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Exhibit E Surety Form

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A Word document (29 KB) attached to Project 629-25-104 ED Suicide Risk Mitigation Fence, from the Department of Veterans Affairs. Due Nov 23, 2026, 2:00 PM (UTC-6).

File name: 36C25626R0117 EXHIBIT E Surety Form.docx

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EXHIBIT E

SURETY FORM

OFFEROR INSTRUCTIONS: To be completed by Surety and SUBMITTED BY OFFEROR AS A PART OF THE TECHNICAL PROPOSAL PACKAGE.

11430001524000Contractor Name:
11430001536700Address:
11430001549400
11430001562100Telephone:Email:
30670501301750Please complete below and return no later than:

9906001511300Surety Name:
9906001524000Surety Address:
9906001536700
9906001555750POC:Title:
9906001568450Telephone:Email:

39338251485900How long have you provided bonding for the above contractor?YEARS 20097751498600What is the contractor’s rating?

22955251524000Bonding Limit for a single project? $
22955251549400Aggregate 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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