Attachment_J.2_Statement_of_Financial_Capability.docx
DOCX document 47 KB Posted
- Attached to
- Operation of CTT programs at Job Corps Centers - Electrical, etc. Federal contract opportunity
- Solicitation number
- 1630DC-17-R-00011
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Attachment J.2
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 17R00011_Amendment_1.pdf | ||
| CTT_Programs_RFP-_1630DC-17-R-00011.doc | DOC document | |
| Attachment_J.1_Cost_and_Price_Proposal.doc | DOC document |
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Text version
U.S. DEPARTMENT OF LABOR ! Employment and Training AdministrationRFP NO.
STATEMENT OF FINANCIAL CAPABILITY
<(Insert the Name and Complete Mailing Address of Offeror)
A. DATE LAST BALANCE WAS PREPARED
B. FINANCIAL CONDITION
(as of Date) 19
(1) Cash . . . . . . . . . . . . . . . . . . . . . . . . . $
(2) Current Assets . . . . . . . . . . . . . . . . . . $
(3) Current Liabilities . . . . . . . . . . . . . . . . $ (4) Net Worth . . . . . . . . . . . . . . . . . . . . . $
PERIOD COVERED (Month, Day, Year)
| From |
| To |
FILED WITH
| C. DATE FISCAL YEAR ENDS | |
| (Month, Day, Year) | < |
D. FINANCIAL ARRANGEMENTS TO FACILITATE PERFORMANCE DURING INITIAL PHASE OF CONTRACT ( X appropriate box(es)
(1) Own Resources D Yes D No
| (2) Bank Credit | If YES, | a. Name of | b, Amount complete | Bank (1): | |
| D Yes D No | $ |
(3) Other (If YES, Specify)
D Yes D No
E. IF ADVANCE PAYMENT IS INDICATED UNDER D(3) ABOVE, COMPLETE THE FOLLOWING:
| (1) Estimated Amount of Advance Payment | ||
| $ | for | months. |
| (2) The following advances from the Government are presently being received: (Complete columns a thru e below) |
AGENCY'S NAME AND ADDRESS
PERIOD OF
CONTRACT
CONTRACT NO.
AMOUNT OF ADVANCE
BANK AGREEMENT WITH
| (a) |
| (g) |
| (c) |
| (d) |
| (e) |
ETA 8554 (Mar 1981)
F. THE FOLLOWING IS A LIST OF CURRENT CONTRACTS WITH THIS OR ANY OTHER GOVERNMENT AGENCIES.
(If additional space is needed, attach additional sheet(s))
AGENCY'S NAME, ADDRESS, AND TELEPHONE NO.
CONTRACT NO.
AMOUNT OF CONTRACT
PERIOD OF CONTRACT
| (1) |
| (2) |
| (3) |
| (4) |
G. IF OVERHEAD/INDIRECT COSTS ARE INCLUDED IN YOUR COST PROPOSAL, THE FOLLOWING DATA WILL BE FURNISHED.
| (1) Name and Address(es) of Cognizant Government Audit Agency |
| (2) Name and Address of Government Auditor |
| Telephone | Area Code No. | |
| ( | ) |
(3) Date Last Rate was Computed (Month, Day, Year) and Negotiated
(4) If no government audit agency computed and authorized the rate claimed, complete a, b, and c below.
| (a) How it is computed? |
| (b) Who? |
| (c) Date (Mo.., Day, Yr.) |
ATTACH COMPUTATION DATA USED.
COMMENTS
CERTIFICATION: I CERTIFY that to the best of my knowledge and belief the information contained herein is TRUE and CORRECT.
| SIGNATURE |
| TYPED NAME AND TITLE |
| DATE (Mo., Day, Yr.) |
ETA 8554 (Mar 1981)
File details come from the government source that posted it. Updated .