Attachment 5 - Financial Reference.pdf
PDF 13 KB Posted
- Attached to
- HVAC & Insulation B1133 Federal contract opportunity
- Solicitation number
- FA4528-20-R-0004
About this file
This document contains a financial reference sheet template and details of a federal contract opportunity for HVAC and insulation work. The solicitation seeks bids to add HVAC, insulation, and weatherproofing to Building 1133 at Minot Air Force Base to meet energy and occupancy standards. The project scope includes replacing the bay lighting system and installing a direct digital control system. Work must be performed according to applicable standards using approved methods, comprising 10% site work, 40% architectural, 30% mechanical, and 20% electrical. Bidders must include a completed financial reference sheet from each financial institution where they hold business accounts as part of the proposal evaluation. The sheet requests information on account balances, loans, lines of credit, payment history, and credit ratings to determine contractor responsibility. The solicitation number is FA4528-20-R-0004 and is being issued by the Department of the Air Force Global Strike Command.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 6 - Section L - Instructions to Offerors_HVAC 1133.pdf | ||
| Attachment 2 - Drawings.pdf | ||
| Attachment 4 - Past Performance Information.pdf | ||
| Attachment 3 - DBA Wage Determination_ND20200031.pdf | ||
| Attachment 1 - Specifications.pdf | ||
| Attachment 7 - Section M - Evaluations_HVAC 1133.pdf | ||
| Solicitation - FA452820R0004.pdf |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FA452820R0004
Attachment 5
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’S NAME: __________________________________________________________
Point of Contact (POC) Name: ___________________________________________________
POC Phone Number: __________________________________________________________
INSTITUTION NAME: __________________________________________________________
POC name: __________________________________________________________________
POC email address:____________________________________________________________
POC title: ____________________________________________________________________
POC phone number: ______________________ fax number: ___________________________
Account #_______________________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 5th Contracting Squadron, Minot AFB, North Dakota.
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
| TO BE FILLED OUT BY CONTRACTOR: |
| TO BE FILLED OUT BY FINANCIAL INSTITUTION: |
File details come from the government source that posted it. Updated .