Attch 5 - Financial Worksheet.docx

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Attached to
SOF Enclose SERE Parachute Trainer 91057 Federal contract opportunity
Solicitation number
FA441720R0007
Issued by
Department of the Air Force Special Operations Command

About this file

This solicitation requests proposals for enclosing and conditioning remaining open bays of an existing Parachute Training Facility. Work includes selective demolition, construction of CMU walls and metal trim, installation of two new coiling overhead doors, pouring new interior concrete slabs with an athletic floor coating, and retrofitting existing structures with additional thermal insulation. The requirement is set aside for women-owned small businesses only under NAICS code 236220 with a size standard of $39.5M. The Air Force Special Operations Command will award a single firm-fixed-price contract between $500,000 to $1,000,000 for a 120-day period of performance to support the 1st Special Operations Civil Engineer Squadron. Offerors must register in the System for Award Management database to be eligible. Proposals are due via beta.SAM by an unspecified date.

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Other files for this federal contract opportunity

Other files attached to SOF Enclose SERE Parachute Trainer 91057, newest first.
File Type Posted
SV Questions Answers.pdf PDF
Site Visit sign-in sheet.pdf PDF
Site Visit BRIEF.pdf PDF
Attch 4 - PPQ.docx DOCX document
Solicitation - FA441720R0007.pdf PDF
Attch 3 - Wage Determination.pdf PDF
Attch 2 - Drawings 20200302.pdf PDF
Attch 6 - 50 Division Construction Cost Estimate Worksheet.xls XLS spreadsheet
Attch 7 - Site Visit Info.docx DOCX document
Attch 1 - Specifications 20200302.pdf PDF

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Text version

ATTACHMENT 5

FA441720R0007

Financial Reference Worksheet

FINANCIAL INSTITUTION REFERENCE SHEET

03 Feb 2020

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’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 1st Special Operations Contracting Squadron, Hurlburt Field, FL.

_____________________________________________________________________
Name/TitleSignature/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/TitleSignature/Date

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