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This document contains an exhibit form for a surety bond and information on a related federal contract opportunity for elevator repair services. The surety form requests information from the surety company such as bonding limits, claims history, and relationship with the contractor. The related federal contract opportunity is a solicitation from the Department of Veterans Affairs to furnish labor, materials, and supervision to repair elevators at multiple buildings in Biloxi, Mississippi under solicitation number 520-22-3-7072-0001. The response is due by 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. 520-22-170 Repair Elevators, Multiple Buildings 36C25622R0089

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 .