ATTACH 4 - Financial Worksheet.pdf
PDF 634 KB Posted
- Attached to
- REPAIR EXTERIOR AND INTERIOR, BLDG 510
- Solicitation number
- FA670320B0006
About this file
This document contains an attachment requesting financial references from contractors and a description of a federal contract opportunity to repair Building 510 at Dobbins Air Reserve Base. The financial attachment requests contact information for financial institutions and permission to verify the contractor's average monthly balances, loan amounts, credit lines, late or overdraft history, and credit rating. The federal contract aims to replace the fascia boards, paint exterior and interior surfaces, level floors, replace hallway shelves, repaint walls and ceilings, replace the roofing system and flooring, upgrade the building's electrical system, replace the HVAC, and redesign office spaces in the Rockhouse building. The solicitation number is FA670320B0006 and was issued by the Department of the Air Force Reserve Command to repair exterior and interior aspects of Building 510.
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Other files
| File | Type | Posted |
|---|---|---|
| DA2.pdf | ||
| 1987_Survey.pdf.PDF | ||
| ATTACH 5 - Amendment_1.pdf | ||
| Sign In Sheet_BLDG_510 (2).pdf | ||
| ATTACH 3 - Wage Determination.pdf | ||
| ATTACH 1 - Specifications.pdf | ||
| ATTACH 2 - Drawings.pdf | ||
| Solicitation - FA670320B0006.pdf |
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Text version
Attachment 4 FA670320B0006
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
FA670320B0006
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
File details come from the government source that posted it. Updated .