140L0618R0034_Bank_Info_Questionnaire.doc

SEQ CHAPTER \h \r 1 In Reply

Refer To:

1510 (OC-664)

INSERT DATE

MEMORANDUM FOR National Operations Center

Bureau of Land Management

ATTN: John Kelley

Denver Federal Center

Denver, CO 80225

FROM: INSERT BANK NAME

SUBJECT: In Response to Request for Information for Solicitation 140L0618R0034, Brandenburg Water Well

1. The following information is provided for INSERT COMPANY NAME.

a. This company has been banking here since INSERT DATE.

b.

The company has INSERT NUMBER, TYPE OF ACCOUNTS, and AVERAGE BALANCE (Example:

3 Figures = from $100 - $999

4 Figures = from $1,000 - $9,999

5 Figures = from $10,000 - $99,999

6 Figures = from $100,000 - $999,000

7 Figures = from $1,000,000 - $9,999,000

8 Figures = from $10,000,000 - $99,999,999

9 Figures = from $100,000,000 - $999,000,000)

c. This company has an average line of credit of INSERT AMOUNT and has the following terms of availability: INSERT TERMS

d. The company has been extended a line of credit for INSERT AMOUNT and payments have/have not been timely.

e. The company has/has not had any overdrafts against any accounts. (If so, how often are past due notices issued and approximately for how much.)

f. (Provide general information referencing the financial standings for the company, including the bank’s rating of the company as a customer based on the Risk Management Association (RMA)).

2. If you have any further questions, please contact John Kelley at 303-236-2626 or jakelley@blm.gov.

� SEQ CHAPTER \h \r 1�United States Department of the Interior

BUREAU OF LAND MANAGEMENT

National Operations Center

Denver Federal Center, Building 50

P.O. Box 25047

Denver, Colorado 80225-0047 http://www.blm.gov

� EMBED WPDraw30.Drawing ��

TPEC Appointment MFR Solicitation L13PS00085 2

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