Attachment 7a-Financial_Information_Request.pdf

Attachment 7a - Financial Information Request

Space Coast Multiple Award Construction Contract

(SCMACC) RFP # FA252120R0009

1. Name of Contractor to whom the following information is applicable:

2. Name of Financial Institution:

3. Address of Financial Institution:

City State Zip Code

4. Point of Contact (POC) for Financial Institution:

5. Phone Number for POC:

6. Email Address of POC:

7. How long has the firm been a commercial customer of your institution? (Years) (Months)

8. Type of Account, the current balances, and the six (6) month average balance maintained for each account:

Current 6-Month Average

Checking $ Checking $

Savings $ Savings $

CD $ CD $

Money Market $ Money Market $

Other $ Other $

9. Does the contractor maintain a loan balance at the bank? If so, what is the amount?

Yes $ No

10. Does the contractor maintain an unsecured line of credit at the bank? If so, what is the amount?

Yes $ No

11. What is the contractor's current standing with your bank?

Outstanding Excellent Satisfactory Poor Unsatisfactory Other (explain below)

Comments:

I certify that the above information is correct and current as of:

Date

Signature