Attachment_M_-_Financial_Questionnaire_RFP___15F06718R0000099.docx
DOCX document 35 KB Posted
- Attached to
- Job Ordering Contract
- Solicitation number
- 15F06718R0000099
About this file
This document contains a financial questionnaire attachment for a job order contract solicitation. The Federal Bureau of Investigation is seeking to award multiple indefinite delivery/indefinite quantity contracts to support construction, alteration, and repair projects at FBI facilities located in Washington D.C., Quantico, Virginia, West Virginia, and Pocatello, Idaho. This is a 100% small business set-aside with a NAICS code of 236220 and size standard of $36.5 million. The period of performance for the contract will be one base year and four option years. Individual task orders will have firm fixed prices determined by applying unit pricing from the R.S. Means database and the contractor's coefficient factor. The financial questionnaire must be completed by prospective contractors and returned to the FBI by October 15, 2018. Financial institutions will complete the questionnaire and return it directly to the contractor in a sealed envelope by the same date.
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FOR OFFICIAL USE ONLY
Source Selection Sensitive Information—See FAR 2.101 & 3.104 Indefinite Delivery Indefinite Quantity - Job Order Contract (JOC) 15F06718R0000099
ATTACHMENT M
FINANCIAL QUESTIONNAIRE
OFFEROR INSTRUCTIONS: Please complete below and return as per instructions no later than: October 15, 2018.
Prospective Contractor for which information is being requested:
Firm Name:
Address:
Point of Contact:
Phone Number:
Name & Signature of the Person Authorized to request financial information:
Please complete below and return as per instructions no later than:
FINANCIAL INSTITUTION INSTRUCTIONS: The Federal Bureau of Investigation is considering the firm listed below for award of a VA contract. In order to be responsive to FBI’s needs, it is requested that you complete this questionnaire and place it in a sealed envelope showing return address of the financial institution and forward it to the above-mentioned firm no later October 15, 2018 or you may email as an attachment to (amchiodi@fbi.gov). Your comments are considered Source Selection Sensitive; therefore, you are advised that the Federal Acquisition Regulation (15.506) prohibits the release of the names of individuals providing reference information about Offeror’s financial status.
| Banking Institution: | Account number: | Type of account:_ | Average balance:_ | Do they have a Line of Credit [ ] Yes [ ] No | |||||
| What is their limitation: | Unused Balance: | Relationship with the bank: [ ] Outstanding [ ] Satisfactory [ ] Other: | How long have they been a client: | What is their most recent credit rating: | Date of most recent credit rating: | Credit rating prepared by: | Signature of Provider: | ||
| Title: | Date: |
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