4-04 Form 3- Financial Questionnaire.pdf
PDF 126 KB Posted
- Attached to
- 3202700010 Print Shop Equipment
- Solicitation number
- 3202700010
- Issued by
- Texas
About this file
This is a Financial Questionnaire form for the Texas Workforce Commission's (TWC) procurement of commercial grade print shop equipment. The form requires bidders to provide detailed financial and organizational information to demonstrate their capability and stability to perform the contract. The procurement aims to expand TWC's internal printing operations through the purchase, delivery, and installation of print shop equipment.
The Financial Questionnaire requires bidders to disclose bankruptcy filings or criteria met within the past five years; current defaults on loan agreements or financial obligations; any pending sales or acquisitions planned within twelve months of bid submission; complete ownership structure including subsidiaries, affiliates, and joint ventures with percentage ownership details; year of company founding and incorporation details with state of incorporation; headquarters and field office locations; employee counts both locally and nationally with assigned project locations; and prior contract history with any Texas state agency including contract terms, duties performed, and contracting agency. For joint ventures or affiliates performing the majority of work, bidders must identify all parties and their ownership percentages, and the primary bidder must be the entity performing the majority of contract work throughout the contract duration.
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Text version
3202700010 Print Shop Equipment
FORM 3 – FINANCIAL QUESTIONNAIRE
Bidder name: ________________________
The Bidder 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 (5) 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 during the next twelve (12) months following the Bid Submission Deadline. If so, explain the impact both in organization and company director.
d. Ownership structure (e.g., corporation, partnership, LLC, or sole proprietorship), including any wholly-owned subsidiaries, affiliated companies, or joint ventures. (Please provide this information both in a narrative and as a graphical representation.)
1. If Bidder is an affiliate of, or has a joint venture or strategic alliance with, another company, Bidder must identify the percentage of ownership of each joint venture member or affiliate and the percentage of the parent company’s ownership. The entity performing the majority of the work under any Contract resulting from this Solicitation, throughout the duration of the Contract, must be the primary Bidder.
2. Finally, Bidder must provide its proposed operating structure for the services requested under this Solicitation and which entities (i.e., parent company, affiliate, joint venture, subcontractor) will be performing the services;
e. The year the company was founded and/or incorporated. If incorporated, please indicate the state where the company is incorporated and the date of incorporation;
f. The location of company headquarters and any field office(s) that may provide services for any resulting Contract under this Solicitation;
g. The number of employees in the company, both locally and nationally, and the location(s) from which employees will be assigned to TWC’s project;
and
h. Indicate whether the company has ever been in contract with any Texas state agency. If “Yes,” specify the contract term, for what duties, and with which agency.
FORM 3 – FINANCIAL QUESTIONNAIRE
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