ESBD_439500_1753390746977_3202500254 Form_3-Financial_Questionnaire.docx
DOCX document 24 KB Posted
- Attached to
- CCRC Parking Lot Light Replacement
- Solicitation number
- 3202500254
- Issued by
- Texas
About this file
This document is a Form 3 Financial Questionnaire for a CCRC Light Pole Replacement solicitation, which requires detailed financial and organizational disclosure from potential respondents. The form seeks comprehensive information about the responding company's financial status, including bankruptcy history, loan defaults, potential sales or acquisitions, and ownership structure.
The questionnaire requires respondents to provide extensive details about their business, including year of founding, incorporation state, headquarters location, employee count, prior experience with Texas state agencies, and proposed operating structure for the project. Key components of the disclosure include identifying any joint ventures, affiliates, or strategic alliances, specifying the percentage of ownership for each entity, and detailing which specific entities will perform services under the contract. The form emphasizes that the entity performing the majority of work must be the primary bidder, and mandates transparency about the company's financial health, organizational composition, and operational capabilities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ESBD_439500_1753390710506_3202500254_Form_2-Cost_Proposal.docx | DOCX document | |
| ESBD_439500_1753390672776_3202500254 FORM_1-Execution_of_Bid (1).docx | DOCX document | |
| ESBD_439500_1753390632959_Attachment_1-Terms_and_Conditions.pdf | ||
| ESBD_439500_1753390584117_3202500254_IFB_Final.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FORM 3 – FINANCIAL QUESTIONNAIRE
3202500254-CCRC Light Pole Replacement Respondent name: ________________________
The Respondent must provide the following information. If more space is needed for the explanation, please attach additional page(s) as necessary:
a. Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the past five (5) years, if so, provide explanation.
b. Indicate if your firm is currently in default on any loan agreement or financial agreement institution, or other entity. If so, specify date(s), details, circumstances, and prospect resolution.
c. Identify if your company is currently for sale or involved in any transaction to expand or become acquired by another business entity during the next twelve (12) months following the submission deadline. If so, explain the impact both in organization and company director.
d. Ownership structure (e.g., corporation, partnership, LLC, or sole proprietorship), including any wholly owned subsidiaries, affiliated companies, or joint ventures. (Please provide this information both in a narrative and as a graphical representation.)
1. If Respondent is an affiliate of, or has a joint venture or strategic alliance with, another company, Respondent must identify the percentage of ownership of each joint venture member or affiliate and the percentage of the parent company’s ownership. The entity performing the majority of the work under any Contract resulting from this Solicitation, throughout the duration of the Contract, must be the primary bidder.
2. Finally, Respondent must provide its proposed operating structure for the services requested under this Solicitation and which entities (i.e., parent company, affiliate, joint venture, subcontractor) will be performing the services;
a. The year the company was founded and/or incorporated. If incorporated, please indicate the state where the company is incorporated and the date of incorporation;
b. The location of company headquarters and any field office(s) that may provide services for any resulting Contract under this Solicitation;
c. The number of employees in the company, both locally and nationally, and the location(s) from which employees will be assigned to TWC’s project; and
d. Indicate whether the company has ever been in contract with any Texas state agency. If “Yes,” specify the contract term, for what duties, and with which agency.
File details come from the government source that posted it. Updated .