ESBD_474660_1767973569557_Form 4-Financial Questionnaire.docx
DOCX document 28 KB Posted
- Attached to
- Fort Worth 1st Floor Restroom Renovation
- Solicitation number
- 3202600095
- Issued by
- Tarrant County, Texas
About this file
This is a Financial Questionnaire form for the City of Fort Worth's 1st Floor Restroom Renovation project (Contract ID: 3202600095). The form requires respondents to provide detailed financial and operational information as part of the bidding process. Respondents must disclose any bankruptcy filings or criteria met within the past five years, current defaults on loan or financial agreements, pending business sales or acquisitions, project completion failures or stoppages within the past five years, and any contract terminations for default or convenience within the past five years. Each question requires detailed explanations and circumstances, with provisions for additional documentation as needed.
This questionnaire serves as a financial and performance evaluation tool to assess the financial stability and track record of bidding firms. The form does not establish pricing terms, set-asides, or contract amounts; rather, it functions as a qualification document to verify that respondents possess adequate financial responsibility and a satisfactory history of project completion and contractual compliance. Responses are intended to inform the City of Fort Worth's evaluation of bidder eligibility and capability to successfully execute the restroom renovation project.
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Text version
FORM 4- FINANCIAL QUESTIONNAIRE
3202600095-Ft. Worth 1st Floor Restroom Renovation
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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