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pdfOMB Control Number: 9000-0001
Expiration Date: 1/31/2027
2. Modification Number
3. Dated
Consent Of Surety And Increase Of Penalty
1. Contract Number
4. 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. The
Principal and Surety (Co-Sureties) further agree that on or after the execution of this consent, the
penalty of the performance bond or bonds is increased by
dollars ($
)
and the penalty of the payment bond or bonds is increased by
dollars ($
).
However, the increase of the liability of each Co-Surety resulting from this consent shall not exceed the
sums shown below.
5. Name Of Surety(ies)
6. Increase In
Liability Limit
Under
Performance
Bond
A.
$
$
B.
$
$
C.
$
$
8. Individual A. Business Address
Principal
7. Increase In
Liability Limit
Under
Payment
Bond
B. Signature*
C. Typed Name And Title
(Affix Seal)
D. Date This Consent Executed
9. Corporate A. Corporate Name And Business
Principal
Address
B. Person Executing Consent
(Signature) *
By
C. Typed Name And Title
(Affix
Corporate
Seal)
D. Date This Consent Executed
*The Principal or authorized representative shall execute this Consent of Surety and Increase of Penalty
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-ofAttorney or a Certificate of Corporate Principal must accompany the consent.
Authorized For Local Reproduction
Previous Edition Is Not Usable
STANDARD FORM 1415 (REV. 10/2023)
Prescribed by GSA-FAR (48 CFR) 53.228(l)
10. Corporate/Individual Surety (Co-Sureties)
A. Corporate/Individual Surety's Name And
Address
B. Person Executing Consent
(Signature)
By
A
C. Typed Name And Title
(Affix Seal)
D. Date This Consent Executed
A. Corporate/Individual Surety's Name And
Address
B. Person Executing Consent
(Signature)
By
B
C. Typed Name And Title
(Affix Seal)
D. Date This Consent Executed
Add signature blocks similar to Block C below if necessary for additional co-sureties.
A. Corporate/Individual Surety's Name And
B. Person Executing Consent
Address
(Signature)
By
C
C. Typed Name And Title
(Affix Seal)
D. Date This Consent Executed
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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 1415 (REV. 10/2023) BACK
File Type | application/pdf |
File Title | Standard Form 1415 - Consent of Surety and Increase of Penalty |
File Modified | 2024-02-13 |
File Created | 2024-02-13 |