36C25622R0123 EXHIBIT E.docx
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- Z1DA--Project #520-22-174 Access Control and Security System Upgrades and Misc Interior Improvements-Construction - 36C25622R0123 Federal contract opportunity
- Solicitation number
- 520-22-174
About this file
This document contains a surety form for a contractor bidding on Project #520-22-174 Access Control and Security System Upgrades and Misc Interior Improvements being solicited by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The surety form requires information on the contractor's surety provider including the surety's name, address, and point of contact. It asks the surety to disclose how long they have 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. Upon completion by the surety, the form is to be submitted as part of the contractor's technical proposal package in response to Solicitation Number 520-22-174 by the specified due date.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 520-22-174 Access Control, Security System Upgrades & Miscellaneous Interior Improvements 36C25622R0123
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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