Attachment_7_-_Financial_Information_Request_(Fillable_PDF).pdf

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DEPARTMENT OF THE AIR FORCE

21ST SPACE WING (AFSPC)

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 21CONS/PKA

135 Dover Street, Suite 2204 Peterson AFB CO 80914

SUBJECT: Financial Information Request and Release Authorization

Reference: Solicitation FA2517-19-R-A016, Front Range Multiple Award Construction Contract (FRMACC)

1. Our office is evaluating:

for possible award of referenced contract. In order to proceed, we must verify the contractor's financial capability. The firm has provided your name as their bank reference and granted you permission to release the information, as indicated below, to provide to the Government.

2. Please complete the attached questionnaire and return it by email to christina.leary@us.af.mil, jemimah.griggs@us.af.mil, and keith.dastur.1@us.af.mil at your earliest convenience, but no later than seven (7) calendar days after receipts of this request.

3. All information provided will be treated as FOR OFFICIAL USE ONLY and will not be publicly released. If you need any other information or have any questions, please call me at (719) 556-4875. Thank you very much for your assistance.

CHRISTINA D. LEARY

Contracting Officer

Attachment:

Financial Information Sheet 1st ind, (Name of Contractor) (Date)

TO:

(Name of Financial Institution) Signature:

(Print name/title of authorized representative) (Phone) Attachment 7

RESPONSIBILITY QUESTIONNAIRE - FINANCIAL

FA2517-19-R-A016

Front Range Multiple Award Construction Contract (FRMACC)

8. Type of Account, the current balances, and the six (6) month average balance maintained for each account:

Current 6-Month Average

9. Does the contractor maintain a loan balance at the bank? If so, what is the amount?

10. Does the contractor maintain an unsecured line of credit at the bank? If so, what is the amount?

11. What is the contractor's current standing with your bank?

I certify that the above information is correct and current as of:

Signature:

6.2.0.20160331.1.924316.921890