Attachment 5 - Financial Reference Sheet.docx
DOCX document 24 KB Posted
- Attached to
- Construct SOF 65 SOS Infrastructure and Security Building 90131 Federal contract opportunity
- Solicitation number
- FA441721R0003
About this file
This document contains a financial reference worksheet template and information about a federal contract opportunity to construct a Special Operations Forces infrastructure and security building. The financial reference worksheet is to be filled out by a contractor and sent to their financial institutions as part of a pre-award responsibility determination. It requests information about average account balances and credit history. The related federal contract opportunity is to furnish all labor, materials, and equipment to construct a 65th Special Operations Squadron infrastructure and security building at Hurlburt Field, Florida in accordance with provided drawings and specifications. The projected period of performance is 195 calendar days from notice to proceed. The soliciting agency is the Department of the Air Force Special Operations Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment FA441721R00030003 SF 30.pdf | ||
| Solicitation Amendment FA441721R00030002 SF 30.pdf | ||
| RFP Questions Answers - 10 Feb 21 CE responses.pdf | ||
| Attachment 1 - Revised Specifications.pdf | ||
| FA441721R0003 J_A _Redacted.pdf | ||
| Attachment 2 - Revised Drawings.pdf | ||
| Solicitation Amendment FA441721R00030001 SF 30.pdf | ||
| Site Visit Brief.pdf | ||
| Site Visit - List of Contractors.docx | DOCX document | |
| Attachment 3 - Wage Determination.pdf | ||
| Attachment 1 - Specifications.pdf | ||
| Attachment 2 - Drawings.pdf | ||
| Attachment 4 - PPQ.docx | DOCX document | |
| Solicitation - FA441721R0003.pdf | ||
| Attachment 6 - 50 Division Construction Cost Estimate Worksheet.xls | XLS spreadsheet |
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Text version
ATTACHMENT 5
FA441721R0003
Financial Reference Worksheet
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 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 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 |
File details come from the government source that posted it. Updated .