ESBD_556287_1790181500341_Form 4 - Financial_Questionnaire_Dec_2025.pdf
PDF 85 KB Posted
- Attached to
- CCRC Parking Lot Resurfacing
- Solicitation number
- 3202600121
- Issued by
- Texas
About this file
This is a Financial Questionnaire form for RFP No. 3202600121, a CCRC Parking Lot Resurfacing project issued by a Texas state agency. The form requires respondents to provide comprehensive financial and organizational information as part of their proposal submission. Respondents must disclose details regarding bankruptcy history within the past five years, current loan defaults or financial agreement breaches, pending business transactions including sales or acquisitions planned within twelve months following the response submission deadline, and the impact of such transactions on organizational structure and company leadership. Additionally, respondents must provide their complete ownership structure in both narrative and graphical formats, including identification of any subsidiaries, affiliated companies, or joint ventures with specific ownership percentages, and must identify which entity will perform the majority of work under any resulting contract.
The questionnaire further requires respondents to document company founding and incorporation dates and states, headquarters location and any field offices that will service the project, total employee count at both local and national levels with identification of office locations from which project staff will be assigned, and detailed information regarding any prior contracts with Texas state agencies, including contract terms, duties performed, and relevant agency names. These financial and organizational disclosures are designed to establish the respondent's financial stability, corporate structure, capacity to perform the work, and relevant experience with state contracting requirements.
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Text version
RFP No. 3202600121 Page 1 of 3 Form 4: Financial Questionnaire v. Dec 2025
Request for Proposal (RFP) Form 4 – Financial Questionnaire
320200121 – CCRC Parking Lot Resurfacing 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.
RFP No. 3202600121 Page 2 of 3
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 Response
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;
RFP No. 3202600121 Page 3 of 3
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.
File details come from the government source that posted it. Updated .