Attach J.6 Finan Cap Wrk.docx

ATTACHMENT D: FINANCIAL HEALTH JUSTIFICATION FORM

(To be completed by the Offeror ONLY if the Current Ratio for either of the last two fiscal years is between 0.8 and 1.2) Notice to Offerors:

This solicitation is evaluated by a panel of program staff and not corporate financial auditors. If your Current Ratio is below 1.2, you must use this template to explain your financial stability in plain, non-technical language. Do not alter the headings or the structure of this form. Total submission must not exceed two (2) pages.

1. Executive Financial Summary Provide the mathematical figures from your audited financial statements for the past two completed fiscal years.

2. Operational Cash Flow ("The Why") In plain language, explain why your business model operates with a current ratio below 1.2. Specifically address how quickly your inventory turns over and how rapidly you collect payments from customers.

[Offeror to insert text here — explain why your cash flow is fast and healthy despite the ratio]

3. Operational Safety Nets ("The Liquid Backing") If FOH places a sudden, high-volume order for vaccines, how will you fund the purchase without delay? Please check the box and provide verifiable proof of at least one of the active safety nets below:

· [ ] Active Line of Credit (LOC): We have an active, unused credit facility of $___________ with [Insert Financial Institution].

· Required Attachment: A letter from the lending institution dated within the last 30 days confirming the credit limit and active status.

· [ ] Parent Company Guarantee: Our parent company, [Insert Parent Company Name], formally guarantees our financial performance on this contract.

· Required Attachment: A signed corporate resolution/guarantee from the parent company's CFO, along with their audited balance sheet.

· [ ] Cash/Cash Equivalents: We maintain a minimum of $___________ in unrestricted cash reserves.

· Required Attachment: Recent bank statement or certified cash ledger.

4. FOH Continuity & Performance Protection Statement Provide a direct, binding statement detailing how you will ensure that your financial structure will have zero negative impact on FOH clinic operations, including JIT deliveries and the 98% fill-rate requirement.

[Offeror to insert text here — state your firm guarantee to protect FOH clinic operations from any financial bottlenecks]

Authorized Corporate Signature:

Signature: ___________________________________________________ Printed Name & Title (CFO, Treasurer, or President): _____________________________ Date: __________________________