Attachment 5_ Surety Information.pdf
PDF 226 KB Posted
- Attached to
- Z1DA--NCO5 - MATOC II Federal contract opportunity
- Solicitation number
- 36C24524R0024
About this file
This document appears to be a Surety Form for a federal contract opportunity. The form requests the offeror to provide information about their surety, including how long the surety has provided bonding for the contractor, the contractor's rating, the bonding limit for a single project, and whether the surety has had to complete a project for the contractor or pay subcontractors/suppliers. The surety is instructed to complete and return the form no later than the closing date/time of the solicitation.
The related federal contract opportunity is for a Multiple Award Task Order Contract II (MATOC II), Solicitation Number 36C24524R0024, issued by the Department of Veterans Affairs Veterans Integrated Service Network 5. The contract opportunity is for multiple sites.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104
Multiple Award Task Order Contract II (MATOC II) 36C24524R0024
SURETY FORM
OFFEROR INSTRUCTIONS: To be completed by Offeror and submitted to Surety requesting they complete and returned as indicated on Surety Instructions, no later than the closing date/time of this RFP.
Contractor Name: _____________________________________________________________
Address: ___________________________________________
Telephone: ___________________________________________
Please complete below and return as per instructions no later than: ______________
SURETY INSTRUCTIONS: To be completed by Surety and returned no later than the closing date/time of this RFP to:
Department of Veterans Affairs Network Contracting Office 5 Attn: Lisa Lake, Contract Officer
Mail : Martinsburg VAMC 510 Butler Ave
Martinsburg, WV 25405 or via e-mail to lisa.lake2@va.gov
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? $______________________________
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:byran.burgee@va.gov
| Attachment 7 |
| SURETY FORM |
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