Attachment 21- Financial Institution Reference Sheet 23May2023.pdf
PDF 186 KB Posted
- Attached to
- Homestead ARB, FL Base Operation Support (BOS) Services Pre-Solicitation Federal contract opportunity
- Solicitation number
- FA664323R0004
About this file
This document contains a financial institution reference sheet template for contractors to provide references from banks where they hold business accounts. The reference sheet requests information including average monthly balances in checking and savings, amounts of current loans and lines of credit, any late payments or non-sufficient funds, and the contractor's credit rating and length of time with the institution. The references are being gathered as part of the evaluation process for solicitation number FA664323R0004 from the Department of the Air Force Reserve Command for Base Operation Support services at Homestead Air Reserve Base in Florida. The solicitation requests permission from contractors to contact their financial institutions to verify the reference information.
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Text version
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Please fill out and return 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 solicitation number FA664323R0004, Base Operations Support (BOS) Services, Homestead ARB, FL.
TO BE FILLED OUT BY CONTRACTOR:
Company’s Name: ___________________________________________
Point of Contact (POC) Name: _________________________________
POC Phone Number: _________________________________________
INSTITUTION NAME: ______________________________________
POC Name: ________________________________________________
POC Title: _________________________________________________
POC Phone Number: _______________Fax Number: ______________
I give permission for the following information regarding my account(s) at your institution to be released to representatives of the 482nd Contracting Flight, Homestead ARB, FL.
Printed Name/Title Signature/Date
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 of NSFs: ____________________________________
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
FA664323R0004
Attachment-21
23 May 2023
File details come from the government source that posted it. Updated .