36C25622R0073 EXHIBIT E.docx
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- Attached to
- Z1DZ--Project# 502-20-113 Building 9 - 3rd Floor Anti-Ligature Renovations - Construction
- Solicitation number
- 36C25622R0073
About this file
This document contains a surety form and details of a related federal contract opportunity for building renovations. The surety form is to be completed by the surety company and submitted as part of the technical proposal for a project to conduct anti-ligature renovations to the third floor of Building 9. It requests information on the surety's relationship with the contractor including bonding history, rating, and bonding limits, and asks whether the surety has ever had to complete a project or pay subcontractors for the contractor. The related federal contract opportunity is solicitation number 36C25622R0073 for construction services to conduct Project #502-20-113, which involves anti-ligature renovations to the third floor of Building 9. The opportunity is being offered by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-20-113 BLDG 9 – 3rd Floor Anti-Ligature Renovations 36C25622R0073
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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