ESBD_473121_1764706197505_3202600029_-_Form_4__FQ_POD.docx

DOCX document 17 KB Posted

Attached to
Trinity Cooling Tower and Chiller Replacement
Solicitation number
3202600029
Issued by
Travis County, Austin City, Texas

About this file

This is a Financial Questionnaire form for the Trinity Cooling Tower and Chiller Replacement project (Contract #3202600029) in Texas. The form requires respondents to provide detailed financial and operational information as part of the procurement process. Respondents must disclose whether their company or subsidiaries have filed for bankruptcy or met bankruptcy criteria within the past five years, with explanations required if applicable. Additionally, respondents must indicate current default status on any loan or financial agreements, provide details on any pending business transactions including sales or acquisitions, and disclose any project failures or incomplete projects within the past five years.

The form further requires respondents to report any contract terminations for default or convenience within the past five years, with detailed explanations mandatory for affirmative responses. All sections allow for supplementary documentation and detailed explanations to be attached as necessary. This Financial Questionnaire serves as a financial responsibility assessment tool to evaluate bidder qualifications and organizational stability prior to award of the cooling tower and chiller replacement project.

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ESBD_473121_1764705351649_Attachment 2 UGCs_12.3.2024.pdf PDF
ESBD_473121_1764706150746_3202600029 - FORM 3 PAST PROJECT PERFORMANCE SHEET.docx DOCX document
ESBD_473121_1764705205642_ESBD Notification-3202600029 Instructions to Respondents.docx DOCX document
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ESBD_473121_1764705548357_3202600029 - Attachment 6_Prevailing_Wage.pdf PDF
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ESBD_473121_1764705726096_3202600029 Attachment 8 Project Manual Final.pdf PDF
ESBD_473121_1764706012844_Attachment 12 PAR (ProgressAssessmentReport).xls XLS spreadsheet
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ESBD_473121_1764705395497_3202600029 Attachment 3 Evaluation Scoring Matrix.pdf PDF
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ESBD_473121_1764705509576_3202600029 - Attachment 5 Supplementary UGC.pdf PDF
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Text version

FORM 4 – FINANCIAL QUESTIONNAIRE

Trinity Cooling Tower and Chiller Replacement #3202600029

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.

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