GSA Form SF-25A Payment Bond

GSA Form STANDARD25A is a U.S. General Services Administration form also known as the "Payment Bond". The latest edition of the form was released in August 1, 2016 and is available for digital filing.

Download an up-to-date GSA Form STANDARD25A in PDF-format down below or look it up on the U.S. General Services Administration Forms website.

ADVERTISEMENT
DATE BOND EXECUTED (Must be same or later than date of
PAYMENT BOND
OMB Control Number: 9000-0045
contract)
Expiration Date: 7/31/2019
(See instructions on reverse)
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 60 minutes 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: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F
Street, NW, Washington, DC 20405.
PRINCIPAL (Legal name and business address)
TYPE OF ORGANIZATION ("X" one)
PARTNERSHIP
JOINT VENTURE
INDIVIDUAL
CORPORATION
OTHER (Specify)
STATE OF INCORPORATION
PENAL SUM OF BOND
SURETY(IES) (Name(s) and business address(es))
MILLION(S)
THOUSAND(S) HUNDRED(S)
CENTS
CONTRACT DATE
CONTRACT NUMBER
OBLIGATION:
We, the Principal and Surety(ies), are firmly bound to the United States of America (hereinafter called the Government) in the above penal
sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However,
where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as
"severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself,
jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit is indicated, the limit of
liability is the full amount of the penal sum.
CONDITIONS:
The above obligation is void if the Principal promptly makes payment to all persons having a direct relationship with the Principal or a
subcontractor of the Principal for furnishing labor, material or both in the prosecution of the work provided for in the contract identified above,
and any authorized modifications of the contract that subsequently are made. Notice of those modifications to the Surety(ies) are waived.
WITNESS:
The Principal and Surety(ies) executed this payment bond and affixed their seals on the above date.
PRINCIPAL
1.
2.
3.
SIGNATURE(S)
Corporate
(Seal)
(Seal)
(Seal)
Seal
1.
2.
3.
NAME(S) &
TITLE(S)
(Typed)
INDIVIDUAL SURETY(IES)
1.
2.
SIGNATURE(S)
(Seal)
(Seal)
NAME(S)
1.
2.
(Typed)
CORPORATE SURETY(IES)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
Corporate
1.
2.
SIGNATURE(S)
Seal
NAME(S) &
1.
2.
TITLE(S)
(Typed)
STANDARD FORM 25A (REV. 8/2016)
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is NOT usable
Prescribed by GSA-FAR (48 CFR) 53.2228(c)
DATE BOND EXECUTED (Must be same or later than date of
PAYMENT BOND
OMB Control Number: 9000-0045
contract)
Expiration Date: 7/31/2019
(See instructions on reverse)
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 60 minutes 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: General Services Administration, Regulatory Secretariat Division (M1V1CB), 1800 F
Street, NW, Washington, DC 20405.
PRINCIPAL (Legal name and business address)
TYPE OF ORGANIZATION ("X" one)
PARTNERSHIP
JOINT VENTURE
INDIVIDUAL
CORPORATION
OTHER (Specify)
STATE OF INCORPORATION
PENAL SUM OF BOND
SURETY(IES) (Name(s) and business address(es))
MILLION(S)
THOUSAND(S) HUNDRED(S)
CENTS
CONTRACT DATE
CONTRACT NUMBER
OBLIGATION:
We, the Principal and Surety(ies), are firmly bound to the United States of America (hereinafter called the Government) in the above penal
sum. For payment of the penal sum, we bind ourselves, our heirs, executors, administrators, and successors, jointly and severally. However,
where the Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sum "jointly and severally" as well as
"severally" only for the purpose of allowing a joint action or actions against any or all of us. For all other purposes, each Surety binds itself,
jointly and severally with the Principal, for the payment of the sum shown opposite the name of the Surety. If no limit is indicated, the limit of
liability is the full amount of the penal sum.
