S02-EXHIBIT E SURETY FORM.pdf

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Z2DA--CFM - Rebalance HVAC System
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This exhibit form is required as part of a technical proposal package for a solicitation to rebalance the HVAC system at a Veterans Affairs medical facility. The contractor must provide surety information including the surety name and address, points of contact, years providing bonding for the contractor, the contractor's rating, bonding limits for single and aggregate projects, and answers regarding past claims or complaints. The related federal contract opportunity is to rebalance the HVAC system under solicitation number REBALANCE for the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 16. The purpose of an amendment is to provide ninety-one attachments to the solicitation.

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Rebalance HVAC System

36C25620R0099

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

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