Attachment 7 Financial Institution Reference Sheet.pdf
PDF 109 KB Posted
- Attached to
- Integrated Waste Management FY25 Federal contract opportunity
- Solicitation number
- FA441725Q0010
About this file
This is a Financial Institution Reference Sheet (Attachment 7) for solicitation FA441725Q0010, which contractors must complete as part of their offer submission to the 1st Special Operations Contracting Squadron at Hurlburt Field, FL. The form is divided into two sections: one to be completed by the contractor and another to be completed by their financial institution.
The contractor section requires basic company information, including company name, point of contact details, and banking institution information. The financial institution section, which is only to be completed if the contractor is selected as the potential awardee, requests information about the contractor's financial standing, including average monthly balances in checking and savings accounts, current loans, lines of credit, payment history (late payments/NSFs), length of relationship with the institution, and credit rating. The financial institution must provide amounts in ranges (e.g., low four figures, mid six figures) rather than specific numbers.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 Updated PWS Refuse 25 Feb 2025.pdf | ||
| Attachment 2 Amend 2 Instructions to Offerors.pdf | ||
| Integrated Waste Management Combo 25Q0010 Amend 2.pdf | ||
| Copy of Refuse Questions and Answers.xlsx | XLSX spreadsheet | |
| Attachment 4 Amend 1 Instructions to Offerors.pdf | ||
| Attachment 2 - Updated CLIN Breakout 26 Feb 2025.xlsx | XLSX spreadsheet | |
| Integrated Waste Management Combo 25Q0010 Amend 1.pdf | ||
| Attachment 3 Wage Det 2015-4531 Rev 29.pdf | ||
| Attachment 4 Instructions to Offerors.pdf | ||
| Integrated Waste Management Combo 25Q0010.pdf | ||
| Attachment 5 Evaluation Criteria.pdf | ||
| Attachment 1 PWS Refuse 18 Sep 2024.pdf | ||
| Attachment 8 FA441725Q0010 Provisions and Clauses.pdf | ||
| Attachment 6 Past Performance Question Info.pdf | ||
| Attachment 2 CLIN Breakout.xlsx | XLSX spreadsheet |
Show all 15
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
Attachment 7
FA441725Q0010
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Include with your offer 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
| TO BE FILLED OUT BY CONTRACTOR: |
| TO BE FILLED OUT BY FINANCIAL INSTITUTION: |
| COMPANYS NAME: |
| Point of Contact POC Name: |
| POC Phone Number: |
| INSTITUTION NAME: |
| POC name: |
| POC title: |
| POC phone number: |
| fax number: |
| NameTitle: |
| 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 NSFs: |
| How long with this institution: |
| Credit rating with this institution: |
| I verify that the information provided above is current as of 1: |
| I verify that the information provided above is current as of 2: |
File details come from the government source that posted it. Updated .