FA486110RA200_NELLIS_MACC_Atch26 Bonding Information Request.docx

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 99 CONS/LGCA

5865 Swaab Blvd, Bldg 588 Nellis AFB NV 89191-7063

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 fax (702-652-2531) or email to me (jacquelyn.buky@nellis.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 me at 702-652-2531. 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)

DEPARTMENT OF THE AIR FORCE

99TH CONTRACTING SQUADRON (ACC)

NELLIS AIR FORCE BASE, NEVADA

Global Power For America

RESPONSIBILITY QUESTIONNAIRE - BONDING

FA4861-10-R-A200

MULTIPLE AWARD CONSTRUCTION CONTRACT (MACC)

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:

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