Attachment-3-Surety Form_.docx
DOCX document 19 KB Posted
- Attached to
- Z2DA--Poplar Bluff Job Order Contract (JOC)
- Solicitation number
- 36C25524R0076
About this file
The provided document is an Attachment 3 - Surety Form related to the Indefinite Delivery Indefinite Quantity - Job Order Contract (JOC) solicitation number 36C25524R0076 for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
The Surety Form instructs the offeror to complete the form with their contractor information and submit it to their surety by September 5, 2024. The surety is then required to complete the form with information about their bonding history with the contractor, bonding limits, and any past issues, and return the completed form to the Department of Veterans Affairs by the same date. The solicitation is for construction services at the Poplar Bluff VA Medical Center, with project details to be determined in the future.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| S04-Poplar Bluff JOC-Attendance Roster pre-bid mtg 08152024_.pdf | ||
| 36C25524R0076 0003.docx | DOCX document | |
| 36C25524R0076 0002.docx | DOCX document | |
| 36C25524R0076 0001.docx | DOCX document | |
| Attachment 2 - Performance Relevancy Survey_.docx | DOCX document | |
| Attachment 1 - Past Performance Questionnaire_.docx | DOCX document | |
| ATTACHMENT 4- Specification Section 01 35 26- Safety Requirements 05-01-24_.docx | DOCX document | |
| 36C25524R0076_1.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Indefinite Delivery Indefinite Quantity – Job Order Contract (JOC) 36C25524R0076
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 September 5, 2024
Contractor Name: ______________________________________________________
| Address: | _________________________________________________ | |
| ___________________________________________ | ||
| Telephone: | ___________________________________________ |
Please complete below and return as per instructions no later than: September 5, 2024.
SURETY INSTRUCTIONS: To be completed by Surety and returned no later than September 5, 2024 with proposal to:
Department of Veterans Affairs Network Contracting Office 15 Attn: Lucia Cowsert, Contract Specialist Regular Mail: 3450 S 4th Street Trafficway Leavenworth KS 66048 or via e-mail to Lucia.Cowsert@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 .