Attach 4 - Financial_HVAC Repair B550_1.pdf
PDF 138 KB Posted
- Attached to
- REPAIR HVAC BUILDING 550
- Solicitation number
- FA670325B0005
About this file
This document is a Financial Institution Reference Sheet for solicitation number FA6703-25-B-0005, which involves HVAC Repair at B550, Dobbins Air Reserve Base (ARB) in Georgia. The form is designed for contractors to provide detailed financial information about their business banking accounts. The sheet requires contractors to list their company details and obtain verification from their financial institutions regarding account characteristics such as average monthly balances, current loans, lines of credit, payment history, and credit rating. The form will be used by the 94th Contracting Flight at Dobbins ARB to evaluate the financial responsibility of potential contractors during the solicitation process.
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Text version
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Please fill out and return a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for solicitation number FA6703-25-B-0005, HVAC Repair B550, Dobbins ARB, GA.
TO BE FILLED OUT BY CONTRACTOR:
Company’s Name: ___________________________________________
Point of Contact (POC) Name: _________________________________
POC Phone Number: _________________________________________
INSTITUTION NAME: ______________________________________
POC Name: ________________________________________________
POC Title: _________________________________________________
POC Phone Number: _______________Fax Number: ______________
I give permission for the following information regarding my account(s) at your institution to be released to representatives of the 94th Contracting Flight, Dobbins ARB, GA.
Printed Name/Title Signature/Date
TO BE FILLED OUT BY FINANCIAL INSTITUTION:
Please give amounts as a range – i.e., low four figures, mid six figures, etc.
Average monthly balance in checking: ____________________________
Average monthly balance in savings: _____________________________
Amount of any current loans: ___________________________________
Amount of any lines of credit: __________________________________
Any late payments of NSFs: ____________________________________
How long with this institution: __________________________________
Credit rating with this institution: ________________________________
I verify that the information provided above is current as of _____________________________
Name/Title Signature/Date
Attachment 4 FA670325B0005
File details come from the government source that posted it. Updated .