B01 Section J Attachment 5 - Contractor Surety Information.docx

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Attached to
Albuquerque SFC MATOC Federal contract opportunity
Solicitation number
75H70120R00011
Issued by
Department of Health and Human Services Indian Health Service

About this file

This document contains instructions and forms for a contractor surety information request related to solicitation number 75H70120R00011 for sanitation facilities construction services. The solicitation will result in the award of indefinite delivery, indefinite quantity multiple award task order contracts to between three to five contractors for sanitation facilities construction work for the Department of Health and Human Services Indian Health Service. The contracts will include a base period and up to four option years. Work will primarily be performed at various facilities in the IHS Albuquerque region but may occasionally be performed elsewhere in the United States or at other IHS healthcare facilities nationwide. Offerors must complete Section A providing their contact and company information and have their surety complete Section B detailing bonding limits, history with the offeror, and any non-payment or completion issues.

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Text version

Solicitation #75H7020R00011

ABQ SFC MATOC

Section J, Attachment 5 Contractor Surety Limitations OFFEROR INSTRUCTIONS: Section A shall be completed by Offeror and submitted to Surety requesting they complete and return to Offeror and included in the RFP offer with guarantee bond.

SECTION A:

Prospective Contractor for which information is being requested:

Contractor Name:___________________________________________
Address:___________________________________________
___________________________________________
Point of Contact:___________________________________________
Telephone:___________________________________________
E-mail:___________________________________________

SURETY INSTRUCTIONS: SECTION B shall be completed by Surety and returned to the Offeror such that it is included with their RFP offer with guarantee bond. Your comments are considered Source Selection Sensitive; therefore, you are advised that Federal Acquisition Regulation FAR-15.506 prohibits the release of the names of individuals providing reference information about Offeror’s bonding limits.

SECTION B:

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
Surety Name:________________________________________
Surety Address:________________________________________
________________________________________
Telephone:_______________ Facsimile: ________________
E-mail:________________________________________

Signature: ________________________________________

File details come from the government source that posted it. Updated .