Surety Form 589A5-22-106.pdf
PDF 128 KB Posted
- Attached to
- 589A5-22-106, REPLACE BLDG4 HVAC
- Solicitation number
- 36C25524R0114_1
About this file
This document is a Surety Form related to a federal contract opportunity for the Department of Veterans Affairs to replace the HVAC system in Building 4 at the Colmery - O'Neil VA Medical Center in Topeka, Kansas.
The solicitation is a 100% Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside with a Firm Fixed Price contract valued at more than $10 million. The construction services will be performed in phases over a 540-calendar day period of performance. Prospective contractors must be certified in the SBA Vetcert program and registered in SAM.gov. The surety form must be completed by the offeror, submitted to the surety, and returned to the Department of Veterans Affairs by August 19, 2024. The surety form requests information about the contractor's bonding capacity, history of performance, and any insurance issues.
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 August 19, 2024
Contractor Name: ______________________________________________________ Address: _________________________________________________ Telephone: ___________________________________________ Please complete below and return as per instructions no later than: August 19, 2024.
SURETY INSTRUCTIONS: To be completed by Surety and returned no later than August 19, 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
| Attachment 3 |
| SURETY FORM |
File details come from the government source that posted it. Updated .