EXHIBIT E Surety Form.pdf

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Attached to
Modernize 6N Inpatient Restrooms (Swing for 3N)
Solicitation number
36C25626R0108
Issued by

About this file

This is a Surety Form template designated as Exhibit E for the federal construction project titled "Modernize 6N Inpatient Restrooms (Swing for 3N)" with solicitation number 36C25626R0108 and Project No. 667-27-130. The form is classified for official use only and references FAR 2.101 and 3.104 regarding source selection information.

The form requires completion by the surety and submission by the offeror as part of the technical proposal package. It collects contractor information including name, address, telephone, and email, along with surety details including surety name, address, point of contact, title, telephone, and email. The form requests the duration of the surety's bonding relationship with the contractor (in years), the contractor's rating, bonding limits for a single project and aggregate amounts, and responses to four yes/no questions regarding whether the surety has completed a project for the contractor, whether liability insurance has been refused, whether complaints of non-payment by subcontractors or suppliers have occurred, and whether the surety has paid subcontractors or suppliers. A completion and return deadline must be specified by the government.

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Text version

FOR OFFICIAL USE ONLY

Modernize 6N Inpatient Restrooms (Swing for 3N)

Source Selection Information - See FAR 2.101 and 3.104 36C25626R0108 | Project No. 667-27-130

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

EXHIBIT E
SURETY FORM

File details come from the government source that posted it. Updated .