36C25624R0115 EXHIBIT E.docx

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Z1DA--CON Project 502-24-904 Fire doors for Building 7 and 9 502-24-4-5826-0033
Solicitation number
36C25624R0115
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This document is a Surety Form that must be completed by the Offeror's Surety and submitted as part of the technical proposal package for Solicitation 36C25624R0115. The solicitation is for Project No. 502-24-904 Fire Doors for BLDG 7 & 9, issued by the Department of Veterans Affairs, Veterans Integrated Service Network 16. The form requires the Surety to provide information about their relationship with the Contractor, such as how long they have provided bonding, the Contractor's rating and bonding limits, and whether the Surety has had to complete any projects or make payments to subcontractors/suppliers on the Contractor's behalf. This information is used to assess the Contractor's financial capability and performance history.

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-24-904 Fire Doors for BLDG 7 & 9 36C25624R0115

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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