36C25622R0146 EXHIBIT E.docx
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- Z2DA--Project #520-16-102 ER Structural and Foundation Problem, BLDG 3 - BXD (Construction) 36C25622R0146
- Solicitation number
- 36C25622R0146
About this file
This document contains a surety form for a federal construction project. The form is to be completed by a surety company and submitted as part of a technical proposal for Solicitation Number 36C25622R0146 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The form requests information on the surety company's experience bonding the contractor, the contractor's rating, available bonding limits for single projects and aggregate amounts, claims history, and any instances of non-payment to subcontractors or suppliers. Offerors are instructed to have their surety complete and return the form by a specified deadline.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 520-16-102 ED Structural Repair 36C25622R0146
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 .