36C25625R0108 EXHIBIT E.docx

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Y1NZ--667-23-113 CON Fisher House Site Prep Construction
Solicitation number
36C25625R0108
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This document is a Surety Form for a federal contract opportunity involving site preparation for a Fisher House construction project. The form is designed to be completed by a surety company and submitted as part of the technical proposal package for solicitation 36C25625R0108, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The form requires detailed information about the contractor's bonding history, including the length of bonding relationship, contractor rating, bonding limits, and critical questions about past project completions, insurance refusals, and payment issues with subcontractors. The form serves as a critical risk assessment tool for evaluating the contractor's financial stability and performance reliability in the context of the Fisher House site preparation construction project.

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36C25625R0108 EXHIBIT F.docx DOCX document
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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 667-23-113 CON Site Prep for Fisher House 36C25625R0108

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 .