Attachment 11 Proof of Financial Responsibility.pdf

PDF 588 KB Posted

Attached to
Ammo Phase III Federal contract opportunity
Solicitation number
FA481922R0028
Issued by
Department of the Air Force Air Combat Command

About this file

This document contains a general financial information form requesting details from offerors on a solicitation from the Department of the Air Force Air Combat Command. The form requests central contractor registration information including dates enrolled and expiration as well as DUNS and CAGE codes. It also requests the offeror point of contact, whether the company is a separate entity or division, and financial information including bank name and address and a point of contact. It inquires whether the offeror has the needed equipment or resources to obtain the equipment to perform the contract. The related federal contract opportunity is for a Design-Build project at Tyndall AFB to demolish, repair, and restore or provide a new facility for buildings 7028 and 7042 within the Munitions Squadron's secured area, including repair and renovation work and related disciplines of work as specific tasks outlined in the Scope of Work appendix.

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Text version

GENERAL FINANCIAL INFORMATION

The following information is requested to aid the Government in determining your financial responsibility. If your answer to any question is “Not Applicable” indicate as such.

1. Central Contractor Registration Information:

a) Date Enrolled:__________________________________________________________________

b) Expiration Date:________________________________________________________________

c) DUNS:________________________________________________________________________

d) CAGE:________________________________________________________________________

2. Offeror Point of Contact Information:

a) Name:_________________________________________________________________________

b) Position Held:___________________________________________________________________

c) Telephone:_____________________________________________________________________

d) Email:_________________________________________________________________________

3. Company is a separate entity ( ) division ( ). If a division or subsidiary, please provide name of parent company:_______________________________________________________________________

4. Financial Information:

a) Name of Bank:__________________________________________________________________

b) MailingAddress:_________________________________________________________________

c) Point of Contact:________________________________________________________________

d) Work email/telephone:____________________________________________________________

5. Do you have the equipment needed to perform the contract on which you are submitting a proposal or do you have the resources to obtain the equipment? Yes ( ) No ( )

Typed Name of Preparer Signature Date

FA4819-21-R-0002

TYNDALL AFB, FL

ATTACHMENT 10

GENERAL FINANCIAL INFORMATION

File details come from the government source that posted it. Updated .