S02 ATTACHMENT E BONDING CAPACITY SURETY FORM.docx
DOCX document 18 KB Posted
- Solicitation number
- 36C24924R0004
About this file
This document is the Bonding Capacity Surety Form, which is an attachment to the solicitation for the Multiple Award Task Order Contract (MATOC) Indefinite Delivery/Indefinite Quantity (IDIQ) Contract for the Tennessee Valley Healthcare System (TVHS) - VA Medical Centers (VAMC) in Murfreesboro and Nashville, TN.
The form instructs the offeror to complete their company information and then have their surety complete the surety information, including the length of time they have provided bonding, the contractor's rating, bonding limits, and whether the surety has had to complete a project or pay subcontractors/suppliers for the contractor. The completed form must be submitted by the solicitation closing date. The solicitation number is 36C24924R0004 and it is being issued by the Department of Veterans Affairs, Veterans Health Administration, Veterans Integrated Service Network 9.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 TVHS Multiple Award Task Order Contract (MATOC) 36C24924R0004 Attachment E
BONDING CAPACITY SURETY FORM
OFFEROR INSTRUCTIONS: To be completed by Offeror and submitted to Surety requesting they complete and return as indicated on Surety Instructions, by 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:
Department of Veterans Affairs Network Contracting Office 09 Attn: Matthew R. Whisman, Contract Specialist Regular Mail : 2250 Leestown Road Lexington, KY 40511 or via e-mail to matthew.whisman@va.gov
| FedEx: | 2250 Leestown Road | |
| Lexington, KY 40511 |
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 Bonding 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
File details come from the government source that posted it. Updated .