Attachment 12 Proof of Financial Responsibility.pdf
PDF 588 KB Posted
- Attached to
- Design-Build Car Wash
- Solicitation number
- FA481922R0037
About this file
This notice solicits proposals for a design-build project to construct a car wash facility at Tyndall Air Force Base, Florida. The contractor will be responsible for all professional services, permits, equipment, labor, materials, and tasks defined in the statement of work to complete the project. The project will be awarded as a single-award, firm-fixed price contract. The period of performance is 365 calendar days for design and construction after notice to proceed. The North American Industry Classification System code for this project is 236220, with a size standard of $39.5 million. This requirement is set aside for small businesses only. Proposals are due by July 26, 2022 and shall be submitted electronically through the System for Award Management website.
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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 .