CONDITIONS:
The above obligation is void if the Principal promptly makes payment to all persons having a direct relationship with the Principal or a
subcontractor of the Principal for furnishing labor, material or both in the prosecution of the work provided for in the contract identified above,
and any authorized modifications of the contract that subsequently are made. Notice of those modifications to the Surety(ies) are waived.
WITNESS:
The Principal and Surety(ies) executed this payment bond and affixed their seals on the above date.
PRINCIPAL
1.
2.
3.
SIGNATURE(S)
Corporate
(Seal)
(Seal)
(Seal)
Seal
1.
2.
3.
NAME(S) &
TITLE(S)
(Typed)
INDIVIDUAL SURETY(IES)
1.
2.
SIGNATURE(S)
(Seal)
(Seal)
NAME(S)
1.
2.
(Typed)
CORPORATE SURETY(IES)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
Corporate
1.
2.
SIGNATURE(S)
Seal
NAME(S) &
1.
2.
TITLE(S)
(Typed)
STANDARD FORM 25A (REV. 8/2016)
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is NOT usable
Prescribed by GSA-FAR (48 CFR) 53.2228(c)
CORPORATE SURETY(IES) (Continued)
NAME &
STATE OF INCORPORATION
LIABILITY LIMIT
ADDRESS
$
1.
Corporate
2.
SIGNATURE(S)
Seal
1.
2.
NAME(S) &
TITLE(S)
(Typed)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
Corporate
1.
2.
SIGNATURE(S)
Seal
1.
NAME(S) &
2.
TITLE(S)
(Typed)
LIABILITY LIMIT
STATE OF INCORPORATION
NAME &
ADDRESS
$
1.
Corporate
2.
SIGNATURE(S)
Seal
NAME(S) &
1.
2.
TITLE(S)
(Typed)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
Corporate
1.
2.
SIGNATURE(S)
Seal
1.
NAME(S) &
2.
TITLE(S)
(Typed)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
1.
Corporate
2.
SIGNATURE(S)
Seal
1.
NAME(S) &
2.
TITLE(S)
(Typed)
STATE OF INCORPORATION
LIABILITY LIMIT
NAME &
ADDRESS
$
Corporate
1.
2.
SIGNATURE(S)
Seal
NAME(S) &
1.
2.
TITLE(S)
(Typed)
INSTRUCTIONS
1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under 40 USC Chapter 31, Subchapter III,
Bonds. Any deviation from this form will require the written approval of the Administrator of General Services.
2. Insert the full legal name and business address of the Principal in the space designated "Principal" on the face of the form. An authorized person shall sign the
bond. Any person signing in a representative capacity (e.g., an attorney-in-fact) must furnish evidence of authority if that representative is not a member of the
firm, partnership, or joint venture, or an officer of the corporation involved.
3. (a) Corporations executing the bond as sureties must appear on the Department of the Treasury's list of approved sureties and must act within the limitations
listed therein. The value put into the LIABILITY LIMIT block is the penal sum (i.e., the face value) of the bond, unless a co-surety arrangement is proposed.
(b) When multiple corporate sureties are involved, their names and addresses shall appear in the spaces (Surety A, Surety B, etc.) headed "CORPORATE
SURETY(IES)." In the space designated "SURETY(IES)" on the face of the form, insert only the letter identifier corresponding to each of the sureties. Moreover,
when co-surety arrangements exist, the parties may allocate their respective limitations of liability under the bonds, provided that the sum total of their liability
equals 100% of the bond penal sum.
(c) When individual sureties are involved, a completed Affidavit of Individual Surety (Standard Form 28) for each individual surety shall accompany the bond.
The Government may require the surety to furnish additional substantiating information concerning its financial capability.
4. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the words "Corporate Seal", and shall affix an
adhesive seal if executed in Maine, New Hampshire, or any other jurisdiction requiring adhesive seals.
5. Type the name and title of each person signing this bond in the space provided.
STANDARD FORM 25A (REV. 8/2016) BACK

Download GSA Form SF-25A Payment Bond

582 times
Rate
4.7(4.7 / 5) 25 votes
ADVERTISEMENT
Page of 2