Atch 6 - Financial Responsibility Questionnaire (12 Aug 22).docx

DOCX document 29 KB Posted

Attached to
AFSOC - MC-12 - Tactical System Operators (TSO) Training Support Services Federal contract opportunity
Solicitation number
FA002122R0008
Issued by
Department of the Air Force Materiel Command Installation and Mission Support Center Installation Contracting Agency

About this file

This document contains a financial responsibility questionnaire for a contractor competing for an Air Force Special Operations Command contract to provide MC-12 Tactical Systems Operator training support services at Will Rogers Airport in Oklahoma City, Oklahoma. The non-personal services contract requires the contractor to provide all personnel, supervision, transportation, and other items and services necessary to conduct Air Force Special Operations Command Tactical Systems Operator training, including mission aircrew, scheduler, registrar, and opposing force support. The financial responsibility questionnaire collects information about the contractor's financial institution account details such as length of time open, average balances, available credit lines, and the institution's assessment of the contractor's financial standing and ability to support future business endeavors.

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Text version

FA0021-16-R-0040

Attachment 4 7 September 2016 Attachment 4

FINANCIAL RESPONSIBILTY QUESTIONNAIRE

Contractor Information:

Name: ________________________________________________________________________

Address: ______________________________________________________________________

Point of Contact (POC): _________________________________________________________

Telephone: ____________________________________________________________________

E-mail: _______________________________________________________________________

FINANCIAL INSTITUTION:

The above named contractor is currently competing for a contract to perform Air Force Special Operations Command (AFSOC), MC-12 Tactical Systems Operator (TSO) Training Support Services at Will Rogers Airport, OK. As part of the financial responsibility determination required by FAR 9.104-1, please provide the following information to be included in the contractor’s proposal submission. This information wll be kept secure and only those who have a need to know will view this document. Any questions concerning this form can be directed to the Contracting Officers and Contract Specialists identified below:

Mr. Todd Martinez, telephone: (850) 884-2474, E-mail: todd.martinez.1@us.af.mil.

1st Lt Steffanie David, telephone: (850) 884-3196, E-mail: steffanie.david.1@us.af.mil.

Your assistance is greatly appreciated!

Financial Institution Name: _______________________________________________________

Financial Institution Address: _____________________________________________________

Point of Contact (POC): __________________________________________________________

POC Title: _____________________________________________________________________

POC Phone: ___________________________________________________________________

POC E-mail Address: ____________________________________________________________

QUESTIONS:

1. How long has the contractor’s account(s) been open? _________________________________

2. What is the average balance in the account? _________________________________________ (State high 6 figure, low 7 figure, etc.)

3. Does the customer have a credit line available? _____________________________________

a. If so, what amount of credit is available? ________________________________________ (State high 6 figure, low 7 figure, etc.)

4. Is the customer’s account (s) in good standing? ______________________________________

5. Does the institution feel comfortable continuing to support this customer in their business endeavors? ____________________________________________________________________

6. Additional remarks, if any: _____________________________________________________

POC Signature: _______________________________________ Date: ___________________

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