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Surety Bond Guarantee Agreement Addendum (United States)

This is a Small Business Administration (SBA) surety bond guarantee agreement. The form provided here is simply a sample of what the actual Form 991 looks like.

U.S. Small Business Administration
Surety Bond Guarantee Agreement Addendum

When the work under a contract has actually begun, an SBA official having delegated authority to approve the bond in question (see 13 CFR part 101), may nevertheless guarantee a bond or bonds pursuant to ยง115.3(e) of the Regulations, upon receipt, satisfactory to SBA, of all the items below.

1. Evidence (certified copy of contract or sworn affidavit) from Principal that the surety bond requirement was contained in the original job contract, or documentation, satisfactory to SBA, as to why a surety bond was not previously secured and is now being required is attached hereto.

2. In the spaces below the Principal has certified that all suppliers and subcontractors are paid to date. If additional spaces are needed attach hereto. A waiver of lien from each, or an explanation satisfactory to SBA why such certification can not be produced, is attached hereto.

Supplier: _____________________________

Billed to date _____________________________

Paid to date _____________________________

Waiver of Lien Attached hereto _____________________________

The Principal hereby certifies that all taxes and labor costs in connection with this job are current.

Signature of Principal _____________________________

Date _____________________________

3. The Obligee has certified below that all payments due under the contract to present status have been made and that the job has been satisfactorily complete to present status.

Signature of Obligee _____________________________

Date _____________________________

4. All documents required from the Principal and Obligee are attached hereto and all terms on this form have been certified to SBA's satisfaction.

SBA Signature _____________________________

Date _____________________________

5. Certification: Any intentionally false statement in this application or willful misrepresentation relative thereto is a violation of federal law, which may subject you to criminal and civil prosecution. 18 U.S.C. Sections 287, 371, 1001; 15 U.S.C. Section 645:31 U.S.C. Section 231, carrying fines up to $10,000 and imprisonment up to five years.

PLEASE NOTE: The public reporting burden for this collection of information, is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing the reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: Chief, Administrative Information Branch, Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

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