LAC 34:V.1605
A. The Procurement Protest Surety Bond form indicated in this Section, or its successor published by the Office of State Procurement, shall be completed in full and submitted to the Office of State Procurement in accordance with this Chapter, in lieu of the Procurement Protest Security Collateral form.
STATE OF LOUISIANA - PROCUREMENT PROTEST SURETY BOND (“Surety Bond”)
Using Agency/Dept.:
Solicitation Title/No.: (“Solicitation”)
Protestor Legal Name: (“Protestor”)
Protestor Contact Person:
Protestor Legal Domicile:
Protestor Entity Type: ☐ Corporation ☐ Partnership ☐ Sole Proprietor
☐ LLC / LLP ☐ Non-Profit ☐ JV / Other
Surety Legal Name: (“Surety”)
Surety Contact Person:
Surety Mailing Address:
“Bond Amount”:
Bond Reference ID/No.:
“Obligee”: State of Louisiana, Division of Administration, Office of State Procurement
KNOW ALL PERSONS BY THESE PRESENTS:
The above-named Protestor and Surety, each duly authorized to do business in the State of Louisiana, are held and firmly and securely bound unto the Obligee in the Bond Amount indicated in Dollars, good and lawful money of the United States of America, for the payment of which sum we, as Protestor and Surety, bind ourselves, our heirs, personal representatives, successors and assigns, jointly and severally.
The Protestor has initiated an administrative protest with the Chief Procurement Officer for the State of Louisiana, regarding an award issued in the above-named and numbered Solicitation. This Surety Bond is intended to comply with the requirements of R.S. 39:1671(F), as amended by Act 5 of 2025, and LAC 34:V.16, to grant the Protestor a stay of the award issued in the above-named and numbered solicitation.
NOW, THEREFORE, the condition of this Surety Bond is that if the Protestor, after conclusion or termination of the administrative and (if applicable) the judicial review process regarding the protest, does not prevail and the award is upheld, this Surety Bond shall be forfeited to the State of Louisiana to the extent of the amount equal to the expenses incurred and other monetary losses suffered by the State of Louisiana resulting from the unsuccessful protest. In the event the Protestor prevails, then the obligation shall be null and void; otherwise, it shall remain in full force and effect.
Upon official written notification to the Surety by the State of Louisiana that the Protestor has not prevailed, and that a specific final claim amount has been determined by the State Chief Procurement Officer in accordance with R.S. 39:1671(F) and LAC 34:V.16, the Surety Bond shall be forfeited and the Surety agrees to immediately remit the specified amount to the Obligee or as directed by the State Chief Procurement Officer, equal to the expenses incurred and other monetary losses suffered by the State of Louisiana resulting from the Protestor’s unsuccessful protest to the award of the Solicitation. In the event the Surety fails to pay the Obligee in accordance with this paragraph, the Obligee may bring an action to enforce this Surety Bond in accordance with its terms. The Surety Bond, any dispute, claim or controversy relating to the Surety Bond, and all rights and obligations of the parties shall, in all respects, be interpreted, construed, enforced and governed under the Louisiana Procurement Code (La. R.S. 39:1551-1755).
The Protestor and Surety certify that the Surety is a surety or insurance company currently on the U.S. Department of the Treasury Financial Management Service list of approved bonding companies which is published annually in the Federal Register, or a Louisiana domiciled insurance company with at least an A-rating in the latest printing of the A.M. Best’s Key Rating Guide to write individual bonds up to 10 percent of policyholders’ surplus as shown in the A.M. Best’s Key Rating Guide.
By signing, each signatory attests that all information presented is true and correct to the best of their knowledge and belief, and that the signatory has been duly authorized to bind and present this Surety Bond to the State of Louisiana on behalf of the entity they represent. Power of Attorney or other signature authority is attached hereto.
Notarized Execution by Protestor
Protestor Legal Name:
Protestor Signature:
Signatory Name, Title:
(Corporate Seal)
STATE OF
PARISH/COUNTY OF
On this day of ______________________, 20____, before me appeared _______________________________________, known or identified to me to be the person(s) described, and who being duly sworn, did say they are the _______________________________________ of the Protestor named in the Procurement Protest Surety Bond, that they are authorized to bind and present the Surety Bond on behalf of the Protestor to the State of Louisiana, and that the presentation of this Surety Bond is the free act and deed of the Protestor.
Notary Public Signature:
Notary Public Name:
Notary in the State of:
Commission Expires:
(Notarial Seal)
Notarized Execution by Surety
Surety Legal Name:
Surety Signature:
Signatory Name, Title:
(Corporate Seal)
STATE OF
PARISH/COUNTY OF
On this day of ______________________, 20____, before me appeared _______________________________________, known or identified to me to be the person(s) described, and who being duly sworn, did depose and say that they are the _______________________________________ of the Surety named in the Procurement Protest Surety Bond, and which executed said Surety Bond; that they know the corporate seal of the Surety; that the seal affixed to said Surety Bond is such corporate seal; and that the seal was so affixed properly and with full authorization on behalf of the Surety, thereby representing a valid act and deed of the Surety.
