36C25622R0090 EXHIBIT E.docx

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Z2DA--Construction Connect Condenser Pumps To Emergency Power Project No. 629-18-119
Solicitation number
36C25622R0090
Issued by

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This document contains an exhibit form for a surety bond and information on a related federal contract opportunity for connecting condenser pumps to emergency power at a Veterans Affairs medical 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's relationship with the contractor, including the length of the bonding relationship, the contractor's rating, bonding and aggregate limits, and history of claims or non-payment issues. The related federal contract opportunity is solicited by the VA Veterans Health Administration under solicitation number 36C25622R0090 for project number 629-18-119. The opportunity involves connecting condenser pumps to emergency power at a VA medical center. No further details on response dates or award timing are provided.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 629-18-119 Connect Condenser Pumps to Emergency Power 36C25622R0090

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 .