36C25622R0084 EXHIBIT E R1.docx

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Z1DA--CON Project 667-18-111 Abate Central Chase / Replace Fire Main
Solicitation number
36C25622R0084
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This document contains an exhibit form for a surety bond and information on a related federal contract opportunity for project 667-18-111 to abate central chases and replace a fire main at a Department of Veterans Affairs facility.

The exhibit form is to be completed by a surety and submitted as part of a technical proposal package. It requests information on the surety company, its relationship with the contractor, bonding limits, and any history of claims or non-payment issues. The related federal contract opportunity is solicited under solicitation number 36C25622R0084 to abate central chases and replace a fire main for project 667-18-111 through the Department of Veterans Affairs Veterans Health Administration VISN 16. No further details are provided on response dates, award dates, pricing terms, or set asides.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 667-18-111 Abate Central Chase and Replace Fire Main 36C25622R0084

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 .