Exhibit F - Financial and Orginizational Capacity 03.07.2024.docx
DOCX document 29 KB Posted
- Attached to
- Hoist and Trolley Replacement
- Solicitation number
- 5510000990
- Issued by
- Kleberg County, Texas
About this file
This is an Exhibit F Financial and Organizational Capacity form from the Texas Department of Agriculture, used to assess respondents' financial stability and organizational capability for contract opportunities. The form requires respondents to disclose any tax filing or payment failures over the past three years, unsatisfactory government performance assessments within the past five years, liquidated damages exceeding $25,000, and liens or judgments over $25,000 that remain undischarged. Respondents must also declare whether they have initiated or been subject to bankruptcy proceedings within the past seven years, providing explanations for any affirmative responses.
The form includes a critical question regarding respondents' ability to sustain performance despite Texas's payment protocols, which prohibit advance payments and allow the state 30 days following receipt of a correct invoice to process payment. Respondents must attest whether they possess sufficient financial resources to operate under these conditions, with space for vendor signature, date, printed name, and company representation. All responses require sworn attestation of accuracy and completeness.
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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 .