EXHIBIT E SURETY FORM.docx
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- Attached to
- Project No. 667-18-110, Replace Transformer and Correct Electrical Deficiencies, Bldg 4 Federal contract opportunity
- Solicitation number
- 36C25622R0028
About this file
This document contains a federal contract opportunity for replacing a transformer and correcting electrical deficiencies at a Department of Veterans Affairs medical center. The solicitation will be issued as a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses through an RFP procedure with proposals due around February 18, 2022. The contract award is anticipated within 30 days thereafter and the 180-day contract performance period will begin with the notice to proceed. The construction cost range is between $500,000 and $1,000,000. Offerors must be verified as SDVOSBs in the Vendor Information Pages database and registered in the System for Award Management. The work location is at the Overton Brooks VA Medical Center in Shreveport, Louisiana, and the contractor must provide all labor, materials, and equipment to complete the project scope of work, drawings, and specifications.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 667-18-110, Building 4 Replace Transformer 36C25622R0028
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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