Attachment 14 Proof of Financial Responsibility.pdf
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- Attached to
- Repair/Restore Pest Management Facility Federal contract opportunity
- Solicitation number
- FA481922R0015
About this file
This document contains a financial responsibility form and details of a federal contract opportunity for repair and restoration of a Pest Management Facility. The financial responsibility form requests information including the offeror's DUNS and CAGE codes, point of contact, ownership status, and confirmation of equipment and resources to perform the contract. The federal contract opportunity is a design-build project with a 365-day period of performance to repair and restore the Pest Management Facility at Tyndall AFB. Relevant work includes commercial and institutional construction. The firm-fixed price contract will be awarded as a HUBZone set-aside via request for proposal. Davis-Bacon wage requirements and bonds are required. A site visit will be conducted with stakeholders.
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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
FA4819-22-R-0015
TYNDALL AFB, FL
ATTACHMENT 10
GENERAL FINANCIAL INFORMATION
File details come from the government source that posted it. Updated .