36C25626R0031 EXHIBIT E.docx

This is a Surety Form template that offerors must complete and submit as part of their technical proposal package for the Department of Veterans Affairs Veterans Health Administration project to replace wayfinding and signage (Solicitation Number 36C25626R0031, Project No. 502-23-707).

The form requires contractors to provide their company information and designate a surety, who must then complete the remainder of the document. The surety must supply their name, address, and point of contact information, along with details regarding their bonding relationship with the contractor, including the length of time providing bonds, the contractor's rating, and single project and aggregate bonding limits. The form also requires the surety to disclose whether they have previously completed a project for the contractor, whether liability insurance has been refused, whether complaints of non-payment by subcontractors or suppliers have been made, and whether the surety has had to pay subcontractors or suppliers on the contractor's behalf. The form provides checkboxes for yes/no responses to these disclosure questions.