EXHIBIT E SURETY FORM.docx
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- Attached to
- Z2NB-- Project 667-18-101 Correct Tunnel Discrepancies Federal contract opportunity
- Solicitation number
- 36C25621R0158
About this file
This solicitation is for corrective tunnel work at the Overton Brooks VA Medical Center in Shreveport, Louisiana. The Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16 is seeking proposals through solicitation 36C25621R0158 for project number 667-18-101. The work includes providing all labor, materials, equipment and expertise to correct discrepancies in existing tunnels as described in project documents. The procurement is set aside 100% for service-disabled veteran-owned small businesses. The construction cost range is between $500,000 to $1,000,000 and NAICS code 236220 applies. Proposals are due on or around August 15, 2021 and the anticipated contract award date is approximately 30 days later. The performance period is 200 calendar days from notice to proceed.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 667-18-101, Correct Tunnel Discrepancies 36C25621R0158
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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