Page images
PDF
EPUB
[graphic]

$ 1-16.901_35 Standard Form 35: Annual Performance Bond. is to

(a) Page 1 of Standard Form 36.

(b) Page 2 of Standard Form 35.

INSTRUCTI

[merged small][merged small][merged small][merged small][merged small][merged small][ocr errors][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small][merged small]

KNOW ALL MEN BY THESE PRESENTS, That we, the Principal and Surety (ies) hereto, are firmb
bound to the United States of America (hereinafter called the Government) in the above penal seu
for the payment of which we bind ourselves, our heirs, executors, administrators, and successora
jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, that whereas the principal contemplates entering
into contracts, from time to time during the fiscaldar bez bike wh, with the Government, repte
sented by the department or agency shown abovet for Kunishing supplies or services to the
Government, and desires that all sucha contatta a cavch bet toy one bond instead of by separar
performance bond for each contriasat
Now, THEREFORE, if the Pyinmypapshal Ipet iblish land fulfill all the undertakings, covenants, termes
conditions, and agreement say ang much contracts so entered into during the original tem
thereof and any extensions that hady be granted by the Government, with or without notice to the
surety (ies) and during the file or any guaranty required under the contracts, and shall also per
form and fulfill all the undertakings, covenants, terms, conditions, and agreements of

and il
duly authorized modifications of such contracts, that may hereafter be made, notice of which
modifications to the surety (ies) being hereby waived, then the above obligation shall be void set
of no effect.
IN WITNESS WHEREOF, the Principal and Surety (ies) have executed this performance bond and
have affixed their seals on the date set forth above.

any

[blocks in formation]

(b) Page 2 of Standard Form 35.

INSTRUCTIONS

1. This form may be used in connection with the procurement of supplies or services, excluding construction, in lieu of Standard Form 25 (Performance Bond). Thore shall be no deviation from this form without approval by the Administrator of General Services.

2. The full legal name and business address Principal shall be inserted in the space designated cipal" on the face of this form. The end shall signed by an authorized person. Hersysh person's signing in a representative capacity 12.8., an atrofiteye in-fact), but is not a member on the impakteership, or joint venture, or an officers corporation involved, evidence of his authority wust be furnished.

3. (a) Where a corporation executes the bond, it must be one appearing on the Treasury Department's

list of approved sureties and must be acting within the limitations set forth therein.

(b) ben ibdividual sureties execute the bond, they ra le tide or Apore responsible persons. A completed Affidavit Air dual Surety (Standard Form 28) for dach indiviele Surety, shall accompany the bond. Such sunatial may be required to furnish additional substan

ding information concerning their assets and financial Yapability as the Government may require.

4. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "Seal"; and, if executed in Maine or New Hampshire, shall also affix an adhesive seal.

5. The name of each person signing this annual per formance bond should be typed in the space provided.

[graphic]

711

[graphic]
[blocks in formation]

1. Total (2+3+4)
2 Formally advertised
1 Negotiated

Procurements under other agency contracts (5+6)

Fed. Sup. Sched. & other GSA contracts
Other
agency contracts
PART 1 STATISTICS ON SELEC

(Breakouts of procureme 1. Small business set-asides (8+9)

Other than construction set-asides

Construction set-asides Il Procurements in labor surplus areas (11+14) 11 Under preference procedures (12+13) 12 With certified-eligible concerns

With other labor surplus area concerned

Under nonpreference prostrien 1. Procurement of constructid

SPECIMEN

I. Procurement from educational to dilutions and nonprofit

spanizations

[ocr errors]

"Procurement not broken out under the agency's reporting system mited from Part II. However, the dollar amounts of such cut a

PART 11ISMALL BUSINESS 17. Dolar amount of subcontract and purchase commitments unde

the Small Business Subcontracting Program 12 No. of prime contractors submitting small business

wbcontracting mports

[merged small][ocr errors][merged small][ocr errors][ocr errors]

8 1-16.901-37 Standard Form 37: Report on Procurement by Civilian Executive

Agencics. (a) Page 1 of Standard Form 37.

PERIOD COVERED

Budget Bureau
Approval No.

29-R 0010

REPORT ON PROCUREMENT
BY CIVILIAN EXECUTIVE AGENCIES

(Se lastructions on REPORTING AGENCY (laclude burean, fost, as.)

[graphic]

NET DOLLAR AMOUNT PROCURED

(Round to Nearest bontand) PROCUREMENTS REPORTED

TOTAL

SMALL BUSINESS OTHER THAN
CONCERNS SMALL BUSINESS

d
PART TOTAL PRIME PROCUREMENT
1. Total (2+3+4)
2. Formally advertised
3. Negotiated
4. Procurements under other agency contracts (5+6)
5. Fed. Sup. Sched. & other GSA contracts
6. Other agency contracts

PART I STATISTICS ON SELECTED TYPES OF PROCUREMENT

(Breakouts of procurements reported in Part 1) 7. Small business set-asides (8 +9)

xox 8. Other than construction set-asides

XOOX 9. Construction set asides

xxx 10. Procurements in labor surplus areas (11+14) 11. Under preference procedures (12+13) 12. With certified-eligible concerns 13. With other labor surplus area conceput

Under nonpreference procedures 15. Procurement of construction 16. Procurement from educatiopal in thutions and nonprofit organizations

Xbox

Xwex Procurement not broken out under the agency's reporting system, due to dollar value floors on reportable transactions, may be omitted from Part II. However, the dollar amounts of such cut ofts must be entered under "Remarks."

