EXHIBIT E SURETY FORM.docx
DOCX document 32 KB Posted
- Attached to
- Z1DA--Installation of Additional Environmental Monitors Federal contract opportunity
- Solicitation number
- 36C25621R0131
About this file
This document contains a federal contract opportunity notice for installation of additional environmental monitors. The solicitation is being issued by the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The contractor will provide all labor, materials, tools and equipment necessary to install additional environmental monitors at the Southeast Louisiana Veterans Health Care System located in New Orleans, Louisiana. The project cost range is between $500,000 to $1 million. This is a 100% set-aside for Service-Disabled Veteran Owned Small Businesses. The prime contractor must perform at least 25% of the work cost using its own employees or employees of other eligible SDVOSB concerns. Interested SDVOSBs must be registered and verified in the Vendor Information Pages and System for Award Management databases by the response due date of June 4, 2021 to be considered for award.
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Text version
FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Project No. 629-21-102 Installation of Additional Environmental Controls 36C25621R0131
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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