Attachment 12 Proof of Financial Responsibility.pdf
PDF 588 KB Posted
- Attached to
- Repair (restore) Bonita Bay Docks Federal contract opportunity
- Solicitation number
- FA481922R0010
About this file
This document contains a template for providing general financial information as an attachment to a federal contract proposal. It requests details such as the offeror's Central Contractor Registration information including date enrolled and expiration date, DUNS and CAGE codes. It also asks for the offeror point of contact, whether the company is a separate entity or division, financial institution information, and confirmation that the offeror has the necessary equipment or resources to perform the contract.
The related federal contract opportunity is solicitation number FA481922R0010 from the Department of the Air Force Air Combat Command to repair and restore docks, sidewalks, retention walls, and ADA/ABA elements at Bonita Bay Docks. This is a design-build project that will involve demolition and repairs to multiple docks and waterfront infrastructure elements.
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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 .