53.301-1415 Standard Form 1415

F




CONSENT OF SURETY AND INCREASE OF PENALTY

1. CONTRACT NUMBER

2. MODIFICATION NUMBER

3. DATED

4. 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 contract as modified or amended.  The principal and surety (co-sureties) further agree that on or after the execution of this consent, the penalty of the performance bond or bonds increased by ___________ dollars ($ _________) and the penalty of the payment bond or bonds is increased by ___________ dollars ($ _________). However, the increase of the liability of each co-surety resulting from this consent shall not exceed the sums shown below.

5. NAME OF SURETY(IES)

6.INCREASE IN LIABILITY LIMIT UNDER

7.INCREASE IN LIABILITY LIMIT UNDER

A.

$

$

B.

$

$

C.

$

$

8. INDIVIDUAL PRINCIPAL

A. BUSINESS ADDRESS

B. SIGNATURE

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

(Affix Seal)

9. CORPORATE PRINCIPAL

A. CORPORATE NAME AND BUSINESS ADDRESS

B. PERSON EXECUTING CONSENT (Signature)

 BY

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

(Affix Corporate Seal)

The Principal or authorized representative shall execute this Consent of Surety with the modification to which it pertains. It 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 or a Certificate of Corporate Principal must accompany the consent.

10. CORPORATE/INDIVIDUAL SURETY (CO-SURETIES)

A

A. CORPORATE/INDIVIDUAL SURETY'S NAME AND ADDRESS

B. PERSON EXECUTING CONSENT (Signature)

 BY

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

(Affix Corporate Seal)

B

A. CORPORATE/INDIVIDUAL SURETY'S NAME

B. PERSON EXECUTING CONSENT (Signature)

 BY

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

(Affix Corporate Seal)

C

A. CORPORATE/INDIVIDUAL SURETY'S NAME

B. PERSON EXECUTING CONSENT (Signature)

 BY

C. TYPED NAME AND TITLE

D. DATE THIS CONSENT EXECUTED

(Affix Corporate Seal)

Add similar signature blocks on the back of this form if necessary for additional co-sureties.

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is usable

STANDARD FORM 1415 (REV. 7-1993)
Prescribed by GSA-FAR (48 CFR) 53.228(I)