EXHIBIT E SURETY FORM.docx

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Z2NB--INSTALL SOFTWATER EQUIPMENT
Solicitation number
36C25621R0022
Issued by

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This document provides details for a federal contract opportunity to install softwater equipment at the Alexandria VA Health Care System in Pineville, Louisiana. The solicitation is set aside 100% for Service-Disabled Veteran-Owned Small Businesses and seeks to replace the HVAC system in Building 2 with an estimated construction cost between $5,000,000 and $10,000,000. Interested offerors must be verified as a SDVOSB through the Vendor Information Pages database and registered in the System for Award Management by the time of proposal submission. Proposals are due around June 8, 2020 for the base period of performance of 365 calendar days following notice to proceed. The contractor shall provide all labor, materials, tools and equipment to complete the scope of work according to project drawings and specifications.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 629-17-109 Install Softwater Equipment 36C25621R0022

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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