Attach 4 - Financial_HVAC Repair B550_1.pdf

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Attached to
REPAIR HVAC BUILDING 550 Federal contract opportunity
Solicitation number
FA670325B0005
Issued by
Department of the Air Force Reserve Command

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 .