Attachment 5_L2_Financial Responsibility Questionnaire_Dated 4Jun25_1Pgs.pdf

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GWEF CHILLER PLANT AND COOLING SYSTEMS UPGRADE
Solicitation number
FA282325R0012
Issued by

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This document is a Financial Responsibility Questionnaire issued by the Department of the Air Force Test Center for the GWEF Chiller Plant and Cooling Systems Upgrade contract (Solicitation Number FA282325R0012). The one-page form is designed to be completed by a financial institution to assess a contractor's financial standing, with six key questions exploring the institution's business relationship with the contractor, including loan history, credit lines, average account balances, and willingness to continue doing business with the contractor.

The solicitation is for a construction project valued between $10 million and $25 million, with a critical note that funds are not currently available and the government reserves the right to cancel the solicitation at any time. The questionnaire serves as Attachment L2 to the solicitation, dated 04 June 2025, and is part of the procurement process for the Air Force Test Center at Eglin Air Force Base, Florida, to evaluate a potential contractor's financial responsibility and reliability.

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Text version

FA282325R0012

ATTACHMENT L2

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

Dated 04 June 2025

INSTITUTION: _______________________________________________

ADDRESS: __________________________________________________

SUBJECT: Financial Responsibility Questionnaire for ________________________________________________

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: ____________________________

DEPARTMENT OF THE AIR FORCE

AIR FORCE TEST CENTER – AFTC/PZ

EGLIN AIR FORCE BASE, FLORIDA

INSTITUTION:
ADDRESS 1:
ADDRESS 2:
5 Would you continue to do business with:
in the future:
information that would help us determine positive negative standing please feel free to comment:
Completed By:
Position:
Date:
Email or Telephone:
Text1:

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