Attachment 3 Surety Form.pdf

331 KB Posted

Attached to
Topeka VAMC JOC
Solicitation number
36C25524R071
Issued by

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This document is an Attachment 3 Surety Form related to a federal contract opportunity for an Indefinite Delivery Indefinite Quantity (IDIQ) Job Order Contract (JOC) at the Topeka VA Medical Center. The form is to be completed by the offeror and submitted to their surety, who will then return the completed form by October 6, 2024. The surety form requests information about the contractor's bonding history, rating, limits, and any issues with past projects or payments.

The related federal contract opportunity is for a 100% Service-Disabled Veteran Owned Small Business (SDVOSB) set-aside to provide general construction, maintenance, alteration, and repair services for the Topeka VAMC under a one-year base period with up to four one-year option periods. The total contract value shall not exceed $20,000,000. The NAICS code is 236220 with a $45 million size standard. Proposals are due from VA-certified SDVOSB contractors or joint ventures.

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Other files

File Type Posted
AMENDMENT 36C25524R0071 0003.pdf PDF
REVISED SOLICITATION 36C25524R0071 TOPEKA JOC.pdf PDF
Amendment 36C25524R0071 0002.pdf PDF
RFI Questions and Responses 1 - 36C25524R0071.pdf PDF
Amendment 36C25524R0071 0001 .pdf PDF
Topeka JOC Site Visit Sign-in Sheet.pdf PDF
Attachment 4 Specifications_Safety.pdf PDF
SOLICITATION 36C25524R0071 TOPEKA JOC.pdf PDF
Attachment 2 Performance Relevancy Survey.pdf PDF
Attachment 1 Past Performance Questionaire.pdf PDF

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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)

36C25524R0071

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 October 6, 2024

Contractor Name: ______________________________________________________ Address: _________________________________________________

Telephone: ___________________________________________

Please complete below and return as per instructions no later than: October 6, 2024.

SURETY INSTRUCTIONS: To be completed by Surety and returned no later than October 6, 2024, with proposal to:

Department of Veterans Affairs Network Contracting Office 15 Attn: Gislaine Dorvil, Contract Specialist

Regular Mail: 3450 S 4th Street Trafficway Leavenworth KS 66048 or via e-mail to Gislaine.Dorvil@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 .