VA250-17-R-0136-033.pdf

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Attached to
VISN 10 JOB ORDER CONTRACT IDIQ Federal contract opportunity
Solicitation number
VA25017R0136
Issued by
Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 10

About this file

This document outlines a solicitation for job order contracts to provide general construction services at ten Department of Veterans Affairs medical centers. The solicitation will be issued as a 100% set-aside for Service Disabled Veteran Owned Small Businesses. The contracts will be indefinite delivery/indefinite quantity job order contracts with a minimum order of $2,000 and maximum order of $500,000 placed at each of the ten medical centers located in Indiana, Michigan and Ohio. The maximum value of each contract is $5 million for the base year and each option year. Awards will be made based on technical and past performance evaluation with price being less important. The closing date for responses is to be determined.

VA250-17-R-0136 Attachment 6 - Surety Form.pdf

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Text version

FOR OFFICIAL USE ONLY

Source Selection Sensitive Information—See FAR 2.101 & 3.104

Indefinite Delivery Indefinite Quantity – Job Order Contract (JOC)

VA250-17-R-0136

ATTACHMENT 6

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 July 9, 2018.

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 July 9, 2018 to:

Department of Veterans Affairs Network Contracting Office 10 Attn: Yvonne Demorest, Contracting Officer

Regular Mail: 2780 Airport Dr., Suite 340 Columbus, OH 43219 or via e-mail to yvonne.demorest@va.gov

FedEx: 2780 Airport Dr., Suite 340 Columbus, OH 43219

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 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 mailto:yvonne.demorest@va.gov

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