24. Determination of Contractor Responsibility (3 pgs) - BLANK.pdf
PDF 1 MB Posted
- Attached to
- Simplified Acquisition of Base Engineer Requirements (SABER) IDIQ at Seymour Johnson AFB, Goldsboro, NC.
- Solicitation number
- FA480922B0001
About this file
This document contains a determination of contractor responsibility form and related federal contract opportunity notice. The determination of contractor responsibility form requests information from potential contractors, including names and contact information for banking institutions and suppliers, financial statements, descriptions of company specialties and experience, incorporation details, subcontracting plans, equipment rental plans, and potential conflicts. The related federal contract opportunity is a solicitation for a simplified acquisition of base engineer requirements indefinite delivery/indefinite quantity multiple award contract at Seymour Johnson Air Force Base, North Carolina. Services required include maintenance, repair, alteration, and minor construction projects. The contract period is one base year with four one-year options and one six-month extension. The solicitation is set aside for 8(a) small businesses and responses are due October 4th, 2022.
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Text version
DETERMINATION OF CONTRACTOR RESPONSIBILITY
In an effort to determine your company responsible, the following items are requested. These are in addition to the instructions contained in Section L of the solicitation.
1. As part of the bid package, provide the name of your banking institution(s), to include point(s) of contact and phone number(s). The apparent low bidder shall be required to have the identified banking institution(s) complete and provide the Financial and Account forms within three business days. The banking institution(s) and submit the completed and signed forms via e-mail to Ms. Angela Gibson at angela.gibson.4@us.af.mil and Mr. Kyle Donah at kyle.donah@us.af.mil.
2. The names of at least three (3) suppliers that you do business with, to include points of contact and phone numbers. NOTE: Please ensure you have authorized verbal release of information concerning your accounts. If you have not authorized verbal release of information or your supplier(s) will not verbally release information, have your supplier(s) complete the attached form and send via e-mail to Ms. Angela Gibson at angela.gibson.4@us.af.mil, Mr. Kyle Donah at kyle.donah@us.af.mil.
3. A copy of your most current financial statement prepared by a certified public accountant, to include CPAs notes.
4. A brief description of your company’s specialty and a statement of how long you have been performing this specialty.
5. A statement of whether or not your company is incorporated, and if so, when you became incorporated.
6. A statement of whether or not any of the work will be subcontracted, and if so, the disciplines and the percentages of work to be completed by each party. Your attention is directed to the NAICS code applicable to this solicitation.
7. A statement of whether or not you will be renting any equipment, and if so, the item(s) to be rented. Provide proof of ability to obtain rental (i.e., rental agreement).
8. A statement of whether or not any other ongoing government or commercial contracts you have will conflict with this work.
FA480922B0001
Attachment 24
24-May-2022 mailto:angela.gibson.4@us.af.mil mailto:kyle.donah@us.af.mil mailto:angela.gibson.4@us.af.mil, mailto:kyle.donah@us.af.mil
FINANCIAL INFORMATION ON
PROVIDED BY
1. Are you aware of any problems this company has currently or has had in the past with paying suppliers or employees?
2. Do you have a line of credit established for this company? If so, what is the high to low range? Is it secured or unsecured?
3. Does this company pay in accordance with the payment terms?
4. Additional Comments:
Date:
Phone:
Signature:
Title:
FA480922B0001
Attachment 24
E-mail completed questionnaire to angela.gibson.4@us.af.mil and kyle.donah@us.af.mil.
24-May-2022
ACCOUNT INFORMATION ON
PROVIDED BY
1. How long have you been doing business with this company?
2. What materials do you supply to this company?
3. Does this company pay within your payment terms?
4. What line of credit have you established for this company?
5. Additional Comments:
Signature:
Phone:
Title:
Date:
E-mail completed questionnaire to angela.gibson.4@us.af.mil and kyle.donah@us.af.mil.
FA480922B0001
Attachment 24
24-May-2022 mailto:angela.gibson.4@us.af.mil mailto:kyle.donah@us.af.mil
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| Name of Company: (Name of Company) |
| Name of Banking Institution: (Name of Banking Institution) |
| Name of Supplier: (Name of Banking Institution) |
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| Name of Company2: (Name of Company) |
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| Phone Number: |
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