36C25626R0023 EXHIBIT E.docx
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- Solicitation number
- 36C25626R0023
About this file
This is a Surety Form template that requires completion by the surety (bonding company) as part of an offeror's technical proposal package for solicitation 36C25626R0023, issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 for the replacement of underground 15kV feeders and transformers at a facility in North Little Rock (NLR).
The form requests the surety to provide company information, including name, address, and point of contact details, along with specific underwriting information about the contractor being bonded. Required disclosures include the duration of the bonding relationship, the contractor's rating, single-project and aggregate bonding limits, and historical performance data such as whether the surety has previously completed a project for the contractor, whether liability insurance has been refused, and whether there have been complaints or payment issues from subcontractors or suppliers. This form must be submitted by the offeror no later than a specified deadline as part of their technical proposal package.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 598-19-112 CON 15KV Feeder Loop 36C25626R0023
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 .