02.02.01 Proposal Attachment 3 - Determination of Finance Responsibility.pdf

This is a Determination of Financial Responsibility Questionnaire issued by FEMA Region IV, Atlanta, Georgia. The form is designed to assess the financial capability of vendors bidding on federal contract opportunities.

The questionnaire consists of two sections: a banking information section completed by the vendor's financial institution, and an authorization section completed by the vendor. The banking institution section requests the bank name, date, phone number, name of bank representative, representative signature, duration of the vendor's banking relationship, and the bank's assessment of whether there are any reasons the vendor would not receive a loan. The vendor authorization section requires a company representative to provide their name, title, and company name, then authorize the release of the banking information to FEMA at 3005 Chamblee Tucker Road, Atlanta, Georgia 30341. The vendor must sign and date the authorization. This template is a pre-award responsibility determination tool with no specific response deadlines, pricing terms, or contract values specified.