16-3202600029 - Form 4 FQ POD.docx

DOCX document 17 KB Posted

Attached to
RFP 3202600029 Trinity Cooling Tower and Chiller Replacement
Solicitation number
3202600029
Issued by
Travis County, Austin City, Texas

About this file

This is a Financial Questionnaire form required for respondents to the Texas Workforce Commission's RFP 3202600029 for the Trinity Cooling Tower and Chiller Replacement project. The project involves the removal and replacement of cooling towers, chillers, and associated piping at the TWC Trinity Building located at 1117 Trinity Street, Austin, Texas 78701. The questionnaire serves as a financial screening tool to evaluate the fiscal health and reliability of proposing contractors prior to award.

The Financial Questionnaire requires respondents to disclose five key financial and operational risk factors: bankruptcy filings or criteria met within the past five years; current defaults on any loan or financial agreements; pending sales transactions or acquisitions involving the company; project abandonment or incompletion within the past five years; and any contract terminations for default or convenience within the past five years. For each disclosure item, respondents must provide detailed explanations, including dates, circumstances, and resolution prospects where applicable. The form allows for supplementary documentation to be attached if additional space is required for responses.

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Text version

FORM 4 – FINANCIAL QUESTIONNAIRE

Trinity Cooling Tower and Chiller Replacement #3202600029

Respondent name: ________________________

The Respondent must provide the following information. If more space is needed for the explanation, please attach additional page(s) as necessary:

a. Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the past five years, if so, provide explanation.

b. Indicate if your firm is currently in default on any loan agreement or financial agreement institution, or other entity. If so, specify date(s), details, circumstances, and prospect resolution.

c. Identify if your company is currently for sale or involved in any transaction to expand or become acquired by another business entity. If so, explain the impact both in organization and company director.

d. Indicate if your company has ever failed to complete a project or if a project was ever stopped in the middle of a project within the past five years. If so, why.

e. Indicate if your company has had a contract terminated for default or convenience within the past five years. Yes or No, If yes, provide explanation.

File details come from the government source that posted it. Updated .