Attachment 5 - Financial Responsibility.docx
DOCX document 17 KB Posted
- Attached to
- 5 Year Protective Coating IDIQ - Minot AFB, ND Federal contract opportunity
- Solicitation number
- FA452824R0003
About this file
This solicitation is for a 5-Year Protective Coating Indefinite-Delivery Indefinite-Quantity (IDIQ) Contract to provide protective coatings services at Minot Air Force Base and associated facilities in North Dakota. The contractor will be responsible for interior and exterior painting, floor finishing, wall covering installation, and pavement, street, and parking lot striping. The seed project involves painting two buildings. The contract value is estimated between $1 million to $4.9 million. The acquisition is a 100% small business set-aside for the Department of the Air Force Global Strike Command. A pre-proposal site visit will be held on March 27, 2024, with requests for base access due by March 25. Proposals are due without discussions, though clarifications may be requested. Funding is contingent on annual appropriations.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment - FA452824R00030001.pdf | ||
| Solicitation Amendment FA452824R00030001 SF 30.pdf | ||
| RFI Attachment - Historical Data.pdf | ||
| RFI Attachment - B221 Floor Plan.pdf | ||
| RFI Tracker - Protective Coating.pdf | ||
| RFI Attachment - B870 Floor Plan.pdf | ||
| Solicitation - FA452824R0003.pdf | ||
| Attachment 4 - Past Performance Information Form.docx | DOCX document | |
| Attachment 3 - Offer Schedule.xlsx | XLSX spreadsheet | |
| Attachment 6 - Project Detail - Seed Project.xlsx | XLSX spreadsheet | |
| Attachment 7 - Subcontractor Consent.docx | DOCX document | |
| Attachment 1 - Statement of Work.pdf | ||
| Attachment 2 - Wage Determination.pdf |
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Text version
FA4528-24-R-0003
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 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 |
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