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pdfPayment Bond
(See Instructions On Page 3)
Date Bond Executed (Must be same
OMB Control Number: 9000-0001
or later than date of contract)
Expiration Date: 1/31/2027
Principal (Legal name and business address)
Type Of Organization ("X" one)
Individual
Corporation
Partnership Joint Venture
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.
Surety A
Witness:
The Principal and Surety(ies) executed this payment bond and affixed their seals on the above date.
Principal
1.
2.
3.
Signature(s)
(Seal)
(Seal)
Corporate
(Seal)
Name(s) & 1.
Seal
3.
2.
Title(s)
(Typed)
Individual Surety(ies)
Signature(s) 1.
(Seal)
(Seal) 2.
Name(s)
2.
1.
(Typed)
Corporate Surety(ies)
State Of Incorporation Liability Limit
Name &
$
Address
Corporate
2.
Signature(s) 1.
Seal
Name(s) &
2.
1.
Title(s)
(Typed)
STANDARD FORM 25A (REV. 10/2023)
Authorized For Local Reproduction
Prescribed by GSA-FAR (48 CFR) 53.228(c)
Previous Edition Is Not Usable
Corporate Surety(ies) (Continued)
Surety B
Name &
Address
Signature(s) 1.
Name(s) & 1.
Title(s)
(Typed)
Surety C
Name &
Address
Signature(s) 1.
Name(s) & 1.
Title(s)
(Typed)
Surety D
Name &
Address
Signature(s) 1.
Surety E
Name(s) & 1.
Title(s)
(Typed)
Name &
Address
Signature(s) 1.
Surety F
Name(s) & 1.
Title(s)
(Typed)
Name &
Address
Signature(s)1.
Surety G
Name(s) & 1.
Title(s)
(Typed)
Name &
Address
Signature(s)1.
Name(s) & 1.
Title(s)
(Typed)
State Of Incorporation Liability Limit
$
2.
2.
State Of Incorporation Liability Limit
$
2.
2.
State Of Incorporation Liability Limit
$
2.
2.
State Of Incorporation Liability Limit
$
2.
2.
State Of Incorporation Liability Limit
$
2.
2.
State Of Incorporation Liability Limit
$
2.
2.
Corporate
Seal
Corporate
Seal
Corporate
Seal
Corporate
Seal
Corporate
Seal
Corporate
Seal
STANDARD FORM 25A (REV. 10/2023) PAGE 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.
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
9000-0001. 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 (MVCB), 1800 F Street, NW, Washington, DC 20405.
STANDARD FORM 25A (REV. 10/2023) PAGE 3
File Type | application/pdf |
File Title | Standard Form 25A - Payment Bond |
File Modified | 2024-02-12 |
File Created | 2024-02-12 |