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Consent of Surety: 6. Corporate/Individual Surety (Co-Sureties)

This document is a consent of surety form with fields for signatures from principals and sureties. It allows sureties to consent to modifications made to an underlying contract and confirms their bonds will still apply. Key details include fields for principal and surety names and addresses, signatures agreeing to the modification, and dates of execution. Multiple co-sureties can be included by adding additional signature blocks to the form.

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Divine RaNu
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96 views

Consent of Surety: 6. Corporate/Individual Surety (Co-Sureties)

This document is a consent of surety form with fields for signatures from principals and sureties. It allows sureties to consent to modifications made to an underlying contract and confirms their bonds will still apply. Key details include fields for principal and surety names and addresses, signatures agreeing to the modification, and dates of execution. Multiple co-sureties can be included by adding additional signature blocks to the form.

Uploaded by

Divine RaNu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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1. CONTRACT NUMBER 2. MODIFICATION NUMBER 3.

DATED OMB Control Number: 9000-0045


CONSENT OF SURETY Expiration Date: 8/31/2025
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 9000-0045. 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.

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.
a. NAME OF PRINCIPAL c. SIGNATURE

4. d. TYPED NAME
b. BUSINESS ADDRESS
INDIVIDUAL (Affix Seal)
PRINCIPAL STREET ADDRESS e. TYPED TITLE

CITY STATE ZIP CODE f. DATE THIS CONSENT EXECUTED

a. NAME OF PRINCIPAL c. PERSON EXECUTING CONSENT (Signature)

5. d. TYPED NAME
b. BUSINESS ADDRESS
CORPORATE (Affix Seal)
PRINCIPAL STREET ADDRESS
e. TYPED TITLE

CITY STATE ZIP CODE 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. CORPORATE/INDIVIDUAL SURETY'S NAME c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME
b. BUSINESS ADDRESS
A (Affix Seal)
STREET ADDRESS e. TYPED TITLE

CITY STATE ZIP CODE f. DATE THIS CONSENT EXECUTED

a. CORPORATE/INDIVIDUAL SURETY'S NAME c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME
b. BUSINESS ADDRESS
B (Affix Seal)
STREET ADDRESS e. TYPED TITLE

CITY STATE ZIP CODE f. DATE THIS CONSENT EXECUTED

a. CORPORATE/INDIVIDUAL SURETY'S NAME c. PERSON EXECUTING CONSENT (Signature)

d. TYPED NAME
b. BUSINESS ADDRESS
C (Affix Seal)
STREET ADDRESS e. TYPED TITLE

CITY STATE ZIP CODE 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 STANDARD FORM 1414 (REV. 7/2022)
Previous edition is NOT usable Prescribed by GSA - FAR (48 CFR) 53.228(k)

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