S02-EXHIBIT E SURETY FORM.pdf
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- Z2DA--CFM - Rebalance HVAC System Federal contract opportunity
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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
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