36C25622R0030 EXHIBIT E-Surety Form .docx

DOCX document 32 KB Posted

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Z2FB--Biloxi MATOC-Seed Project Project #520-22-122 FCA Corrections BLDG 17 - 36C25622R0030
Solicitation number
520-22-122
Issued by

About this file

This document contains a surety form template to be completed by an offeror for a federal contract opportunity. The surety form requests information from the offeror's surety including the surety's name, address, and point of contact. It asks the surety to provide details such as how long they have provided bonding for the offeror, the offeror's bonding rating, the single project and aggregate bonding limits, and current available capacity. The form also asks the surety to disclose whether they have ever had to complete a project for the offeror, if liability insurance has ever been refused, or if they have had to pay any subcontractors or suppliers.

The related federal contract opportunity is solicitation number 520-22-122 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for project number 520-22-122 FCA Corrections BLDG 17, which is for the MATOC Seed Project at Biloxi.

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 520-22-122 FCA Corrections BLDG 17-MATOC Seed Project 36C25622R0030

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 $ (total MAX Bonding capacity) Current available capacity $ ______________________________________________

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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