36C24518R0046-031.pdf

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Multiple Award Task Order Contract (MATOC) II

36C24518R0046

Attachment 8

SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Offeror and submitted to Surety requesting they complete and returned as indicated on Surety Instructions, no later than the closing date/time of this RFP.

Contractor Name: _____________________________________________________________

Address: ___________________________________________

Telephone: ___________________________________________

Please complete below and return as per instructions no later than: ______________

SURETY INSTRUCTIONS: To be completed by Surety and returned no later than the closing date/time of this RFP to (note Offeror should also supply a copy in their proposal)(email is preferred delivery method):

Department of Veterans Affairs Network Contracting Office 5 Attn: Marvin Nunez, Contract Specialist

Mail: Boiler House Road Bldg 101B, Room 10

Perry Point, MD 21902 or via e-mail to marvin.nunez@va.gov

Surety Name: __________________________________________________

Surety Address: ___________________________________________

Telephone: _________________________ Facsimile: _____________________

How long have you provided bonding for the above contractor? _________ YEARS

What is the contractor’s rating? ________________________

Bonding Limit for a single project? $______________________________

Aggregate amount? $ ___________________________________________

Have you ever had to complete a project for the contractor? [ ] YES [ ] NO

Has liability insurance ever been refused? [ ] YES [ ] NO

Have there been complaints of non-payment by subcontractor/suppliers? [ ] YES [ ] NO

Has the surety had to pay subcontractors/suppliers? [ ] YES [ ] NO mailto:marvin.nunez@va.gov