Financial Info.pdf
PDF 141 KB Posted
- Attached to
- Culvert Installation & Road Maintenance Services Federal contract opportunity
- Solicitation number
- 12445121R0001
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Revised SF 1442 12445121R0001.pdf | ||
| Response to Questions.pdf | ||
| page 18 corrected.pdf | ||
| NEW Culvert Specs.pdf | ||
| NEW SCAWD TX Sample.pdf | ||
| NEW Road Maintenance Technical Specs.pdf | ||
| NEW DBWD TX Sample.pdf | ||
| NEW Solicitation 12445121R0001.pdf | ||
| NEW Financial Info.pdf | ||
| NEW Performance Relevancy.pdf | ||
| Road Maintenance Technical Specs.pdf | ||
| Culvert Specs.pdf | ||
| SCAWD TX Sample.pdf | ||
| Solicitation 12445121R0001.pdf | ||
| DBWD TX Sample.pdf | ||
| Performance Relevancy.pdf |
Show all 16
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Text version
12445121R0001 NFGT Culvert Installation & Road Maintenance Services
Attachment 2: CONTRACTOR’S FINANCIAL INFORMATION SHEET
SECTION 1 – GENERAL INFORMATION
1A.NAME 2. TYPE OF ORGANIZATION (CHECK ONE)
A. Sole Proprietorship F. LLC
1B. STREET ADDRESS B. General Partnership G. Joint Venture
C. Limited Partnership H. Non-Profit/Education 1C. CITY 1D. STATE 1E. ZIP/POSTAL D. Corporation I. Other: Specify
E. Subchapter S.
3. TAXPAYER ID NUMBER : 4. PHONE NUMBER 5. FAX NUMBER
6. DUNS NUMBER: 7. CELLPHONE NUMBER
8. KIND OF PRODUCT OR SERVICE PROVIDED: 9. EMAIL ADDRESS
10. KIND OF BUSINESS- Specify one block (plus “J” if applicable)
A. LARGE BUSINESS E. EMERGING SMALL
BUSINESS
I. INDIAN SDB
B. SMALL BUSINESS F. VETERAN SMALL BUSINESS J. HUB ZONE - Also
C. SMALL DISADVANTAGED BUSINESS G. SERVICE DISABLED
VETERAN OWNED SMALL
BUSINESS
K. Other: Please Specify
D. WOMAN OWNED SMALL BUSINESS H. INDIAN SMALL BUSINESS
11. OWNERSHIP INFORMATION – PARTNERS – PRINCIPALS - OTHERS
NAME TITLE
13.
14.
15.
16. Questions. If “Yes” to any below, attach detailed information. Yes No A. Have you/your affiliates ever filed for bankruptcy?
B. Do you have any judgments, liens, pending suits?
C. Do you have any contingent liabilities?
D. Have you/your affiliates discontinued business operations with outstanding debts?
SECTION II. GOVERNMENT FINANCIAL AID AND INDEBTEDNESS
If “Yes”, attach detailed information.
Yes No
17. Are you delinquent on any Federal Debt (OMB Circular 129)
18. Do you owe the Government for any contract or other claims?
19. Are you currently receiving Government Financing? (Bonds, Loans, Advanced Payments, Progress Payments, Other)
19a. Are you now in or pending Default on ANY Obligations (i.e. Banks, Financial Institutions, Suppliers, Other)? IF yes please attach detailed information.
File details come from the government source that posted it. Updated .