EXHIBIT B FINANCIAL Q.docx

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N62473-25-R-1615 Water Sampling Service, Indefinite Delivery Indefinite Quantity
Solicitation number
N62473-25-R-1615
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This is a financial questionnaire form (Exhibit B) that must be completed by a financial institution and submitted by offerors bidding on solicitation N62473-25-R-1615. The form requests detailed financial information about prospective contractors, including account types, average balances, credit lines and limitations, length of banking relationship, and the contractor's standing with the bank. The questionnaire must be completed by the financial institution, sealed in an envelope, and returned to the contractor for submission.

The related contract opportunity is for water sampling services at Marine Corps Air Ground Combat Center in Twentynine Palms, CA. It is a 100% small business set-aside IDIQ contract with a one-year base period, four one-year options, and one six-month option (66 months total). Key requirements include 24/7 emergency service availability, 24-hour routine response time, 4-hour emergency response time, and ELAP accreditation. Award will be based on Lowest Price Technically Acceptable. A site visit is scheduled for December 10, 2024 at 9:00 AM, with RFIs due by December 13, 2024 at 2:00 PM and proposals due December 19, 2024 at 2:00 PM.

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Text version

EXHIBIT “B”

FINANCIAL QUESTIONNAIRE

SOLICITATION NO: N62473-25-R-1615

(To be completed by Financial Institution and submitted by Offeror)

NAVFAC Southwest, San Diego, California 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 place the completed questionnaire in a sealed envelope showing the return address of the financial institution and forward it to the Offeror shown below. The requested information must be received by the contractor no later than ___________________________

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: _______________________________________________________________________ Phone Number: _________________________________________________________ Account Number: __________________________________________ Type of Account: __________________________________________ Average Balance Figure: ___________________________________________ Does the Contractor have a line of credit? |_| Yes |_| No

What is the limitation? __________________ Remaining balance: ______________________

What is the Contractor’s relationship with the bank:

|_| Outstanding |_| Satisfactory |_| Other (explain): ________________________________

How long has the Contractor been a client? _______________________________

Signature of person providing the above information

Print Name and Title of person providing the above information

Please provide any additional comments that may help determine the business and financial reputation and integrity of the prospective contractor on a separate sheet.

File details come from the government source that posted it. Updated .