36C25623R0096 EXHIBIT E.docx

DOCX document 32 KB Posted

Attached to
Replace Chiller # 3 - Pineville, LA - VA (Project No. 502-21-110) Federal contract opportunity
Solicitation number
36C25623R0096
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16

About this file

This document contains a surety form for a federal contract opportunity with the Department of Veterans Affairs to replace a chiller at a facility in Pineville, Louisiana. The contractor must submit the completed surety form as part of its technical proposal package by the specified due date. The surety form requests information on the surety's relationship with the contractor such as the length of their business relationship, the contractor's bonding rating and limits, and whether the surety has ever paid out on claims for the contractor. It also asks the surety to disclose any bonding refusals, complaints of nonpayment from subcontractors or suppliers, or occasions where it paid such parties directly.

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Other files for this federal contract opportunity

Other files attached to Replace Chiller # 3 - Pineville, LA - VA (Project No. 502-21-110), newest first.
File Type Posted
36C25623R0096 0004.docx DOCX document
36C25623R0096 0003.docx DOCX document
36C25623R0096 0002.docx DOCX document
Attachment 1A00002 - 2023-08-18 Addendum No. 1.pdf PDF
Attachment 2A00002 236400 3-20 Packaged Water Chillers - Addendum 1.pdf PDF
36C25623R0096 0001.docx DOCX document
36C25623R0096 - Site Visit Sign in Sheet 502-21-110 Aug 15 23.jpg JPG image
36C25623R0096.docx DOCX document
36C25623R0096 EXHIBIT F.docx DOCX document
Final SOW - Formatted.docx DOCX document
36C25623R0096 EXHIBIT C.docx DOCX document
PRA 502-21-110 Chiller 3 Replacement - Copy.pdf PDF
DBA WD LA20220041 Mod 5 (6-16-23).pdf PDF
36C25623R0096 EXHIBIT A.docx DOCX document
36C25623R0096 EXHIBIT B.docx DOCX document
36C25623R0096 EXHIBIT D.docx DOCX document
36C25623R0096 Design Analysis.pdf PDF
36C25623R0096 Drawings.pdf PDF
36C25623R0096 Specifications.pdf PDF
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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-21-110 – Replace Chiller # 3 36C25623R0096

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 .