36C25625R0083 EXHIBIT E.docx

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Z2DA--Project #667-25-200 Replace Building 55 1st and 2nd Floor Boiler (Con)
Solicitation number
36C25625R0083
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This document is a Surety Form for a VA Medical Center project to replace the 1st and 2nd floor boiler in Building 55. The pre-solicitation opportunity is specifically restricted to Service-Disabled Veteran-Owned Small Businesses (SVOSBs) for a construction project located in Shreveport, Louisiana. The project has a construction cost range between $250,000 and $500,000, with a primary NAICS code of 238220 for Plumbing, Heating, and Air Conditioning Contractors.

Key requirements include mandatory SDVOSB certification through the SBA database, SAM registration, and a bid bond. The official solicitation (36C25625R0083) will be issued on or around 04/18/2025 through SAM.gov. The project will use FAR 15.101-1 Tradeoff Process for contract award, and a single site visit will be conducted with details to be provided in the actual solicitation. Interested contractors must complete all certifications and meet specific eligibility criteria to be considered for the contract.

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36C25625R0083 0002.docx DOCX document
36C25625R0083 0001.docx DOCX document
36C25625R0083 667-25-200 Specs.pdf PDF
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36C25625R0083 WD LA20250031 02282025.pdf PDF
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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project #667-25-200 Replace Building 55 1st and 2nd Floor Boiler 36C25625R0083

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 .