15 Financial Institution Reference Sheet.pdf
PDF 136 KB Posted
- Attached to
- Construct T-1A Static Display
- Solicitation number
- FA309925R0002
About this file
The Financial Institution Reference Sheet is a form for potential contractors to provide banking institution details during the federal contract evaluation process. Specifically for the Solicitation No. FA309925R0002 for Construct T-1A Static Display, this document requires contractors to obtain permission from their financial institutions to release account information to the 47th Contracting Squadron at Laughlin AFB. The form is designed to be partially completed by the contractor, with a section to be filled out by the financial institution if the contractor is selected as a potential awardee. Information requested includes average monthly account balances, current loans, lines of credit, payment history, and credit rating, which will be used to assess the contractor's financial responsibility.
View the file
Other files
Show all 20
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFP No.
Date:
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Include with your proposal a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for award of this solicitation.
TO BE FILLED OUT BY CONTRACTOR:
COMPANY’S NAME: ____________________________________________________________
Point of Contact (POC) Name: _______________________________________________
POC Phone Number: __________________________________________________________
INSTITUTION NAME: __________________________________________________________
POC name: __________________________________________________________________
POC title: _________________________________________________________________
POC phone number: ______________________ fax number: _______________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 47th Contracting Squadron, Laughlin AFB, TX 78843
Name/Title Signature/Date
DO NOT HAVE THIS SECTION FILLED OUT. IF YOUR FIRM IS SELECTED AS THE POTENTIAL
AWARDEE, THIS FORM WILL BE SENT TO YOUR BANKING INSTITUTION FOR COMPLETION.
TO BE FILLED OUT BY FINANCIAL INSTITUTION:
Please give amounts as a range – i.e. low four figures, mid six figures, etc.
Average monthly balance in checking: ________________
Average monthly balance in savings: _________________
Amount of any current loans: ______________
Amount of any lines of credit: ______________
Any late payments or NSF’s? ______________
How long with this institution: ______________
Credit rating with this institution: ______________
I verify that the information provided above is current as of ____________.
Name/Title Signature/Date
| TO BE FILLED OUT BY CONTRACTOR: |
| TO BE FILLED OUT BY FINANCIAL INSTITUTION: |
File details come from the government source that posted it. Updated .