PERFORMANCE BOND Jona) A ECUTER Wette carer er Peo! Tomas Control Number: 9000-0045 (See instructions on reverse) ARRAIGNMENT DATE _ {Expiration Date: 7/31/201 Papontork Rosicton Act Slorart Tha ifemnatin salecion eels reauwomor of USG§ 3807, oa amandod by eaon 2 of fa Papswers Resucbon Alo {885, You do not nee toansner these quesions unless ws apy a ald OeeoMarageme and Buel (OMS) cont marie. Ths CNB carol number fr hs olecon fs S000.0b#5 We seirmte at Hal se GO mnie to road the inarocbone, gar th facts tr sewer the quests, Sandon comment sain our te wert meng “uggesions for ediong ins burdan, of any oe sepeis of fe colecton cf mlomabon lo Ganeel Sarvors Adranataton. Raga Secietarat Oesion (UVICE}, HO F Stout, Nv, Washington, DC 20408 PRINCIPAL (age ne armies ans SPE OF OREAMZATION am) FIRST MIDDLE LAST RXlnowou, [C]pamersae [pont venture 1234 YOUR ADDRESS ST. or [corrorarion [Joie (Speci 1234 JAIL ADDRESS ST. city / TOWN, ST 12345 STATE OF BIRTH STATE ‘SURETIES) Wane an buss arose PENAL SUM OF SOND EIRST’ MIDDLE LAST ec [moves [ne Sars DEPOSITORY TRUST COMPANY Saree 8 a Se 55 WATER ST., ist Floor DATE OF BIRTH CERT. NEW YORK, N¥ 10041 BIRTH NUMBER ostieaTION Wo, he Principal and Sure) ae emt bound ote Unted Sates of resin therein ale the Goverment) inthe abe penal um. Fer payment of he penal sir, we bined uote cur nore, oxceus, samnatars, and suzasso,jowly and eovoaly. However, whe te Sutoe ate crporabor acing ag cocraies we, Ue Suekes bi ‘rseiesin sich sin ont and severly" as wel a seery" ony or te purpose of ling a ont acon or actos again any ra of. Frallcne prposes, each Suey ‘has Ket, ony and covey wah tie Pring, rhe pajmant othe cu show oppose Mee ore Sey Ino mito tay nse, Inst HOD farount fhe pera Su CConDITIONS: Tho Principal has onored in he contre dni abe THEREFORE: ‘he above abigatn ole Prat ((0) Portas ond tutti at he undetsianarg, caverns. am, conaiona, and areeman of he conse rng he orga tam oo eorvact ane any extensors hero haar granebythe Goverment ih rte noice fhe Sureyes) on rng te eof my quran requted under he corr. ad (2) Pores and hls al the undertakings, covnants, em, condtons 27 agreements f any andl duly auhorod modiatons ofthe cent that haar ae rl, Nee of those minora athe utes) ate wae (0), Paya the Goverment he ful amour othe ates impced by the Goverment he ast caret is subject fo 41 USC Chaplet, Subshope I ends, whch ‘no colecot dedute, er liek fom wags pal by te Psncalincariyng eu te coneructn contac with respec hich tis bond i funished witness: ho Pinna and Sues) executed hs perfomance bond and afd th ceos on ts above date PRINCIPAL F P ‘SIONATUREIS) By: Diu S oe ssa ‘sc Coorato wares First Middle Last. Seal pes) as surety INDIVIDUAL SURETY(ES) r E sonatures) |! By: ive WMfclate i een soso Nore) P ws FIRST MIDDLE LAST CORPORATE SURETYIES) cue [stATE OFINGORFORATION —Junsiurv unr) 3|_sorets - 7 Corporate § [sounnes ‘Seal By wae fr F wnt Cred TRUTHORZED FOR LOGA. REPRODUCTION ‘STANDARD FORM 25 (REV. 6/2016) Previous eston NOT urate Prescribed by GSA-FAR [48 CFR) 53.2284)(CORPORATE SURETY(IES) (Continued) ee [STATE GF NCORPORATION [ABILITY ® ADDRESS i Corporate, lscxxrurers| Seal SURETY 8 nanesye [i B TMEIS} fun AER [STATE OF NOORPORATION —_JURSUTY UMTS) [srcuarurers)|" P Corporate Seal NAVE TILES) Cet Neat [STATE GF NOORPORATION —JUABLITY UNIT) ADDRESS SURETY Fr SIGNATURES] Corporate SURETY D. Taree fh a TITLES) ypen) NAME [STATE OF NCORPORATION —— JUABUINY UNIT Corporate SIGNATURES] Seal SURETY E TREE TiTLe(s) ype), ee [STATE GF NOORPORATION [ABILITY LMT @) ADDRESS sourune| F br WERE wma (ee, = SINEOP CORPORATION mB UNIT bones SURETY F stcnarunessi|" P Cogporsto 0a SURETY G nanesya fi a TMLEIS) ype) BOND RATE PER THOUSAND ora PREMIUM > 1.000 TOTAL AMT. INSTRUCTIONS 1 This fom is athonzes for ue in cannecton wth Govemmant contacts Any dean fom the frm wil rau the wren arpravalot the Ariat of Garerl Sarees 2. Iaart the il agar ra boise actos fhe Pil inthe snace designates “Princpa onthe ace ce fom An auhorzespeteon shal sgnthe bons. Any cerson flgrog na represanteive capac (ag an atomey fa!) must farah vince of shorty ¥ tt reposenatv sro member oft mp, ae werkt, a ‘fer fhe coer invoved, 8. (a Corporations exacutng th bond ae surat must appear on the Dapainent ofthe Treasury's et of approved sus and must act win the satin sted tec. The ‘put nfo he LIABILITY LIMIT Backs tha pen so tte foes vl) ofeonds nines a suey onranapmant i propose (0) mon muti corporat sures are nvehd, har names ane acersees shal appear in he cpaoss (Surat A, Susty 8 ot) headed “CORPORATE SURETY(ES]" In tho space designated “SURETV (IES) on the fom of far, eet ony tela eter eereaprding to each cf the suchen. Monee, when co-autty avangetents ext the aris may soca thai respect mao of lbity under he Bonds, reid hatte sun for Habit equa TOOK of re band pal aum (o)ihen neil surates ae invoias. a completed Advi of Inia Suety(Standore Ferm 25 fr sack inv sry sha secempany he bod. The goverment may rete the surety fanish ada substaratng information concen its tneelal capa 4. Corporation exc the bon shal acter corporat seals. Indi sho exeene the bond opnoaethe word Compra Sea and salts an adhesive sal exeuted inane, New Hempatire or any her jsadconrequrng adhesive sal, 5. Type he name and ite ofeach person signing this bond the spece provided ‘STANDARD FORM 25 (REV. 6/2010) BACK