SURETY L. 2. Name(s) & Title (s) (Typed): |
| SURETY L. LIABILITY LIMIT: |
| SURETY L. STATE OF INCORPORATE: |
| SURETY L. 1. Name(s) & Title (s) (Typed): |
| SURETY L. NAME & ADDRESS: |
| SURETY M. 2. Name(s) & Title (s) (Typed): |
| SURETY M. LIABILITY LIMIT: |
| SURETY M. STATE OF INCORPORATE: |
| SURETY M. 1. Name(s) & Title (s) (Typed): |
| SURETY M. NAME & ADDRESS: |
| SURETY N. 2. Name(s) & Title (s) (Typed): |
| SURETY N. LIABILITY LIMIT: |
| SURETY N. STATE OF INCORPORATE: |
| SURETY N. 1. Name(s) & Title (s) (Typed): |
| SURETY N. NAME & ADDRESS: |
| SURETY O. 2. Name(s) & Title (s) (Typed): |
| SURETY O. LIABILITY LIMIT: |
| SURETY O. STATE OF INCORPORATE: |
| SURETY O. 1. Name(s) & Title (s) (Typed): |
| SURETY O. NAME & ADDRESS: |
| SURETY P: Number 1, Signature 1: |
| SURETY P. 2. Name(s) & Title (s) (Typed): |
| SURETY P. 1. Name(s) & Title (s) (Typed): |
| SURETY P. LIABILITY LIMIT: |
| SURETY P. STATE OF INCORPORATE: |
| SURETY P. NAME & ADDRESS: |
| SURETY Q. 2. Name(s) & Title (s) (Typed): |
| SURETY Q. 1. Name(s) & Title (s) (Typed): |
| SURETY Q. LIABILITY LIMIT: |
| SURETY Q. STATE OF INCORPORATE: |
| SURETY Q. NAME & ADDRESS: |
| SURETY R. 2. Name(s) & Title (s) (Typed): |
| SURETY R. 1. Name(s) & Title (s) (Typed): |
| SURETY R. LIABILITY LIMIT: |
| SURETY R. STATE OF INCORPORATE: |
| SURETY R. NAME & ADDRESS: |
| SURETY S. 2. Name(s) & Title (s) (Typed): |
| SURETY S. 1. Name(s) & Title (s) (Typed): |
| SURETY S. LIABILITY LIMIT: |
| SURETY S. STATE OF INCORPORATE: |
| SURETY S. NAME & ADDRESS: |
| SURETY T. 2. Name(s) & Title (s) (Typed): |
| SURETY T. 1. Name(s) & Title (s) (Typed): |
| SURETY T. LIABILITY LIMIT: |
| SURETY T. STATE OF INCORPORATE: |
| SURETY T. NAME & ADDRESS: |
| SURETY U. 2. Name(s) & Title (s) (Typed): |
| SURETY U. 1. Name(s) & Title (s) (Typed): |
| SURETY U. LIABILITY LIMIT: |
| SURETY U. STATE OF INCORPORATE: |
| SURETY U. NAME & ADDRESS: |
| SURETY V. 1. Name(s) & Title (s) (Typed): |
| SURETY V. LIABILITY LIMIT: |
| SURETY V. STATE OF INCORPORATE: |
| SURETY V. NAME & ADDRESS: |
| SURETY W. 2. Name(s) & Title (s) (Typed): |
| SURETY W. 1. Name(s) & Title (s) (Typed): |
| SURETY W. LIABILITY LIMIT: |
| SURETY W. STATE OF INCORPORATE: |
| SURETY W. NAME & ADDRESS: |
| SURETY X. 2. Name(s) & Title (s) (Typed): |
| SURETY X. 1. Name(s) & Title (s) (Typed): |
| SURETY X. LIABILITY LIMIT: |
| SURETY X. STATE OF INCORPORATE: |
| SURETY X. NAME & ADDRESS: |
| SURETY Y. 2. Name(s) & Title (s) (Typed): |
| SURETY Y. 1. Name(s) & Title (s) (Typed): |
| SURETY Y. LIABILITY LIMIT: |
| SURETY Y. STATE OF INCORPORATE: |
| SURETY Y. NAME & ADDRESS: |
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