Attachment-3-Surety Form.pdf
PDF 143 KB Posted
- Attached to
- Kansas City Job Order Contract (JOC)
- Solicitation number
- 36C25524R0109
About this file
This document is a Surety Form that is part of a solicitation for an Indefinite Delivery Indefinite Quantity (IDIQ) Job Order Contract (JOC) opportunity issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 15.
The Surety Form requires the offeror to provide information about their surety, including how long they have provided bonding, the contractor's rating, bonding limits, and whether the surety has had to complete any projects or pay subcontractors/suppliers for the contractor. The surety must complete and return the form by November 19, 2024 to the Department of Veterans Affairs Network Contracting Office in Leavenworth, Kansas. This information is required to be submitted with the offeror's proposal for the JOC solicitation.
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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) 36C25524R0109
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 November 19, Contractor Name: _____________________________________________________________ Address: ___________________________________________ Telephone: ___________________________________________ Please complete below and return as per instructions no later than: November 19, 2024.
SURETY INSTRUCTIONS: To be completed by Surety and returned no later than November 19, 2024 with proposal to:
Department of Veterans Affairs Network Contracting Office 15 Attn: Cedric Graham, Contract Specialist Regular Mail: 3450 S 4th Street Trafficway Leavenworth KS 66048 or via e-mail to Cedric.Graham@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 mailto:Cedric.Graham@va.gov
| Attachment 3 |
| SURETY FORM |
File details come from the government source that posted it. Updated .