36C25621R0122 EXHIBIT E.docx
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- Solicitation number
- 36C25621R0122
About this file
This document outlines requirements for a federal contract opportunity to renovate a cath lab at the Overton Brooks VA Medical Center. The solicitation will be issued as a 100% set-aside for service-disabled veteran-owned small businesses to provide all labor, materials, tools, equipment, administration and other requirements to renovate and expand an existing cath lab. The construction cost range is between $2-5 million. The performance period is 808 calendar days from notice to proceed. The solicitation number is 36C25621R0122 and will be posted on SAM.gov. Proposals are due on September 1, 2021. Award is anticipated within 30 days thereafter. Offerors must be verified in VIP and registered in SAM to be considered. The NAICS code is 236220 with a small business size standard of $39.5 million.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 667-15-104 Renovate Cath Lab, 6E 36C25621R0122
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
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