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pdfConsent Of
Surety
1. Contract Number 2. Modification
Number
3. Dated
OMB Control Number: 9000-0001
Expiration Date: 1/31/2027
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.
4. Individual
Principal
a. Name Of Principal
c. Signature
b. Business Address
d. Typed Name
Street Address
e. Typed Title
5. Corporate
Principal
f. Date This Consent Executed
State Zip Code
City
a. Name Of Principal
c. Person Executing Consent
(Signature)
b. Business Address
d. Typed Name
Street Address
e. Typed Title
City
(Affix Seal)
State Zip Code
(Affix Seal)
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
a. Corporate/Individual Surety's Name
c. Person Executing Consent
(Signature)
b. Business Address
d. Typed Name
Street Address
e. Typed Title
City
State Zip Code
(Affix Seal)
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 Not Usable
STANDARD FORM 1414 (REV. 10/2023)
Prescribed by GSA - FAR (48 CFR) 53.228(k)
6. Corporate/Individual Surety (Co-Sureties) Continued
B
a. Corporate/Individual Surety's Name
c. Person Executing Consent
(Signature)
b. Business Address
d. Typed Name
Street Address
e. Typed Title
City
C
State Zip Code
f. Date This Consent Executed
a. Corporate/Individual Surety's Name
c. Person Executing Consent
(Signature)
b. Business Address
d. Typed Name
Street Address
e. Typed Title
City
State Zip Code
(Affix Seal)
(Affix Seal)
f. Date This Consent Executed
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
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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 1414 (REV. 10/2023) BACK
File Type | application/pdf |
File Title | Standard Form 1414 - Consent of Surety |
File Modified | 2024-02-13 |
File Created | 2024-02-13 |