36C25622R0065 EXHIBIT E R1.docx
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- Solicitation number
- 36C25622R0065
About this file
This document contains an exhibit form for a surety bond and information on a related federal contract opportunity for upgrade and replacement work. The surety form requests information from the surety on the offering contractor, including bonding history and limits, claims experience, and complaints. The related federal opportunity is a solicitation from the Department of Veterans Affairs to upgrade surgery HVAC systems and perform roofing work at the Overton Brooks VA Medical Center in Shreveport, Louisiana, with responses due on the date specified on the surety form.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 667-18-121 Upgrade Surgery HVAC & Roofing 36C25622R0065
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 .