CONSENT OF SURETY

1. CONTRACT NUMBER

2. MODIFICATION NUMBER

3. DATED

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 contractor as modified or amended.

a. NAME OF PRINCIPAL

c. SIGNATURE

4. INDIVIDUAL PRINCIPAL

b. BUSINESS ADDRESS

d. TYPED NAME

(Affix Seal)

STREET ADDRESS

e. TYPED TITLE

CITY

STATE

ZIP CODE

f. DATE THIS CONSENT EXECUTED

a. CORPORATE NAME

c. PERSON EXECUTING CONSENT (Signature)

5. CORPORATE PRINCIPAL

b. BUSINESS ADDRESS

d. TYPED NAME

(Affix Seal)

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 executive 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 a Certificate of Corporate Principal must accompany the consent.

a. CORPORATE/INDVIDUAL SURETY'S NAME

c. PERSON EXECUTING CONSENT (Signature)

A

b. BUSINESS ADDRESS

d. TYPED NAME

(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)

B

b. BUSINESS ADDRESS

d. TYPED NAME

(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)

C

b. BUSINESS ADDRESS

d. TYPED NAME

(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 from if necessary for additional co-Sureties)

AUTHORIZED FOR LOCAL REPRODUCTION

Previous edition is usable

STANDARD FORM 1414 (REV. 5-97)

Prescribed by GSA/FAR (48 CFR) 53.222(k)