Exhibit F - Financial and Orginizational Capacity 03.07.2024.docx
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- Solicitation number
- 5510000953
- Issued by
- Travis County, Austin City, Texas
About this file
Exhibit F is a Financial and Organizational Capacity questionnaire issued by the Texas Department of Agriculture for respondents to the Public Outreach and Marketing Services—Don't Pack a Pest Media Campaign contract opportunity. The document requires respondents to attest to their financial stability and organizational integrity through a series of disclosure questions covering a multi-year lookback period.
The questionnaire addresses four primary areas of financial and organizational assessment. Respondents must disclose whether they have failed to file or pay required federal, state, or local tax returns during the past three years. Within the past five years, respondents must report any formal unsatisfactory performance assessments from government entities, liquidated damages assessed over $25,000, or liens or judgments over $25,000 that remain undischarged. Additionally, respondents must disclose any bankruptcy proceedings initiated, received, or pending within the past seven years. Finally, respondents must confirm they have sufficient resources to perform the contract despite the State of Texas's standard payment process, which allows 30 days from receipt of a correct invoice for payment, with earlier payment contingent upon early pay discounts. All responses require vendor signature, date, printed name, and company representation, with 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 .