36C25622R0092 - Exhibit E - Surety Form.docx
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- Attached to
- Y1JZ--Project No. 520-22-177 Construct Three-Sided EMPI Structure Biloxi, MS Federal contract opportunity
- Solicitation number
- 36C25622R0092
About this file
This document contains an exhibit surety form for a solicitation to construct a three-sided EMPI structure. The solicitation number is 36C25622R0092 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. Offerors are required to submit the completed surety form as part of their technical proposal package by the specified due date. The surety form requests information on the surety provider, including how long they have provided bonding for the offeror, the offeror's bonding rating, bonding and aggregate limits, and whether the surety has ever had to complete a project or pay subcontractors for the offeror.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 520-22-177 Construct Three-Sided EMPI Structure 36C25622R0092
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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