Attachment 12 Draft Financial Responsibility.pdf

PDF 30 KB Posted

Attached to
Technical Management Advisory Services (TMAS) 2 412 Test Wing (TW) Draft FOPR Federal contract opportunity
Solicitation number
FA2486-20-F-1003
Issued by
Department of the Air Force Materiel Command Test Center

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Other files for this federal contract opportunity

Other files attached to Technical Management Advisory Services (TMAS) 2 412 Test Wing (TW) Draft FOPR, newest first.
File Type Posted
Attachment 9 Draft 412 TW B-Table Implementation.pdf PDF
Attachment 4 Draft ITO - 412 TW.pdf PDF
Attachment 18 Work Sample Cover Sheet.pdf PDF
Attachment 11 Draft DD254 412TW.pdf PDF
Attachment 16 Draft HTRO Past Performance Questionnaire.doc DOC document
Attachment 7 Reserved.pdf PDF
Attachment 5 Draft Eval Criteria - 412 TW.pdf PDF
Attachment 6 Draft Uniform Pricing Template (UPT).xlsx XLSX spreadsheet
Draft FOPR Comment Matrix.xlsx XLSX spreadsheet
Sect K.pdf PDF
Attachment 17 Draft 412TW Self-Scoring Matrix.xlsx XLSX spreadsheet
Attachment 14 Draft 412TW TMAS 2 Cross Reference Matrix.pdf PDF
Attachment 15 Draft Past Performance Rating Form.docx DOCX document
Attachment 13 Reserved.pdf PDF
Attachment 2 Reserved.pdf PDF
Attachment 3 Draft 412TW LOE Matrix.pdf PDF
Attachment 10 Draft CDRLs 412TW.pdf PDF
Attachment 8 Reserved.pdf PDF
Attachemnt 1 Draft 412TW PWS.pdf PDF
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Text version

FA2486-20-F-1003

Attachment 12

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

SUSPENSE: In-line with Fair Opportunity Proposal Request (FOPR) Submission Deadline

Contractor Information:

Name: _______________________________________________________________________________

Address: _________________________________________________________________

Point Of Contact (POC): ________________________________________________________________

Phone/ Email: _________________________________________________________________________

To be Completed by Financial Institution:

The above named contractor is currently proposing a solution for performing services pertaining to the United States Air Force (USAF). As part of the financial responsibility determination required by FAR 9.104-1, please complete the following and return to the above Contractor POC by their need date, so the Contractor can submit their proposal no later than proposal due date.

If you have any questions, please call Adam Vance at (850) 882-0159. Your assistance is appreciated.

Institution Name: _________________________________________________________________

Address: _________________________________________________________________

POC: _________________________________________________________________

Title: _________________________________________________________________

Phone: _________________________________________________________________

Email: _________________________________________________________________

1. How long has the account(s) been open? _____________________________________________

2. Over the previous six months, what is the average balance in the account?

3. Does the customer currently have (or ability to obtain) a credit line contingent upon award of this Task Order? _______________________________________

FA2486-20-F-1003

Attachment 12

If so, what amount of credit is available? ____________________________________________

4. Additional remarks, if any:________________________________________________________

Financial Institution POC:

Signature: _____________________________ Date: ___________________

Name:
Address 1:
Address 2:
Point Of Contact POC:
Phone Email:
Institution Name 1:
Institution Name 2:
1:
2:
3:
4:
How long has the accounts been open:
Over the previous six months what is the average balance in the account:
Task Order:
If so what amount of credit is available:
Additional remarks if any 1:
Additional remarks if any 2:
1_2:
2_2:
Date:

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