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:
Attachment | Size |
---|---|
![]() | 117.88 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