PART IISMALL BUSINESS SUBCONTRACTING PROGRAM 17. Dollar amount of subcontract and purchase commitments under

the Small Business Subcontracting Program 18. No. of prime contractors submitting small business subcontracting reports

XXXXXXXXXXXXXXXXXXXXXXXXXooox Romarks

SPECIMEN

SUBMITTED BY (Signame)

TITLE

DATE

37-100

Standard Form 17-Juno 100 dite General Services Administration FPR (MI CFT 1-1.

[graphic]
[graphic]

Title 41—Public Contracts, Property Managemer Chapter 1–Federal Procurement Regulati (b) Page 2 of Standard Form 37.

CATEDTL 11-16.901-44 Standard Form 44. Purchase I. GENERAL INSTRUCTIONS

(8) Front and reverse of cover of Standard Fc A Submission of Reports. Cumulative reports are to be sub C. Definitions. mitted semi-annually within 45 calendar days after the end of (1) “Net Dollar Amount Procured" or "Dollar Amount each reporting period. One report for the 6-month period ending the actual or estimated cost to the Government of the property December 31, and the other for the 12-month period ending June 30 of each year.

services procured. In most instances, this is the dialet

incurred. B. Procurements To Be Reported. Except as otherwise provided (2) "Small Business Concern" means any firm which tends to herein, the report shall include the dollar amount of all commitments which obligate the Government to an expenditure of funds

criteria established by Title 13, Chapter 1, Part 121 of the Code

of Federal Regulations. for property and services (including maintenance, repair and construction of buildings, roads, etc.; and research and develop

(3) "Labor Surplus Area" means any geographical area of ment). The dollar amount for small purchases under $2,500 may

stantial unemployment, persistent unemployment, and any be developed by generally accepted statistical sampling methods,

tion of concentrated unemployment or underemployment, and purchases under $100 may be excluded from Lines numbered

defined and classified in the Department of Labor publication 2 and 3. Also, exclude procurements (1) from Governmental

"Area Trends in Employment and Unemployment." (See FPR 1sources of supply, such as D.C. Government, Federal Prisons

16.804-4 regarding principal place of performance.) Industries, Inc., Government Printing Office, and General Services Administration (supply depots, fuel yards, etc.); and (2) for trans

(4) "Other Than Small Business" means large business com portation by government bill of lading and transportation of

cerns, non-profit organizations, educational institutions, and try

othersama denkt meet the criteria for classification as a small personnel.

business concern

PURCHASE ORDER -- INVOICE – VOUCHER

IL HALSTRUCTIONS KOALINE ENTRIES

rekcare erator hatory lines) Line 1. Enter the total dollar amount daardoortable

sedcurements for construction, supplies, equipmena prvices, includ

Line 6. Enter the dollar amount of procurements under contra ing set-asides for small business and set asides under Defense

entered into by other agencies, except those reported on Liens Manpower Policy 4.

Line 11. Enter the dollar amount of procurements awarded by Line 2. Enter the dollar amount of reportable procurements awarded by the reporting agency which involve formal advertising

the reporting agency in Labor Surplus Areas under preferen (see FPR Part 1-2). NOTE: "Restricted" advertising for small busi

procedures, including set-asides and tie bids (see FPR 1-1.807 ness and balance of payments is reportable in Line 3.

Line 14. Enter the dollar amount of procurements awarded by Une 3. Enter the dollar amount of reportable procurement

the reporting agency in Labor Surplus Areas under non-preferend awarded by the reporting agency which involve negotiation (see

procedures (see FPR 1-1.807). FPR Part 1-3), including "restricted" advertising for small business, and balance of payments, and the set-aside portion for

Line 15. Enter the dollar amount of contracts for construction partial set-asides.

alteration, and repair (including painting and decorating) of bold Line 4. Enter the dollar amount of reportable procurements, un.

ings, bridges, roads or other real property. der contracts established by another agency, from non-Federal established sources of supply, including orders placed with com.

Line 17. Enter the dollar amount of subcontract and purchase mercial suppliers under Federal Supply Schedule contracts, GSA

commitments reported by prime contractors under the Smal local service contracts, Defense Supply Agency contracts for pe

Business Subcontracting Program (see FPR 1-16,804-5). Due to troleum, etc.

timing factors, this dollar amount need not be directly related to Line 5. Enter the dollar amount of all procurements (regardless

prime contracts placed during any reporting period. of amount) under Federal Supply Schedule contracts and GSA local service contracts with non-Federal sources of supply.

Line 18. Enter the number of prime contractors that are cu

rently submitting small business subcontracting reports.

BUS. GOVERNMENT PRINTING OFFICE, IM-0-300-454756Reverse side of SF 37 June 1968 Edition (33 FR 17294, Nov. 22, 1968]

SPECLE

« PreviousContinue »