20260529130617298 Attachment 9 - Authorization for Release of Financial Information.pdf

ATTACHMENT 9 - AUTHORIZATION FOR RELEASE

OF FINANCIAL INFORMATION

RFP 26-07

Banking Depository Services

INSTRUCTIONS

1. Complete all required fields. Leave no required field blank. If a field is not applicable, enter “N/A.”

2. The authorized representative signing this form must have authority to bind the proposing institution.

3. This authorization allows DCTA and its designated representatives to verify financial condition, regulatory standing, and creditworthiness of the proposing institution in connection with this RFP.

4. This Attachment must be included in your sealed proposal PDF uploaded to PlanetBids by the deadline.

It does not count toward the 75-page narrative limit.

SECTION 1 — PROPOSING INSTITUTION INFORMATION

Legal Name of Institution:

D/B/A or Trade Name (if applicable):

Principal Office Address:

City, State, Zip Code:

Federal Employer Identification Number (FEIN):

FDIC Certificate Number:

Primary Federal Regulator:

Texas State Charter / License Number (if applicable):

Years of Continuous Operation:

Total Assets (most recent fiscal year-end, $):

SECTION 2 — REGULATORY STANDING & CREDIT RATINGS

CAMELS Composite Rating (most recent examination):

Community Reinvestment Act (CRA) Rating:

Moody’s Long-Term Deposit Rating (if rated):

S&P Long-Term Issuer Credit Rating (if rated):

Fitch Long-Term Issuer Default Rating (if rated):

Any formal enforcement actions in the past five (5) years? (Yes / No):

If yes, provide brief description:

SECTION 3 — DESIGNATED CONTACT FOR DCTA VERIFICATION INQUIRIES

Identify the individual DCTA representatives should contact when verifying the institution’s regulatory standing and financial information.

Contact Name (Regulatory / Compliance):

Title:

Mailing Address:

City, State, Zip Code:

Telephone:

Email Address:

SECTION 4 — AUTHORIZATION STATEMENT

The undersigned, being duly authorized to act on behalf of the financial institution named below, hereby authorizes the Denton County Transportation Authority (“DCTA”) and its designated representatives to contact and obtain financial information — including but not limited to examination ratings, capital adequacy data, regulatory correspondence, and credit information — from the applicable federal and state banking regulators, credit rating agencies, and other financial references identified herein, for the sole purpose of evaluating the institution’s financial capacity and stability in connection with RFP 26-07, Banking Depository Services.

This authorization extends to the Federal Deposit Insurance Corporation (FDIC), the Office of the Comptroller of the Currency (OCC), the Federal Reserve System, the Texas Department of Banking, any state banking regulatory authority, any nationally recognized statistical rating organization (NRSRO), and any credit reporting agency. This authorization shall remain in effect for the duration of DCTA’s evaluation and award process for RFP 26-07 and through any resulting contract term.

SECTION 5 — AUTHORIZED SIGNATURE

By signing below, the authorized representative certifies the accuracy of all information provided herein and consents to the financial verification described above.

Firm Name: _______________________________________________

Authorized Representative (Print): _______________________________________________

Title: _______________________________________________

Signature: _______________________________________________

Date: _______________________________________________

Email Address: _______________________________________________