GSA-Optional Form 91
GSA-Optional Form 91
GSA-Optional Form 91
, of
(Name)
(Place of Residence)
for the performance of U.S. Government Contract Number
Whereas
, by a bond
,
became a surety for the complete and successful performance of said contract, and Whereas
said surety has placed certain personal property in escrow
in Account Number
at
on deposit
(Name of Financial Institution)
located at
, and
Whereas I,
and
Whereas the surety remains liable to the United States Government for the continued
performance of the said Government contract and satisfaction of claims pertaining thereto.
Now, therefore, this agreement witnesseth that the Government hereby releases from escrow
the property listed above, and directs the custodian of the aforementioned escrow account to
deliver the listed property to the surety. If the listed property comprises the whole of the
property placed in escrow in the aforementioned escrow account, the Government further
directs the custodian to close the account and to return all property therein to the surety, along
with any interest accruing which remains after the deduction of any fees lawfully owed to
.
(Name of Financial Institution)
[Date]
[Signature]
Seal
OPTIONAL FORM 91
(1-90)
Prescribed by GSA-FAR (48 CFR) 53.228(o)