EXHIBIT E SURETY FORM.docx
DOCX document 31 KB Posted
- Solicitation number
- 36C25621R0040
About this file
This document contains a federal contract opportunity solicitation for generator controls upgrade work. The Gulf Coast Veterans Health Care System is seeking proposals for Generator Controls Upgrade services under project number 520-22-101, with a 100% set-aside for Service-Disabled Veteran-Owned Small Businesses. Proposals are due around February 10, 2021, and award is anticipated within 30 days thereafter. The performance period is 120 days from notice to proceed. The work location is at the Gulf Coast Veterans Health Care System facility in Biloxi, Mississippi and involves providing all labor, materials, tools, equipment and other resources to complete the generator controls upgrade as defined in project drawings and specifications. NAICS code 238210 for electrical contractors applies. The contract value is estimated between $500,000 to $1 million.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 520-22-101 Generator Controls Upgrade, Biloxi 36C25621R0040
EXHIBIT E
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
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