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of said

of the corporation named as principal in the within bond; that who signed the said bond on behalf of the principal, was then corporation; that I know his signature, and his signature thereto is genuine; and that said bond was duly signed, sealed, and attested for and in behalf of said corporation by authority of its governing body.

INSTRUCTIONS

CORPORATE
SEAL

1. This form, for the protection of person supplying labor and material for construction work, shall be used whenever a payment bond under the act of Aug 24, 1935, 49 Stat.793, as amended (40 U. S. C. 270a-270e), is required and two or more corporate suretics authorized by the Secretary of the Treasury to act as surety, each limiting its liability to a portion only of the total penalty, are to execute the bond. It may also be used in any other case in which a payment bond is to be required. There shall be no deviation from this form except as authorized by the General Services Administration.

2. The letter, such as B, F, or applicable to the last surety listed in the schedule, must be inserted in the space indicated in the body of the bond. In cases involving only two sureties the word "to" following "Surety A" should be changed and by interline ation, and the word "inclusive" should be stricken. When more than 11 sureties afere the bond, attach Standard Form 27B, Continuation Sheet, and identify sureties beginning with "L the first sheet.

3. The name, including full Christian name, and residence of each individual party to the bond shall be inserted in the space provided therefor, and each such party shall sign the bond with his usual signature on the line opposite the scroll seal, and if signed in Maine or New Hampshire, an adhesive seal shall be affixed opposite the signature.

4. If the principals are partners, their individual names shall appear in the space provided therefor, with the recital that they are partners composing a firm, naming it, and all the members of the firm shall execute the bond as individuals.

5. The name of the State in which each surety is incorporated and the State of incorporation of the principal, if a corporation, shall be inserted in the appropriate place in the bond, and said instrument shall be executed and attested under the corporate seal as indicated in the form. If the corporation has no corporate seal the fact shall be stated, in which case a scroll or adhesive seal shall appear following the corporate name.

6. The official character and authority of the person or persons executing the bond for the principal, if a corporation, shall be certified by the secretary or assistant secretary, according to the form set forth above. In lieu of such certificate there may be attached to the bond copies of so much of the records of the corporation as will show the official character and authority of the officer signing, duly certified by the secretary or assistant secretary, under the corporate seal, to be true copics.

7. The date of this bond must not be prior to the date of the instrument in connection with which it is given.

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§ 1-16.901-27B Bond.

Standard Form 27B: Continuation Sheet, Corporate Co-Surety

(a) Page 1 of Standard Form 27B, Continuation Sheet.

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(b) Page 2 of Standard Form 27B, Continuation Sheet.

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§ 1-16.901-28

Standard Form 28: Affidavit of Individual Surety.

(a) Page 1 of Standard Form 28.

STANDARD FORM 28

NOVEMBER 1950 EDITION

GENERAL SERVICES ADMINISTRATION

FED. PROC. REG. (41 CFR) 1.16.801

STATE OF

COUNTY OF

AFFIDAVIT OF INDIVIDUAL SURETY
(See Instructions on Reverse)

SS:

I, the person whose signature appears below as surety, being duly sworn, depose and say that I am one of the sureties to the attached bond; that I am a citizen of the United States, and of full age and legally competent; that I am not a partner in the business of the principal on the bond or bonds on which I appear or may appear as surety; that the information herein below furnished is true and correct. This affidavit is made to induce the United States of America to accept me as surety on the attached bond. MY ADDRESS (street and number, city and State)

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STAHORNO

AMOUNT I AM WORTH IN REAL ESTATE AND PERSONAL PROPERTY OVER AND ABOVE (1) ALL MY DEBTS AND LIABILITIES OWING AND INCURRED. (2) ANY PROPERTY EXEMPT FROM EXECUTION, (3) ANY PECUNIARY INTEREST I HAVE IN THE BUSINESS OF THE PRINCIPAL ON SAID BOND, AND (4) ANY INTEREST I HAVE IN ANY SO-CALLED COMMUNITY PROPERTY

THE ABOVE PERSONAL PROPERTY CONSISTS OF THE FOLLOWING

ALL OTHER BONDS ON WHICH I AM SURETY (state character and amount of each bond; if none, so state)

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(b) Page 2 of Standard Form 28.

CERTIFICATE OF SUFFICIENCY

I HEREBY CERTIFY, That the surety named herein is personally known to me; that, in my judgment, said surety is responsible, and qualified to act as such; and that, to the best of my knowledge and belief, the facts stated by said surety in the foregoing affidavit are true.

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1. This form shall be used whenever sureties on bonds to be executed in connection with Government contracts are individual sureties. There shall be no deviation from this form except as authorized by the General Services Administration.

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2. A firm, as such, will not be accepted as a surety, nor a parmex for copartners or for a firm of which he is a member. Stockholders of a corporate principal may be accepted as sureties provided their qualifications as such are independent of their stock holdings therein. Sureties, if individuals, shall be citizens of the United States, except that sureties on bonds executed in any foreign country, the Canal Zone, Puerto Rico, Hawaii, Alaska, Guam, or any possession of the United States, for the performance of contracts entered into in these places, need not be citizens of the United States, but not citizens of the United States shall be domiciled in the place where the contract is to be performed

3. The individual surety shall justify, under ath a sum not less than the penalty of the bond, according to the form appearing on the face hereof before United States commissioner, a clerk of a United States court, a notary public, or some other officer having authority to administer oaths generally. If the officer has an official seal, it shall be affixed, otherwise the proper certificate as to his official character shall be furnished. Where citizenship is not required, as provided in paragraph 2 of these instructions, the affidavit may be amended accordingly.

4. The certificate of sufficiency shall be signed by an officer of a bank or trust company, a judge or clerk of a court of record, a United States district attorney or commissioner, a postmaster, a collector or deputy collector of internal revenue, or any other officer of the United States acceptable to the department or establishment concerned. Further certificates as to the financial qualification of the sureties may be required from time to time. Such certificates must be based on the personal investigation of the certifying officers at the time of the making thereof, and not upon prior certificates.

U.S. GOVERNMENT PRINTING OFFICE 16-63324-1

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