Attachment_9_-_Financial_Responsibility_Questionnaire.pdf
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- Attached to
- RFP for Aircrew Instruction Support Services Federal contract opportunity
- Solicitation number
- FA0021-16-R-0002
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Attachment 9 - Financial Responsibility Questionnaire. Revised due date.
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FINANCIAL RESPONSIBILTY QUESTIONNAIRE
SUSPENSE: 16 November 2015 @ 1300hrs CST
Contractor Information:
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Point Of Contact (POC): ________________________________________________________________
Phone: ______________________________________________________________________________
Financial Institution:
The above named contractor is submitting a proposal for HQ AFSOC requirement at Hurlburt Field, FL. As part of the financial responsibility determination required by FAR 9.104-1, please complete the following and return this form to: Kurt Buchanan, email kurt.buchanan.1@us.af.mil or Maria Jaine A. Sipin, email at maria_jaine.sipin@us.af.mil, not later than 16 November 2015.
If you have any questions, please call me (850)884-3196. Your assistance is appreciated.
Institution Name: _________________________________________________________________
Address: _________________________________________________________________
POC: _________________________________________________________________
Title: _________________________________________________________________
Phone: _________________________________________________________________
Fax: _________________________________________________________________
1. How long has the account(s) been open?____________________________________________
2. What is the average balance in the account?______________________________ (ex: high 6 figure, low 8 figure etc.)
FA0021-16-R-0002
Attachment 9
10 November 2015 mailto:kurt.buchanan.1@us.af.mil mailto:maria_jaine.sipin@us.af.mil
3. Does the customer have a credit line available?_______________________________________
If so, what amount of credit is available?________________________________ (ex: high 6 figure, low 7 figure, etc.)
4. Is the customer in good standing?______________________________________
5. Does the institution feel comfortable continuing to support this customer in their business endeavors:_____________________________________________________________________
6. Additional remarks, if any:________________________________________________________
Signature:_____________________________ Date:___________________
FA0021-16-R-0002
Attachment 9
10 November 2015
File details come from the government source that posted it. Updated .