Attachment 8 - Financial Institution Reference Sheet.docx
DOCX document 31 KB Posted
- Solicitation number
- FA452824QTB03
About this file
This document is a Financial Institution Reference Sheet that is to be included with a contractor's offer in response to Solicitation Number FA4528-24-Q-TB03 for Active Vehicle Barrier (AVB) Maintenance and Repair Services at Minot Air Force Base. The form requires the contractor to provide information about their financial institution, including account numbers, average balances, loan/credit information, and credit rating. The completed form will be sent to the contractor's banking institution for verification. The overall solicitation is a 100% small business set-aside requirement for inspection, repair, and maintenance of four AVB systems at the North, Main, and South Gates, and the Weapons Storage Area. A site visit is scheduled for July 18, 2024, and all questions are due by July 22, 2024. This is a mission essential requirement.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 5 - SCA Wage Determination 2015-5383 Rev 23.pdf | ||
| Combo v3 - FA452824QTB03 - AVB Maintenance and Repair Minot AFB ND - 30 July 2024.pdf | ||
| Attachment 2 - Instructions to Quoters v2 - 30 July 2024.docx | DOCX document | |
| Attachment 2 - Instructions to Quoters.docx | DOCX document | |
| Attachment 4 - Pricing Schedule.xlsx | XLSX spreadsheet | |
| Attachment 1 - PWS 17 June 24.docx | DOCX document | |
| Attachment 6 - Site Visit Instructions.docx | DOCX document | |
| Combo - FA452824QTB03 - AVB Maintenance and Repair Minot AFB ND.pdf | ||
| Attachment 3 - Basis for Award.docx | DOCX document | |
| Attachment 7 - PPIF.docx | DOCX document | |
| Attachment 9 - QASP Barrier 20 June 24.docx | DOCX document | |
| Attachment 5 - SCA Wage Determination 2015-5383 Rev 22.pdf |
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Text version
FA4528-24-Q-TB03
Attachment 8 - Page 1 of 2
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) regarding 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: ________________POC Email: _ _______________ Account Number: ___________________
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__________________
File details come from the government source that posted it. Updated .