36C25622R0094 EXHIBIT E.docx

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Z2DA--Project #502-19-107 - Replace AHU-104 - Construction - 36C25622R0094 Federal contract opportunity
Solicitation number
502-19-107
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a surety form for the solicitation Project #502-19-107 to replace an air handling unit at a Department of Veterans Affairs facility. Key details include that the surety form must be completed by the surety and submitted as part of the technical proposal package by the offeror. The form requests information on how long the surety has provided bonding for the contractor, the contractor's rating, the bonding limit for a single project and in aggregate, and whether the surety has ever had to complete a project or pay subcontractors for the contractor. The opportunity is a construction project with solicitation number 502-19-107 to replace an air handling unit 104 at the facility.

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-19-107 Replace AHU 104 36C25622R0094

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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