Notary Public Signature:
Notary Public Name:
Notary in the State of:
Commission Expires:
(Notarial Seal)
STATE OF LOUISIANA - PROCUREMENT PROTEST SECURITY COLLATERAL (“Security Collateral”)
Using Agency/Dept.:
Solicitation Title/No.: (“Solicitation”)
Protestor Legal Name: (“Protestor”)
Protestor Contact Person:
Protestor Legal Domicile:
Protestor Entity Type: ☐ Corporation ☐ Partnership ☐ Sole Proprietor
☐ LLC / LLP ☐ Non-Profit ☐ JV / Other
Legal Name of
Bank / Credit Union: (“Bank”)
Bank Contact Person:
Bank Mailing Address:
“Security Amount”:
Security Type: ☐ Cashier’s Check ☐ Certified Check
Check Reference ID/No.:
“Obligee” or Payee: State of Louisiana, Division of Administration, Office of State Procurement
KNOW ALL PERSONS BY THESE PRESENTS:
The above-named Protestor, duly authorized to do business in the State of Louisiana, is held and firmly and securely bound unto the Obligee in the Security Amount indicated in Dollars, good and lawful money of the United States of America, for the payment to the Obligee of which sum Protestor binds itself, its heirs, executors, administrators, successors and assigns, by these presents. Said Security Amount is evidenced by a Check of the Security Type indicated above, drawn on the Bank, Credit Union, or Savings Institution (collectively “Bank”) indicated above, which is insured by the Federal Deposit Insurance Corporation or the National Credit Union Administration, payable at sight or unconditionally assigned to the Obligee.
The Protestor has initiated an administrative protest with the Chief Procurement Officer for the State of Louisiana, regarding an award issued in the above-named and numbered Solicitation. This Security Collateral is intended to comply with the requirements of R.S. 39:1671(F), as amended by Act 5 of 2025, and LAC 34:V.16, to grant the Protestor a stay of the award issued in the above-named and numbered solicitation.
NOW, THEREFORE, the condition of this Security Collateral is that if the Protestor, after conclusion or termination of the administrative and (if applicable) the judicial review process regarding the protest, does not prevail and the award is upheld, this Security Collateral shall be forfeited to the State of Louisiana to the extent of the amount equal to the expenses incurred and other monetary losses suffered by the State of Louisiana resulting from the unsuccessful protest. In the event the Protestor prevails, then the obligation shall be null and void; otherwise, it shall remain in full force and effect.
Upon official written notification to the Protestor by the State of Louisiana that the Protestor has not prevailed, and that a specific final claim amount has been determined by the State Chief Procurement Officer in accordance with R.S. 39:1671(F), as amended by Act 5 of 2025, and LAC 34:V.16, the Security Collateral shall be forfeited and the Protestor agrees to immediately remit the specified amount to the Obligee or as directed by the State Chief Procurement Officer, equal to the expenses incurred and other monetary losses suffered by the State of Louisiana resulting from the Protestor’s unsuccessful protest to the award of the Solicitation. In the event the Protestor fails to pay the Obligee in accordance with this paragraph, the Obligee may bring a claim to enforce this Security Collateral in accordance with its terms. The Security Collateral, any dispute, claim or controversy relating to the Security Collateral, and all rights and obligations of the parties shall, in all respects, be interpreted, construed, enforced and governed under the Louisiana Procurement Code (La R.S. 39:1551-1755).
By signing, the signatory attests that all information presented is true and correct to the best of their knowledge and belief, and that the signatory has been duly authorized to bind and present this Security Collateral to the State of Louisiana on behalf of the Protestor.
Notarized Execution by Protestor
Protestor Legal Name:
Protestor Signature:
Signatory Name, Title:
(Corporate Seal)
STATE OF
PARISH/COUNTY OF
On this day of ______________________, 20____, before me appeared _______________________________________, known or identified to me to be the person(s) described, and who being duly sworn, did say they are the _______________________________________ of the Protestor named in the Procurement Protest Security Collateral, that they are authorized to bind and present the Security Collateral on behalf of the Protestor to the State of Louisiana, and that the presentation of this Security Collateral is the free act and deed of the Protestor.
Notary Public Signature:
Notary Public Name:
Notary in the State of:
Commission Expires:
(Notarial Seal)
B. The Procurement Protest Security Collateral form indicated in this Section, or its successor published by the Office of State Procurement, shall be completed in full and submitted to the Office of State Procurement to accompany any security collateral check presented in accordance with this Chapter, in lieu of the Procurement Protest Surety Bond form.
NOTE: The Notarized Execution by Surety is required along with this Notarized Execution by Protestor.
AUTHORITY NOTE: Promulgated in accordance with R.S. 39:1581 and 39:1671.
HISTORICAL NOTE: Promulgated by the Office of the Governor, Division of Administration, Office of State Procurement, LR 52:37 (January 2026).