ESBD_517740_1779141837748_Form 4 -Financial Questionnaire.docx
DOCX document 27 KB Posted
- Attached to
- CCRC Kitchen Cooler Remediation
- Solicitation number
- 3202600135
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Financial Questionnaire form for RFP No. 3202600135, a CCRC Kitchen Cooler Remediation project issued by the Texas Workforce Commission (TWC). The document requires respondents to provide comprehensive financial and organizational information as part of their bid submission. Respondents must address bankruptcy history within the past five years, current defaults on loan or financial agreements, pending sales or acquisition activities within twelve months of submission, and detailed ownership structure including any subsidiaries, affiliates, or joint ventures with percentage ownership information. Additionally, bidders must identify the entity performing the majority of work, provide the year of company founding and incorporation details, specify headquarters and field office locations, disclose total employee counts both locally and nationally, and detail any prior contract experience with Texas state agencies.
The questionnaire mandates that respondents structure their operational approach for the solicitation by clearly identifying which entities will perform services, whether parent company, affiliate, joint venture member, or subcontractor. The primary bidder must perform the majority of work throughout the contract duration. Respondents must also document employee assignment locations and provide historical context regarding previous state agency contracts, including contract terms, duties performed, and the specific agency involved. This financial questionnaire serves as a prerequisite evaluation tool to assess bidder financial stability, organizational capability, and relevant experience before contract award consideration.
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Text version
FORM 3 – FINANCIAL QUESTIONNAIRE
3202600135- CCRC Kitchen Cooler Remediation 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.
RFP No. 3202600135 ver. 1
File details come from the government source that posted it. Updated .