7-Financial Statement.pdf

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RFP - Sex Offender Treatment Services for the Harris County Community Supervision & Corrections Department
Solicitation number
25/0129
Issued by
Harris County, Texas

About this file

This is a blank Financial Statement form template used for vendor qualification in state and local contract opportunities. The form is designed to capture a vendor's financial condition at the close of business for a specified month in 2023, requiring comprehensive documentation of the vendor's financial position including assets and liabilities. The two-page document contains standardized line items for reporting various categories of assets such as cash holdings, accounts receivable from completed and uncompleted contracts, deposits for bids or guarantees, notes receivable with aging categories, real estate holdings, stocks and bonds, equipment and machinery, and other miscellaneous assets.

The liability section requires vendors to disclose notes payable to banks, equipment obligations, current and past due accounts payable, real estate mortgages, reserves, capital stock classifications, and surplus amounts. This financial statement serves as a critical component of the vendor prequalification process, allowing contracting authorities to assess a bidder's financial stability and capacity to perform contract work. The form follows standard accounting principles with clear categories for asset valuation and liability reporting, and includes specific provisions for construction-related items such as amounts earned on uncompleted contracts and deposits for bid guarantees, indicating its use in construction or similar project-based procurement processes.

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Text version

FINANCIAL STATEMENT

Condition of vendor at close of business Month, ______________________, 20__.

ASSETS

1. Cash on hand $

In Bank $

Elsewhere $ $

2. Accounts receivable from completed contracts (exclusive of claims not approved for payment)

3. Accounts receivable from other sources than above

4. Amounts earned on uncompleted contracts (not included in Item 3) (Contract price on completed portion of uncompleted contracts less total cost of completed portion.)

5. Deposits for bids or other guarantees

6. Notes receivable Past due $

Due 90 days $ Due Later $

7. Interest earned

8. Real Estate Business Property, Present value $

Other property $

9. Stocks and Bonds $

Listed on exchange $ Unlisted $

10. Equipment, machinery, fixtures $ Less Depreciation $

11. Other Assets

TOTAL ASSETS $

LIABILITIES AND NET WORTH

1. Notes Payable To banks regular $

(For certified check)

Equip. Obligations

Others $

2. Accounts Payable Current $

Past Due

3. Real Estate Mortgages

4. Other Liabilities

5. Reserves

6. Capital Stock Paid up Common

Preferred

7. Surplus

TOTAL LIABILITIES $

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Year: 23

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