Attachment 3 - Surety Form - Revised.pdf
PDF 63 KB Posted
- Attached to
- 589A5-22-106, REPLACE BLDG4 HVAC
- Solicitation number
- 36C25524R0114_1
About this file
This document is a Surety Form for a federal contract opportunity to replace the HVAC system in Building 4 at the Colmery-O'Neil VA Medical Center in Topeka, Kansas.
The Surety Form is to be completed by the offeror and submitted to their surety, requesting the surety to complete and return the form by September 23, 2024. The form includes questions about the contractor's bonding history, rating, and bonding limits. The contract opportunity is a 100% Service-Disabled Veteran-Owned Small Business (SDVOSB) set-aside with a Firm Fixed Price contract type. The work includes all supervision, labor, materials, and equipment to install a new HVAC system and controls. The North American Industry Classification System (NAICS) code is 236220, Commercial and Institutional Building Construction. The contract period of performance is 540 calendar days after the notice to proceed. There will be a mandatory site visit on September 12, 2024.
View the file
Other files
Show all 24
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
589A5-22-106 Replace Building 4 HVAC
36C25524R0114
ATTACHMENT 3
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 September 23, 2024
Contractor Name: ______________________________________________________ Address: _________________________________________________
Telephone: ___________________________________________
Please complete below and return as per instructions no later than: September 23, 2024.
SURETY INSTRUCTIONS: To be completed by Surety and returned no later than September 23, 2024 with proposal to:
Department of Veterans Affairs Network Contracting Office 15 Attn: Gislaine Dorvil, Contract Specialist
Regular Mail: 3450 S 4th Street Trafficway Leavenworth KS 66048 or via e-mail to Gislaine.Dorvil@va.gov
FedEx: 3450 S 4th Street Trafficway Leavenworth KS 66048
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:Gislaine.Dorvil@va.gov
File details come from the government source that posted it. Updated .