Attch 5 - Financial Institution Reference Sheet.pdf

PDF 186 KB Posted

Attached to
Alter A/C Hangar, Bldg. 91262 Federal contract opportunity
Solicitation number
FA441722B0001
Issued by
Department of the Air Force Special Operations Command

About this file

Written by GovTribe AI ·

This document contains a financial institution reference sheet template to be filled out by contractors bidding on solicitation number FA441722B0001 from the Department of the Air Force Special Operations Command. The template requests information about the contractor's business banking accounts to aid the agency's responsibility determination in evaluating proposals for the Alter A/C Hangar, Bldg. 91262 opportunity. Contractors must provide banking references from each financial institution where they hold accounts, including account balances, loans, lines of credit, late payments or non-sufficient funds records, length of relationship, and credit rating. Financial institutions will submit the completed lower portion of the template directly with details in ranges on the contractor's account status if the contractor is selected as the potential awardee.

View the file

Other files for this federal contract opportunity

Other files attached to Alter A/C Hangar, Bldg. 91262, newest first.
File Type Posted
Solicitation Amendment FA441722B00010003.pdf PDF
Attch 4 - DBA Wage Determination FL20220217 (25 Feb 2022).pdf PDF
Attch 2 - Drawings for Bldg 91262 (Includes Addendum 1).pdf PDF
FA441722B0001 - Questions and Answers Pt II.pdf PDF
Solicitation Amendment FA441722B00010002.pdf PDF
Solicitation Amendment FA441722B00010001.pdf PDF
Attch 2 - Drawings for Bldg 91262 (Includes Addendum 1).pdf PDF
Attch 6 - Addendum 1.pdf PDF
FA441722B0001 - Questions and Answers.pdf PDF
Specifications for Fluid-Applied Membrane.pdf PDF
Geotechnical Report - 12 Oct 1994.pdf PDF
Site Visit Briefing - FA441722B0001.pdf PDF
Site Visit Sign-in Sheet - FA441722B0001.pdf PDF
Attch 1 - Specifications for Bldg 91262.pdf PDF
Attch 3 - WTA for Bldg 91262.pdf PDF
Attch 4 - DBA Wage Determination FL20220217.pdf PDF
Solicitation - FA441722B0001.pdf PDF
Attch 2 - Drawings for Bldg 91262.pdf PDF
Show all 18

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
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

SOLICITATION NUMBER: _______________

ATTACHMENT 5 FINANCIAL INSTITUTION REFERENCE SHEET

Instructions to Contractor: Include with your proposal 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 INFORMATION

Company Name: ________________________________________________________________

Point of Contact (POC) Name: ________________________________________________________________

POC Phone Number: ________________________________________________________________

INSTITUTION INFORMATION

Institution Name: ________________________________________________________________

POC Name: ________________________________________________________________

POC Title: ________________________________________________________________

POC Phone Number: ________________________________________________________________

POC Fax Number: ________________________________________________________________

POC Email: ________________________________________________________________

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

FINANCIAL INSTITUTION REFERENCE SHEET: FA441722B0001
undefined:
Point of Contact POC Name 1:
Point of Contact POC Name 2:
1:
2:
3:
4:
5:
6:
NameTitle:
Date:
Please give amounts as a range ie low four figures mid six figures etc:
Average monthly balance in savings 1:
Average monthly balance in savings 2:
Average monthly balance in savings 3:
Average monthly balance in savings 4:
Average monthly balance in savings 5:
Average monthly balance in savings 6:
undefined_2:
NameTitle_2:
Date_2:

File details come from the government source that posted it. Updated .