ESBD_457895_1760629413889_Form 4-Financial Questionnaire.docx

DOCX document 24 KB Posted

Attached to
CCRC Roof Replacement
Solicitation number
3202600006
Issued by
Travis County, Austin City, Texas

About this file

Written by GovTribe AI ·

This document is a Form 4 Financial Questionnaire for a solicitation (Project Number 3202600009) related to a CCRC Roof Replacement project. The form is designed to collect critical financial background information from potential respondents/bidders, with specific emphasis on evaluating the financial stability and past performance of the company seeking to be awarded the contract.

The questionnaire requires respondents to disclose sensitive financial information including: any bankruptcy filings in the past five years, current loan or financial agreement defaults, potential merger or acquisition status, historical project completion issues, and any prior contract terminations. These detailed inquiries are intended to provide the contracting agency with comprehensive insights into the financial health, reliability, and operational consistency of potential contractors before making a final selection for the roof replacement project.

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Form 4- FINANCIAL QUESTIONNAIRE 3202600009-CCRC Roof 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 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. If so, explain the impact both in organization and company director.

d. Indicate if your company has ever failed to complete a project or if a project was ever stopped in the middle of a project within the past five years. If so, why.

e. Indicate if your company has had a contract terminated for default or convenience within the past five years. Yes or No, If yes, provide explanation.

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