PAYMENT BOND

Document Type: 
Collection: 
Document Number (FOIA) /ESDN (CREST): 
06614875
Release Decision: 
RIPPUB
Original Classification: 
U
Document Page Count: 
2
Document Creation Date: 
March 16, 2022
Document Release Date: 
October 20, 2016
Sequence Number: 
Case Number: 
F-2016-01317
Publication Date: 
June 30, 2014
File: 
AttachmentSize
PDF icon PAYMENT BOND[15004235].pdf117.88 KB
Body: 
Approved for Release: 2016/10/18 C06614875 Bond No. 0CC47860 PAYMENT BOND (See Instructions on reverse) TE e0No exrcuren garast be sawaear tabortbaladlibe Fuca June 30, 2014 11412.1111041045 Public reporting burden for this collection of Information is estimate to average 25 amiss pat respense. eirodissErsg We that Too nesiterringilitatnareionn,seandlincortattiitedless sources, gathering and maintaining the data needed, and completing and reviewing the oolterdien all inforwatfers Stardeamments regandlinthitsburdemestlinattron a:weenier aspect of this collection of Information. Including suggestions for reducing this burden, to the FM Sacrewriat (ItMEL FettbrallitcrellreTers Welk* Milliken, GEM, Vashirs0134). DC 20405 PRINCIPAL (lege! name and business addressl HBW Properties, Inc. d/b/a HBW Group 1055 First Street, Suite 200 Rockville, MD 20850 u 15F GROMitairMilliel(rX-wreg IDEMORDISIIIL indifIRMENISBIIIP 11)3INIT VEIVELORIE lijOESIP4ISMIG1111 /STATE INCORPEURPICRIMIN MD SURETY(IES) (Namo(s) and business addressfas) Merchants Bonding Company (Mutual) 2100 Fleur Drive Des Moines, IA 50321-1158 PENAIL SUM; OF BOW aeatameN ; IcaNamer CATE 612342014 Initatietutimifn itiamoraindo =OM 42121111GROCITNED. 2014-11410E2302113.41 OBLIGATION: We, the Principal and Surety(les), are firmly bound to the United States of America theveiirtaiter ceded the etverrerentil Is go aikroseo small sunn. Warr payment of the penal sum, we bind ourselves, our heirs, executors, administretors, end successem fitikelf erdi temegalIVA. Ititnto vatiainze that Sureties are corporations acting as co-sureties, we, the Sureties, bind ourselves in such sun Windy ere severeale as wait as "aavarallr fter the, purpose of allowing a joint action or actions against any or all of us. For all all tosperars� each Sioribr fleet essellf� jaiiirdly and amorally/ wittr the Principal, for the payment of the sum shown opposite the name of the Surety. If no Er& of beaky Is indritantak, tfte unlace Iiithillbw iistIta)5,1111 amount of the penal sum. CONDITIONS: The above obligation is void if the Principal promptly makes payment to all persons having a direct rellationtsthip arida tits figibeardlarr esullionnoactair aff the Principal for furnishing labor, material or both in the prosecution of the work provided for in the comas=Idiesfiflisdi ahem- are saw atatherikddl modifications of the contract that subsequently are made. Notice of those modfications to the Starelyilest ate were& WITNESS: The Principal and Surety(ies) executed this payment bond and affixed their seals on the ebtwe date.. HBW Propert es,114tipb/a Haw Group PRINCIPAL SIGNATURE(S) 1 (Seal) 2_ Mod a. (ap) angastiaS ' Small NAME(S) & TITLE(S) (Typed) I 3,-.4ds--- 2. a INDIVIDUAL SURETYRES) 1. SIGNATURE(S) Med/ 2. (Sindi) NAME(S) (Typed) 1. 2. CORPORATE SIMEIV(IES) I SURETY A I NAME & ADDRESS Merchants Bonding Company (Mutual) 2100 FIbur Drive. Des Moines. IA 50321-1158 STATE CtF MCC. IA riellOrif UM SIGNATURE ..... 2.S) ;41'. ' Stifiii),�- "" . ,,,,, , . � OP ..,,,........� NAPIEISI & TITLEIS) (Typed) _ 1. Dayna � - M. Paz Attom 2. . AUTHORIZED FOR LOCAL REPRODUCTION Previous edition is usable STANDARD MOW RSA (am maw PlasedierabyGS(MM ICE IN1110 Approved for Release: 2016/10/18 C06614875 Approved for Release: 2016/10/18 C06614875 ORFORATE SURETY IES Continued SURETY B I NAME & ADDRESS STATE OF INC. LIABILITY LIM' $ Corporate Seal SIGNATURE(S) 1. 2. NAME(S) & TITLE(S) !Typed) 1. 2. I SURETY C 1 NAME & ADDRESS -STATE OF INC. LIABILITY LIMIT $ Corporate Seal SIGNATURE(S) 1, 2. NAMES) & TITLE(S) (Typed) 1. 2. 1 SURETY D NAME & ADDRESS STATE OF INC. UABIUTY LIMIT $ Corporate Seal SIGNATURE(S) 1. 2. NAME(S) & TITLE(S) (Typed) 1. 2. I SURETY E NAME & ADDRESS STATE OF INC. UABIUTY LIMIT $ Corporate Seal SIGNATURE(S) 1. 2. NAME(S) & TITLE(S) (Typed) 1. 2. I SURETY F NAME & ADDRESS STATE OF INC. UAB(LITY LIMIT $ Corporate Seal SIGNATURE(S) 1. 2. NAMES) & TITLES) (Typed) 1. 2. CI 7- t cc D 0 NAME & ADDRESS STATE OF INC. LABILITY UMIT $ Corporate Seal SIGNATURE(S) 1. 2. NAME(S) & Timms, rryeedi 1 . 2. INSTRUCTIONS 1. This form, for the protection of persons supplying labor and material, is used when a payment bond is required under the Act of August 24. 1935, 49 Stat. 793 (40 U.S.C. 270a-270e1. 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 limitation listed therein. Where more than one corporate surety is 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 identification of the sureties. (b) Where 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 their financial capability. 4. Corporations executing the bond shall affix their corporate seals. Individuals shall execute the bond opposite the word "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 26A (REV.10-98) BACK Approved for Release: 2016/10/18 C06614875