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This document contains a bonding capacity surety form and related federal contract opportunity notice. The Department of Veterans Affairs Memphis Veterans Affairs Medical Center is seeking proposals for multiple award task order contracts for construction period services including mechanical, electrical, HVAC, demolition, painting, and other construction projects. The contracts would have a one year base period and four one-year options, with task orders awarded competitively amongst contractors. The notice identifies primary and secondary NAICS codes, states awards will be made to up to six firms using a tradeoff process evaluating price and non-price factors, and requires a four hour response time to the medical center for awardees. The opportunity is a 100% set aside for service-disabled veteran-owned small businesses. The solicitation is planned for release in January 2021.

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FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104 Memphis VAMC Multiple Award Task Order Contract (MATOC) 36C24921R0045 Attachment D

BONDING CAPACITY SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Offeror and submitted to Surety requesting they complete and return as indicated on Surety Instructions, by no later than the closing date/time of this RFP.

Contractor Name: _____________________________________________________________

Address:___________________________________________
___________________________________________
Telephone:___________________________________________

Please complete below and return as per instructions no later than: ______________

SURETY INSTRUCTIONS: To be completed by Surety and returned no later than the closing date/time of this RFP to:

Department of Veterans Affairs Network Contracting Office 09 Attn: Matthew R. Whisman, Contract Specialist Regular Mail : 2250 Leestown Road Lexington, KY 40511 or via e-mail to matthew.whisman@va.gov

FedEx:2250 Leestown Road
Lexington, KY 40511

Surety Name:__________________________________________________

Surety Address:___________________________________________
___________________________________________
Telephone: _________________________ Facsimile: _____________________

How long have you provided bonding for the above contractor? _________ YEARS What is the contractor’s rating? ________________________ Bonding Limit for a single project? $______________________________ Aggregate Bonding 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

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