36C25622R0062 EXHIBIT E.docx
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- Solicitation number
- 36C25622R0062
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This document contains an exhibit form for a surety bond and information on a related federal contract opportunity for tuckpointing services at Building 1 of the Main Hospital under Project No. 667-19-101. The exhibit form requests information from a surety on the offering contractor's bonding limit, aggregate amount, claims history, and ratings. The related solicitation is for tuckpointing services at the specified location and is issued by the Department of Veterans Affairs Veterans Health Administration VISN 16. Offerors must submit the completed surety form as part of the technical proposal by the stated deadline.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 667-19-101 Tuckpoint BLDG 1, Main Hospital 36C25622R0062
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 .