EXHIBIT D- Surety Form.pdf

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Attached to
Z1DA | 586-25-101 | SITE PREP IR UPGRADE | DESIGN-BUILD | JACKSON, MS | AMEND 0002
Solicitation number
36C25626R0018
Issued by

About this file

This is a Surety Form template for federal contract Exhibit D, required as part of the technical proposal package for Project No. 586-25-101 (Site Prep IR Upgrade), solicitation number 36C25626R0018. The form is marked for Official Use Only and contains source selection sensitive information.

The form requires the offeror to submit surety company information completed by the surety itself. Required contractor information includes name, address, telephone, and email, with a specified return deadline. The surety section requests the surety's name, address, point of contact with title, telephone, and email. Key financial and operational details required include: the duration of bonding provided to the contractor (in years), the contractor's rating, bonding limit for a single project, and aggregate bonding amount. The form includes four yes/no questions addressing surety history with the contractor: whether the surety has ever completed a project for the contractor, whether liability insurance has been refused, whether complaints of non-payment by subcontractors or suppliers have been filed, and whether the surety has had to pay subcontractors or suppliers directly.

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Project No. 586-25-101; SITE PREP IR UPGRADE 36C25626R0018

EXHIBIT D

SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Surety and SUBMITTED BY OFFEROR AS

A PART OF THE TECHNICAL PROPOSAL PACKAGE.

Contractor Name:

Address:

Telephone: Email:

Please complete below and return no later than:

Surety Name:

Surety Address:

POC: Title:

Telephone: Email:

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

EXHIBIT E
SURETY FORM

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