Attachment-3-Surety Form 02.docx

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Attached to
Z2DA--Jefferson Barracks Job Order Contract (JOC) (2024)
Solicitation number
36C25524R0059
Issued by

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This document is an Attachment to a Solicitation for an Indefinite Delivery Indefinite Quantity (IDIQ) Job Order Contract (JOC) for construction services at the St. Louis VA Medical Center - Jefferson Barracks.

The Attachment is a Surety Form that must be completed by the Offeror and submitted to their Surety requesting the Surety to provide information about their bonding relationship with the Offeror, including the Offeror's rating, bonding limits, and any history of issues. The completed Surety Form must be returned to the Department of Veterans Affairs Network Contracting Office by August 22, 2024. This Surety information is required to be submitted with the proposal in response to Solicitation Number 36C25524R0059 for the Z2DA--Jefferson Barracks JOC (2024) contract.

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Other files

File Type Posted
36C25524R0059 0002.docx DOCX document
36C25524R0059 - Jefferson Barracks JOC - Sign-In Sheet.pdf PDF
36C25524R0059 0001.docx DOCX document
Attachment 1 - Past Performance Questionnaire 02.docx DOCX document
36C25524R0059_1.docx DOCX document
ATTACHMENT 4- Specification Section 01 35 26- Safety Requirements 05-01-24.pdf PDF
Attachment 2 - Performance Relevancy Survey 02.docx DOCX document

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Indefinite Delivery Indefinite Quantity – Job Order Contract (JOC) 36C25524R0059

ATTACHMENT 3

SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Offeror and submitted to Surety requesting they complete and return as indicated on Surety Instructions, by no later than 08/22/2024.

Contractor Name: _____________________________________________________________

Address:___________________________________________
___________________________________________
Telephone:___________________________________________

Please complete below and return as per instructions no later than: August 22, 2024.

SURETY INSTRUCTIONS: To be completed by Surety and returned no later than August 22, 2024 with proposal to:

Department of Veterans Affairs Network Contracting Office 15 Attn: Sean Jackson, Contracting Officer Regular Mail: 3450 S 4th Street Trafficway Leavenworth KS 66048 or via e-mail to Sean.Jacskon@va.gov

FedEx:3450 S 4th Street Trafficway
Leavenworth KS 66048

Surety Name:__________________________________________________

Surety Address:___________________________________________
___________________________________________
Telephone: _________________________ Facsimile: _____________________

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 .