Attachment-3-Surety Form 02.docx
DOCX document 19 KB Posted
- Solicitation number
- 36C25524R0060
About this file
This document is an Attachment 3 - Surety Form related to a federal contract opportunity for Indefinite Delivery Indefinite Quantity - Job Order Contract (JOC) 36C25524R0060.
The Surety Form is to be completed by the Offeror and submitted to their Surety by August 22, 2024, requesting the Surety to complete and return the form by the same date. The Surety Form requests information about the Offeror's bonding capacity, history, and any issues related to non-payment, claims, or insurance. This information is to be provided to the Department of Veterans Affairs Network Contracting Office 15 along with the proposal submission.
The related federal contract opportunity is for Construction Services required for the St. Louis VA Medical Center - John Cochran under a Job Order Contract IDIQ with Solicitation Number 36C25524R0060. The services will be performed at the St. Louis VA Medical Center - John Cochran facility located at 915 N Blvd, St. Louis, MO 63106. The contracting agency is the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25524R0060 0003.docx | DOCX document | |
| 36C25524R0060 0002.docx | DOCX document | |
| 36C25524R0060 0001.docx | DOCX document | |
| John Cochran VAMC JOC Sign in.pdf | ||
| ATTACHMENT 4- Specification Section 01 35 26- Safety Requirements 05-01-24.pdf | ||
| 36C25524R0060_3.docx | DOCX document | |
| Attachment 1 - Past Performance Questionnaire 02.docx | DOCX document | |
| Attachment 2 - Performance Relevancy Survey 02.docx | DOCX document |
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Indefinite Delivery Indefinite Quantity – Job Order Contract (JOC) 36C25524R0060
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 .