Attachment 2 - FIRS - FA441721R0017.pdf
PDF 83 KB Posted
- Attached to
- Base Supply Services
- Solicitation number
- FA441721R0017
About this file
This document includes a solicitation for base supply services and related attachments. The contractor shall provide all non-personal services including personnel, equipment, supervision, and other items and services necessary to perform base supply services at Hurlburt Field, Florida. The solicitation also includes a performance work statement dated August 11, 2021, a financial institution reference sheet to provide banking information, a past performance questionnaire, a DD254 form, and a collective bargaining agreement between the Air Force and IAMAW union from November 2019. The agency issuing this solicitation is the Department of the Air Force Special Operations Command.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Include with your proposal a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for award of this solicitation.
TO BE FILLED OUT BY CONTRACTOR:
COMPANY INFORMATION
Company Name: ________________________________________________________________
Point of Contact (POC) Name: ________________________________________________________________
POC Phone Number: ________________________________________________________________
INSTITUTION INFORMATION
Institution Name: ________________________________________________________________
POC Name: ________________________________________________________________
POC Title: ________________________________________________________________
POC Phone Number: ________________________________________________________________
POC Fax Number: ________________________________________________________________
POC Email: ________________________________________________________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 1st Special Operations Contracting Squadron, Hurlburt Field, FL.
Name/Title Signature Date
DO NOT HAVE THIS SECTION FILLED OUT. IF YOUR FIRM IS SELECTED AS THE POTENTIAL
AWARDEE, THIS FORM WILL BE SENT TO YOUR BANKING INSTITUTION FOR COMPLETION.
TO BE FILLED OUT BY FINANCIAL INSTITUTION:
Please give amounts as a range – i.e. low four figures, mid six figures, etc.
Average monthly balance in checking: _________________________________________________________
Average monthly balance in savings: _________________________________________________________
Amount of any current loans: _________________________________________________________
Amount of any lines of credit: _________________________________________________________
Any late payments or NSF’s? _________________________________________________________
How long with this institution: _________________________________________________________
Credit rating with this institution: _________________________________________________________
I verify that the information provided above is current as of __________________.
Name/Title Signature Date
| FINANCIAL INSTITUTION REFERENCE SHEET: |
| undefined: |
| Point of Contact POC Name 1: |
| Point of Contact POC Name 2: |
| 1: |
| 2: |
| 3: |
| 4: |
| 5: |
| 6: |
| NameTitle: |
| Date: |
| Please give amounts as a range ie low four figures mid six figures etc: |
| Average monthly balance in savings 1: |
| Average monthly balance in savings 2: |
| Average monthly balance in savings 3: |
| Average monthly balance in savings 4: |
| Average monthly balance in savings 5: |
| Average monthly balance in savings 6: |
| undefined_2: |
| NameTitle_2: |
| Date_2: |
File details come from the government source that posted it. Updated .