Bonding_Information_Request.docx

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 49 CONS/LGCB

490 First Street Ste. 2180 Holloman AFB, NM 88330

SUBJECT: Bonding Information Request and Release Authorization

of

(FIRM’S ADDRESS, INCLUDING CITY, STATE, AND ZIP CODE)

for possible award of referenced contract. In order to proceed, we must verify the contractor’s bonding capability. The firm has provided your name as their surety and granted you release, as indicated below, to provide it to the government.

2. Please complete the attached questionnaire and return it by email to SrA Niki Brown (niki.brown@holloman.af.mil) at your earliest convenience, but not later than seven (7) calendar days after receipt of this request.

3. All information provided will be FOR OFFICIAL USE ONLY and will not be publicly released. If you need any other information or have any questions, please call the undersigned at 575-572-3993 or Niki Brown at 575-572-2095. Thank you very much for your assistance.

Attachment Bonding Information Sheet

1st Ind, (Name of Offeror’s Firm) (Date)

TO:

(Name of Surety) (Phone # w/Area Code)

|_| I hereby authorize the surety to release my information as requested.

SIGNATURE:

BY:

(Print name/title of authorized representative)

FA4801-13-R-0004

FA4801-13-R-0004

Global Power For America

RESPONSIBILITY QUESTIONNAIRE - BONDING

FA4801-13-R-0004

INDEFINITE DELIVERY-INDEFINITE QUANTITY (IDIQ)

1. Name of Contractor to whom the following information is applicable:

2. Name of Surety:

3. Address of Surety:

4. How long has the firm provided bonding for the offeror?

5. How would you rate the relationship with the offeror?

|_| Excellent |_| Satisfactory |_|Unsatisfactory |_| Other

6. What is the offeror’s bonding limit?

Single Project $

Aggregate $

7. Has the surety ever taken over to complete a project awarded to the offeror?

|_| NO |_| YES (Include an explanation on separate sheet if yes)

8. Where there ever any complaints of non-payment by the offeror’s subcontractors/suppliers?

|_| NO |_| YES (Include an explanation on separate sheet if yes)

9. Where there ever payments made by the surety to the offeror’s subcontractors/suppliers?

|_| NO |_| YES (Include an explanation on separate sheet if yes)

10. COMMENTS:

I certify that the above information is correct and current as of

(DATE)

SIGNATURE:

BY:

(Print name/title of authorized representative)

DATE: