EXHIBIT A - FINANCIAL QUESTIONNAIRE.docx

EXHIBIT A

FINANCIAL QUESTIONNAIRE

SOLICITATION NO: N40080-25-R-2233

(To be completed and submitted via secure email by the Financial Institution)

NAVFAC Washington is currently considering award of a Navy contract to this firm. Prior to award, the Navy requests the financial information listed below with regard to this firm. In order to be responsive to the Navy’s needs, it is requested that you complete this financial questionnaire with regard to this firm. Upon completion of the questionnaire it is requested that you submit the completed questionnaire via secure email to shonn. m.gilkes.civ@us.navy.mil and james.h.waite.civ@us.navy.mil. The requested information must be received by the contractor no later than RFP DUE DATE.

Prospective Contractor for which information is being requested:

Name:

Address:

City/State/Zip:

Phone Number:

Point of Contact:

Signature of Prospective Contractor or Contractor Representative Requesting Financial Information:

Name of Financial Institution:

Address:

City/State/Zip:

Account Number:

Type of Account:

Average Balance:

Does the Contractor have a line of credit?

☐ Yes ☐ No

What is the limitation?

What is the Remaining Balance?

How is the Contractor’s relationship with the bank?

☐ Outstanding ☐ Satisfactory ☐ Other:

How long has the Contractor been a client?

Financial Institution Representative (providing the above information) Name:

Title:

Phone Number:

Email:

Signature of Financial Institution Representative: