36C25621R0136 EXHIBIT E.docx
DOCX document 31 KB Posted
- Attached to
- Z1DA--520-19-117 Repair Water Supply
- Solicitation number
- 36C25621R0136
About this file
This document includes a surety form for a federal contract opportunity with the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The contract is a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses to provide repair work for a water supply project at the Gulf Coast Veterans Health Care System in Biloxi, Mississippi. The estimated value of the contract is between $2-5 million. Interested offerors must be registered and verified in the Vendor Information Pages VIP database and System for Award Management SAM by the response deadline of September 6, 2021. The contract award date is anticipated within 30 days thereafter, and the period of performance is 365 days from notice to proceed. The surety form requires details on bonding limits and history for the prime contractor.
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Other files
| File | Type | Posted |
|---|---|---|
| Pre-Award RFI Register 520-19-117 31 Aug 21.docx | DOCX document | |
| 36C25621R0136 0004.docx | DOCX document | |
| 36C25621R0136 0003.docx | DOCX document | |
| VHA Directive 1193 COVID 2019 Vaccination August 13 2021.pdf | ||
| 36C25621R0136 0002.docx | DOCX document | |
| S04 Site Visit Sign-In Sheet - Proj 520-19-117.pdf | ||
| 36C25621R0136 0001.docx | DOCX document | |
| 36C25621R0136 EXHIBIT D.docx | DOCX document | |
| 36C25621R0136 Drawings 1-4.pdf | ||
| 36C25621R0136 WD MS20210050 04022021 Mod 2.pdf | ||
| 36C25621R0136 EXHIBIT A.docx | DOCX document | |
| 36C25621R0136 EXHIBIT C.docx | DOCX document | |
| 36C25621R0136 Drawings 5-10.pdf | ||
| 36C25621R0136 RFP.docx | DOCX document | |
| 36C25621R0136 Specifications 01.pdf | ||
| 36C25621R0136 J_A.pdf | ||
| 36C25621R0136 EXHIBIT F.docx | DOCX document | |
| 36C25621R0136 EXHIBIT B.docx | DOCX document | |
| 36C25621R0136 Drawings 11-18.pdf | ||
| 36C25621R0136 SOW .docx | DOCX document | |
| 36C25621R0136 ICRA.pdf |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project 520-19-117 Repair Water Supply 36C25621R0136
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 .