ESBD_495393_1773170243314_04_Form 3- Financial Questionnaire.pdf
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- Attached to
- Print Shop Equipment
- Solicitation number
- 3202700010
- Issued by
- Texas
About this file
This is a Financial Questionnaire form (Form 3) for a Print Shop Equipment contract opportunity with the Texas Workforce Commission (TWC). The document serves as a financial and organizational disclosure requirement for bidders submitting proposals for contract GovTribe ID 3202700010. Bidders must complete this questionnaire as part of their submission package, providing detailed information about their company's financial status, ownership structure, operational history, and previous experience with Texas state agencies. The form does not specify project quantities, response dates, due dates, site visits, bidder conferences, or award dates, as it functions as a standardized financial disclosure document rather than a solicitation notice containing those procedural details.
The questionnaire requires bidders to disclose bankruptcy history within the past five years, current loan defaults or financial agreement violations, pending sales or acquisition transactions within twelve months of bid submission, complete ownership structure details including subsidiaries and joint ventures, company founding and incorporation information, headquarters and field office locations, employee counts both locally and nationally, and any prior contracting history with Texas state agencies. The form mandates that any joint venture or affiliate arrangement must identify ownership percentages and specify which entity will perform the majority of work under the resulting contract. Bidders must also describe their proposed operating structure and identify which entities will perform services under the solicitation.
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Text version
3202700010 Print Shop Equipment
FORM 3 – FINANCIAL QUESTIONNAIRE
Bidder name: ________________________
The Bidder 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 Bid 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 Bidder is an affiliate of, or has a joint venture or strategic alliance with, another company, Bidder 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, Bidder 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;
e. 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;
f. The location of company headquarters and any field office(s) that may provide services for any resulting Contract under this Solicitation;
g. 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
h. 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.
FORM 3 – FINANCIAL QUESTIONNAIRE
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