36C25623R0089 EXHIBIT E.docx

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Z1DA--Project #502-21-105 Replace Roof on BLDG 2 - Construction
Solicitation number
36C25623R0089
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This document contains a surety form for a federal construction project and related solicitation information. The surety form is to be completed by an offeror's surety and submitted as part of a technical proposal package for Project No. 502-21-105 to replace the roof on Building 2 at a Veterans Affairs facility. The form requests details on the surety's relationship with the offeror, including bonding limits and history of claims or unpaid subcontractors. The related solicitation is identified as number 36C25623R0089 and seeks construction services for the roof replacement project through the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The response due date is not specified.

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36C25623R0089 PRA v2.pdf PDF
36C25623R0089 EXHIBIT D.docx DOCX document
36C25623R0089 EXHIBIT F.docx DOCX document
36C25623R0089 EXHIBIT C.docx DOCX document
36C25623R0089 RFP.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. 502-21-105 Replace Roof on BLDG 2 36C25623R0089

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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