36C25623R0039 EXHIBIT E.docx

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Attached to
520-18-119 Install Photovoltaic Array, JACC Federal contract opportunity
Solicitation number
36C25623R0039
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a surety form to be completed by the surety and submitted by the offeror as part of a technical proposal package for solicitation number 36C25623R0039. The solicitation is for project 520-18-119 to install a photovoltaic array at the Joint Ambulatory Care Clinic in Pensacola, Florida, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The surety form requests information on the length of the surety's relationship with the offeror, the offeror's bonding rating and limits, whether the surety has ever had to complete a project for the offeror, and whether there have been any issues with refused liability insurance, complaints of nonpayment from subcontractors or suppliers, or situations where the surety had to pay subcontractors or suppliers.

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VOL 1 BINDER.pdf PDF
VOL 2 BINDER.pdf PDF
36C25623R0039 0001.docx DOCX document
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36C25623R0039 EXHIBIT D.docx DOCX document
36C25623R0039 EXHIBIT B.docx DOCX document
36C25623R0039 EXHIBIT A.docx DOCX document
WD FL20220203 Mod 3 Dtd 9-01-2022.txt TXT text file
36C25623R0039 EXHIBIT C.docx DOCX document
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Drawings.pdf PDF
DB-ATTACH ATTACHMENT I - RELEASE OF CLAIMS.docx DOCX document
36C25623R0039 Solicitation 12-29-2022.pdf PDF
36C25623R0039 EXHIBIT F.docx DOCX document
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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 520-18-119 Install Photovoltaic Array 36C25623R0039

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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