Attachment 17 - Bonding Information Form - Amd 1.docx

Attachment 17 – Bonding Information Request Form Solicitation #: FA4801-23-R-0001 Holloman MACC 2024

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 Contractor? _______________

5. How would you rate your relationship with the Contractor?

___ Excellent ___ Satisfactory ___ Unsatisfactory ___ Other _________________________________________________________

6. What is the Contractor’s bonding limit?

Single Project: $___________________ Aggregate: $___________________

7. Has the surety every taken over to complete a project awarded to the Contractor?

___ NO ___ YES (describe the facts and circumstances on separate sheet)

8. Were there ever any complaints of non-payment by subcontractors/suppliers?

___ NO ___ YES (describe the facts and circumstances on separate sheet)

9. Were there ever payments made by the surety to the subcontractors/suppliers?

___ NO ___ YES (describe the facts and circumstances on separate sheet)

10. COMMENTS:

Signature: _____________________________________________ Printed name/title/date: _____________________________________________ For verification: phone:________________ email: ________________________