ATTACHMENT B - Financial Questionnaire.doc
DOC document 31 KB Posted
- Solicitation number
- N39430-21-R-2305
About this file
This document contains a financial questionnaire to be completed by offerors responding to solicitation N39430-21-R-2305 for Hyperbaric Systems Support Services for the Naval Facilities Engineering Command Expeditionary Warfare Center. The financial questionnaire requests information on the offeror's average account balance, line of credit limitations, relationship with the financial institution, and length as a client. It must be completed, sealed, and returned to the offeror prior to the proposal due date. The solicitation requires support for hyperbaric systems and can be found on SAM.gov under the Department of the Navy and Naval Facilities Engineering Command.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT I - P463 Floor Plan.pdf | ||
| N39430-21-R-2305 Amendment 0003.pdf | ||
| N39430-21-R-2305 Amendment 0002.pdf | ||
| ATTACHMENT G - Safety Data Sheet.docx | DOCX document | |
| ATTACHMENT C - Past Performance Questionaire.doc | DOC document | |
| N39430-21-R-2305 Amendment 0001.pdf | ||
| ATTACHMENT A - Schedule of FFP Rates.xlsx | XLSX spreadsheet | |
| ATTACHMENT D - Small Business Participation and Commitment Strategy.docx | DOCX document | |
| ATTACHMENT H - Seed Task Order Performance Work Statement.pdf | ||
| ATTACHMENT E - Individual Small Business Subcontracting Plan.docx | DOCX document | |
| N39430-21-R-2305.pdf | ||
| ATTACHMENT F - Small Business Subcontracting Record.docx | DOCX document |
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Text version
ATTACHMENT B
FINANCIAL QUESTIONNAIRE
(To be submitted by Offeror)
NAVFAC Expeditionary Warfare Center (EXWC) is currently considering award of a Navy contract to our firm. Prior to award, the Navy requires submission of the financial information listed below with regard to our firm. In order to be responsive to the Navy’s needs it is requested that you complete this financial questionnaire with regard to our firm and place the completed questionnaire in a sealed envelope showing the return address of the financial institution and forward it to the Offeror shown below. The requested information must be received no later than ___________________________
Prospective Contractor for which information is being requested:
Name: ______________________________________________________________
Address: _____________________________________________________________
City/State/Zip: ________________________________________________________
Phone Number: _______________________________________________________
Point of Contact: ______________________________________________________
Signature of Prospective Contractor or Contractor Representative Requesting Financial Information
Name of Financial Institution: ______________________________________________________
Type of Account: __________________________________________
Average Figure: ___________________________________________
Does the Contractor have a line of credit? FORMCHECKBOX Yes FORMCHECKBOX No
What is the limitation? ______________ Unused Balance: ______________________
What is the Contractor's relationship with the bank:
FORMCHECKBOX
Outstanding FORMCHECKBOX Satisfactory FORMCHECKBOX Other (explain): __________________________
How long has the Contractor been a client? _______________________________
Signature and Title of Person providing the above information
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