36C25625R0001 EXHIBIT E.docx
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- Solicitation number
- 36C25625R0001
About this file
This is a surety form (Exhibit E) that must be completed by a contractor's surety company and submitted as part of the technical proposal package for VA project #502-17-102 to replace roof and HVAC systems in Building 9. The form requests basic information about both the contractor and surety company, including contact details, length of bonding relationship, contractor's rating, single project bonding limit, and aggregate bonding amount. It also includes yes/no questions about whether the surety has had to complete projects for the contractor, if liability insurance has been refused, if there have been complaints of non-payment by subcontractors/suppliers, and if the surety has had to pay subcontractors/suppliers.
The form is part of solicitation #36C25625R0001 issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The file itself is marked as "FOR OFFICIAL USE ONLY Source Selection Sensitive Information" and serves as a template to collect bonding information, rather than providing specific details about the scope of work or evaluation criteria.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-17-102 Replace Roof & HVAC BLDG 9 36C25625R0001
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 .