Attachment 7 - Financial work sheet.pdf
PDF 114 KB Posted
- Attached to
- B827 Duct Cleaning Federal contract opportunity
- Solicitation number
- FA670325Q0012
About this file
This is a Financial Institution Reference Sheet template that serves as Attachment 7 for solicitation FA6703-25-Q-0012, Building 827 Duct Cleaning at Dobbins ARB, GA. The form is designed for contractors to provide banking references as part of the responsibility determination process during contract evaluation by the 94th Contracting Flight.
The template requires contractors to complete information about their company, point of contact details, and financial institution information, along with a signed authorization permitting the release of account information to government representatives. The financial institution section requests specific data including average monthly balances in checking and savings accounts (to be provided as ranges such as "low four figures" or "mid six figures"), current loan amounts, lines of credit, payment history including any late payments or NSFs, length of relationship with the institution, and credit rating. Both the contractor and financial institution representative must provide signatures and dates to complete the reference verification process.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 - Price Schedule_Duct clean.docx | DOCX document | |
| Attachment 6 - WD.pdf | ||
| Attachment 2 - Offeror Representations and Certifications final.docx | DOCX document | |
| Attachment 4 - B827 SOW Duct Cleaning.pdf | ||
| Attachment 5 -HVAC Drawings 827.pdf | ||
| Combined Synopsis Solicitation_B 827 Duct Cleaning.pdf | ||
| Attach 3 - Provision and Clauses_Duct clean.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
Attachment 7 FA670325Q0012
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 FA6703-25-Q-0012, Building 827 Duct Cleaning, 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
File details come from the government source that posted it. Updated .