36C25625R0067 EXHIBIT E.docx

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Z1DZ--Project 502-21-118 (CON) Replace roof and windows of Bldg 4
Solicitation number
36C25625R0067
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The document is a Surety Form for a federal contract opportunity (Solicitation Number 36C25625R0067) issued by the Department of Veterans Affairs Veterans Health Administration for Project 502-21-118. The form is designed to be completed by a surety company and submitted as part of the technical proposal package, requiring detailed information about the contractor's bonding history, financial capacity, and performance reliability. Key details include soliciting information about the contractor's bonding limit (single project and aggregate amounts), past project completions, insurance status, and potential subcontractor payment issues. The specific project involves replacing the roof and windows of Building 4, with the solicitation targeting contractors who can demonstrate financial stability and past performance through this comprehensive surety assessment.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 502-21-118 Replace Roof and Windows of Bldg 4 36C25625R0067

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 .