Attachment 4 Financial Institution Reference Sheet_1.pdf
PDF 853 KB Posted
- Attached to
- Building 729 Replace Main Chiller Federal contract opportunity
- Solicitation number
- FA670324B0001
About this file
This document is a Financial Institution Reference Sheet that is requested to be filled out by the contractor as part of the evaluation for solicitation number FA670324B0001, Building 729 Replace Main Chiller at Dobbins ARB, GA.
The key details are:
- The contractor must provide a reference sheet for each financial institution they have a business account with.
- The reference sheet requests information from the financial institution such as the contractor's average monthly balances in checking and savings accounts, amounts of any current loans or lines of credit, any late payments or non-sufficient fund issues, and the contractor's credit rating with the institution.
- The financial institution is asked to verify the information provided as current as of the date indicated.
- This reference sheet is being requested by the 94th Contracting Flight, Dobbins ARB, GA as part of the responsibility determination for the solicitation.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 SOW FGWB 24-0008 Replace Chiller.pdf | ||
| Attachment 2 Drawing_1.pdf | ||
| Attachment 7 1 56 00 - Environmental Requirements_1.pdf | ||
| Attachment 8 DARBDesignGuide Dec 2023 revision.pdf | ||
| Solicitation - FA670324B0001.pdf | ||
| Attachement 3 Wage Determination.pdf | ||
| Attachment 5 01 01 00 - General Requirements_1.pdf | ||
| Attachment 6 01 33 00 - Submittal Procedures_1.pdf |
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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 FA670324B0001, Building 729 Replace Main Chiller, FGWB 24-0008, Dobbins ARB, GA.
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 94th Contracting Flight, Dobbins ARB, GA.
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
Attachment 4 FA670324B0001July 22 2024
File details come from the government source that posted it. Updated .