Get SBA 990A 2018-2024

3. If any suit or claim is filed against Surety upon said bond s Surety must inform SBA of the same within 30 days of receipt of notice. This guaranty shall become effective upon the execution as defined in such regulations of the SBA-guaranteed bond by the Surety. II. CONTRACT INFORMATION Complete for each bid and final bond guarantee. Project Type Construction Service Supply Other Liquidated Damages Project Description Project s NAICS Code Weekdays Calendar Days Project Location of Employees before this project was awarded Existing jobs retained due to this project same job cannot be reported as new New jobs due to project same job cannot be reported as retained-above Name and Address of Obligee prime subcontractor on this project Percentage of work subcontracted by Applicant Obligee Type Federal State Local Private Special District SBA Form 990A Previous Editions Obsolete 2012 Applicant certifies that a A bid payment or performance bond is required by the bid solicitation or the original contract for this project. However I have determined that the Principal falls below the normal underwriting standard of this Surety who will not issue this bond without an SBA guarantee. Upon completion of its underwriting the surety company or agent completes Part B of the Application and signs and submits the original SBA Quick Bond Guarantee Application and Agreement and the other required forms to the Denver or Seattle office. Surety may withdraw its decision to issue such bond s if prescribed underwriting conditions are not met or if additional information comes to the attention of Surety of a nature so as to change its underwriting determination and notice is given to SBA. SBA Signature Typed Name Disposition Approved Declined Title Returned/withdrawn In reliance on the information and certifications contained in this application SBA agrees to guarantee the bond described herein as of the time of issuance subject to 15 U.S.C. F Any agency broker surety company financial institution or other party in possession of credit financial or work experience information concerning the undersigned applicant and the applicant s business is authorized to release the same to SBA in order that SBA may evaluate the same for the purpose of bond guarantee assistance. OMB Control No 3245-0378 Expiration Date 8/31/2015 U*S* SMALL BUSINESS ADMINISTRATION QUICK BOND GUARANTEE APPLICATION AND AGREEMENT TO BE COMPLETED BY SMALL BUSINESS AND SURETY FOR SINGLE BONDS NOT EXCEEDING 250 000 Instructions and Terms and Conditions of Agreement on Pages 2-3 www. sba*gov Surety Company Name Part A Parts A and E to be completed by Small Business Applicant or Principal I. BUSINESS INFORMATION Complete for initial application and to change information previously submitted* Business/Trade Name Tax ID Number or SSN Address Including city zip code Phone Fax Email Types of trades you perform Primary NAICS Code DUNS Number Date Business Started Type of Organization Sole Proprietorship Partnership Corporation Joint Venture Average Annual Receipts Last 3 Years Incl* Affiliates of Employees Incl* Affiliates List the largest three contracts completed in the last 5 years Party That Awarded the Contract Kind of Work Location City/State Contract Price Year Completed Final Gross Profit Management/Ownership Proprietor partners officers directors all holders of outstanding stock/equity -- 100 of ownership must be shown below.