36C25626R0019 EXHIBIT E.docx

This is a Surety Form template that contractors must complete and submit as part of their technical proposal package for the Pharmacy Physical Security Upgrade solicitation (36C25626R0019) issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The form requires contractors to provide detailed surety bonding information, including the surety company's name, address, and point of contact, along with the duration of the bonding relationship and the contractor's current rating.

The form mandates disclosure of specific bonding parameters, including the bonding limit for a single project and aggregate bonding amount, as well as historical performance indicators such as whether the surety has previously completed projects for the contractor, whether liability insurance has been refused, and whether there have been any complaints regarding non-payment by subcontractors or suppliers or instances where the surety has had to pay subcontractors or suppliers directly. This document is classified as containing source selection sensitive information and is marked for official use only. A site visit is scheduled for April 13, 2026, at 10:00 a.m.