Attachment_C_Financial_Responsibility.docx

ATTACHMENT C

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

Request for Proposal: FA2823-15-R-4020 Repair HVAC and Interior, Dining Hall, Bldg. 3017, Eglin AFB, FL 32542

FROM: _____________________________

ADDRESS: _____________________________

SUBJECT: Financial Responsibility Questionnaire for FA2823-15-R-4020, Repair HVAC and Interior, Dining Hall, Bldg 3017 at Eglin AFB, FL.

1. How long have you been doing business with ?

(Contractor’s Name)

2. Do they have any loans outstanding with your institution? If so, have they ever had any payment problems?

3. Do they have a line of credit with your institution? If so, what is the pre-approved balance?

4. What is the average revolving monthly balance in checking or savings account with your institution? This does not have to be exact, but we would like to know if it is in the 3, 4, 5, 6, etc figure range.

5. Would you continue to do business with in the future?

(Contractor’s Name)

6. The above inquiries provide basic financial responsibility insight, but if you would like to add any further information that would help us determine positive / negative standing, please feel free to comment.

Completed By: ________________________________ Position:_________________________________

Date: ________________________________________ E-mail or Telephone:_______________________

Signature:______________________________________