36C25621R0108 EXHIBIT E.docx

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Z2DA--520-21-2-7040-0001 Proj No 520-22-161 Wifi Expansion, BXD (VA-21-00048410)
Solicitation number
36C25621R0108
Issued by

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This document includes a federal contract opportunity for WiFi expansion services and an accompanying surety form. The solicitation is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses seeking to provide labor, materials, and equipment for WiFi expansion projects at the Gulf Coast Veterans Health Care System in Biloxi, Mississippi. Interested vendors must be verified in the Vendor Information Pages database and registered in the System for Award Management. The opportunity was issued by the Department of Veterans Affairs Veterans Health Administration VISN 16. The construction cost range is between $1,000,000 to $2,000,000. The request for proposals will be posted on beta.SAM.gov on or around August 2nd, with proposals due by September 1st and contract award anticipated within 30 days thereafter. The performance period is 180 days from notice to proceed. The surety form must be completed by any interested offerors' surety and submitted with technical proposals, and requests information about bonding limits and history.

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Other files

File Type Posted
36C25621R0108 0004.docx DOCX document
36C25621R0108 0003.docx DOCX document
520 22 161 Pre Award RFI Register 27 Aug 21 v2.docx DOCX document
VHA Directive 1193 COVID 2019 Vaccination August 13 2021.pdf PDF
36C25621R0108 0002.docx DOCX document
36C25621R0108 0001.docx DOCX document
S04 Site Visit Sign-In Sheets - Proj 520-22-161.pdf PDF
36C25621R0108 WD MS20210050 04022021 Mod 2.docx DOCX document
36C25621R0108 SOW.pdf PDF
36C25621R0108 EXHIBIT F.docx DOCX document
36C25621R0108 EXHIBIT C.docx DOCX document
36C25621R0108 ICRA .pdf PDF
36C25621R0108 Complete Drawings .pdf PDF
36C25621R0108 RFP.docx DOCX document
36C25621R0108 EXHIBIT B.docx DOCX document
36C25621R0108 EXHIBIT A.docx DOCX document
36C25621R0108 EXHIBIT D.docx DOCX document
36C25621R0108 Complete Specs.pdf PDF
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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 520-22-161 WiFi Expansion 36C25621R0108

EXHIBIT E

SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Surety and SUBMITTED BY OFFEROR AS A PART OF THE TECHNICAL PROPOSAL PACKAGE.

Contractor Name:

Address:

Telephone: Email:

Please complete below and return no later than:

Surety Name:

Surety Address:

POC:Title:
Telephone:Email:

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

File details come from the government source that posted it. Updated .