ESBD_531302_1782400719735_Exhibit F - Financial and Orginizational Capacity 03.07.2024.docx
DOCX document 29 KB Posted
- Attached to
- Summer Media Campaign
- Solicitation number
- 5510001089
- Issued by
- Travis County, Austin City, Texas
About this file
This is a Financial and Organizational Capacity exhibit form required by the Texas Department of Agriculture for respondents to a state contract opportunity regarding a Summer Media Campaign. The form requires vendors to disclose their financial and organizational history through a series of attestations covering the past three to seven years.
Respondents must certify whether they have failed to file or pay required federal, state, or local tax returns in the past three years; received unsatisfactory performance assessments, had liquidated damages exceeding $25,000, or had liens or judgments over $25,000 filed against them within the past five years; and initiated or been subject to bankruptcy proceedings in the past seven years. Additionally, vendors must confirm they have sufficient resources to perform under the contract given that the State of Texas allows 30 days after receipt of a correct invoice for payment, with earlier payment contingent upon offering an early pay discount. The form requires the vendor's signature, date, printed name, and company name as attestation that all information provided is complete and accurate.
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Text version
Texas Department of Agriculture – Exhibit F Exhibit F
FINANCIAL AND ORGANIZATIONAL CAPACITY
UNDER ANY NAME OR BUSINESS ENTITY:
A. During the past three (3) years, has the Respondent failed to file or pay any tax returns required by federal, state, or local tax laws?
|_| No |_| Yes, with explanation:
B. Within the past five (5) years, has the Respondent
1) Received any formal unsatisfactory performance assessment(s) from any government entity on any contract?
|_| No |_| Yes, with explanation:
2) Had any liquidated damages assessed over $25,000?
|_| No |_| Yes, with explanation:
3) Had any liens or judgments over $25,000 filed against the company, other than UCC filings, which have not been discharged?
|_| No |_| Yes, with explanation:
C. In the last seven (7) years, has the Respondent initiated or been the subject of any bankruptcy proceedings, or is any bankruptcy proceeding pending?
|_| No |_| Yes, with explanation:
D. The State of Texas regulates the timing of payments. Payment cannot be made before goods are received or services rendered and have been accepted. The State has 30 days after receipt of a correct invoice to make payment. Earlier payment is contingent upon offering an early pay discount. Does the Respondent have sufficient resources available to perform as contracted notwithstanding the state’s payment process?
|_| Yes
SIGNATURE AND DATE
I hereby attest that all information provided is complete and accurate to the best of my knowledge.
| Vendor Signature |
| Date |
| Printed Name |
| Company Represented |
|_| No, with explanation:
Exhibit F – 03/07/2024 Page 2 of 2
File details come from the government source that posted it. Updated .