17-Form 4-Financial Questionnaire.docx

This is a Financial Questionnaire form for the Ft. Worth 1st Floor Restroom Renovation project in Texas, a state and local contract opportunity. The questionnaire requires respondent companies to provide detailed financial and operational information relevant to their ability to execute the project. The form requests disclosure of any bankruptcy filings or criteria met within the past five years, current defaults on loan or financial agreements, any pending business transactions such as company sales or acquisitions, project completion failures or mid-project stoppages within the past five years, and any contract terminations for default or convenience during the same five-year period. Respondents must provide explanations for any affirmative responses, including dates, circumstances, organizational impacts, and prospects for resolution where applicable.

The questionnaire serves as a financial vetting mechanism to assess contractor viability and reliability for this restroom renovation project designed to bring facilities into ADA code compliance. This document does not specify pricing terms, set-asides, incumbent contractors, funding sources, or contract duration; rather, it functions as a preliminary screening tool to evaluate the financial stability and historical performance of bidding companies prior to award consideration.