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pdf1. CONTRACT NUMBER
CONSENT OF SURETY
2. MODIFICATION NUMBER
3. DATED
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.
a. NAME OF PRINCIPAL
4. INDIVIDUAL
PRINCIPAL
c. SIGNATURE
b. BUSINESS ADDRESS
STREET ADDRESS
(Affix Seal)
e. TYPED TITLE
CITY
STATE
ZIP CODE
a. NAME OF PRINCIPAL
5. CORPORATE
PRINCIPAL
d. TYPED NAME
f. DATE THIS CONSENT EXECUTED
c. PERSON EXECUTING CONSENT (Signature)
b. BUSINESS ADDRESS
STREET ADDRESS
d. TYPED NAME
(Affix Seal)
e. TYPED TITLE
CITY
STATE
ZIP CODE
f. DATE THIS CONSENT EXECUTED
6. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)
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.
a. CORPORATE/INDIVIDUAL SURETY'S NAME
c. PERSON EXECUTING CONSENT (Signature)
d. TYPED NAME
b. BUSINESS ADDRESS
A
(Affix Seal)
STREET ADDRESS
e. TYPED TITLE
CITY
STATE
ZIP CODE
a. CORPORATE/INDIVIDUAL SURETY'S NAME
B
c. PERSON EXECUTING CONSENT (Signature)
d. TYPED NAME
b. BUSINESS ADDRESS
(Affix Seal)
STREET ADDRESS
e. TYPED TITLE
CITY
STATE
ZIP CODE
a. CORPORATE/INDIVIDUAL SURETY'S NAME
f. DATE THIS CONSENT EXECUTED
c. PERSON EXECUTING CONSENT (Signature)
d. TYPED NAME
b. BUSINESS ADDRESS
C
f. DATE THIS CONSENT EXECUTED
(Affix Seal)
e. TYPED TITLE
STREET ADDRESS
CITY
STATE
ZIP CODE
f. DATE THIS CONSENT EXECUTED
(Add similar signature blocks on the back of this form if necessary for additional co-Sureties)
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is usable
STANDARD FORM 1414 (REV. 5-97)
Prescribed by GSA - FAR (48 CFR) 53.228(k)
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 2022-07-06 |