ATTCH_3_FINANCIAL_INSTITUTION_REFERENCE_.docx.pdf
PDF 411 KB Posted
- Attached to
- Washer & Dryer Lease & Maintenance Federal contract opportunity
- Solicitation number
- FA4417-18-T-0003
About this file
Financial Institution Reference
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA441718T0003-0002_Conformed.pdf | ||
| ATTCH_1_ADDENDUM_TO_52.212-1_Dated_11_Jan_18.pdf | ||
| ATTCH_2_DASH_2_WASHER_DRYER_-Dated_11_Jan_18.pdf | ||
| Revised_PWS_11_Jan_2018.pdf | ||
| FA4417-18-T-0003-0002_Amendment_5.pdf | ||
| PP_Questionnaire_ATTCH_4.pdf | ||
| FA441718T0003_AMENDMENT_04.pdf | ||
| ATTCH_4_PP_Questionnaire_.docx.pdf | ||
| Performance_Work_Statement.pdf | ||
| 1449.pdf | ||
| ATTCH_4_PP_Questionnaire_.docx.pdf | ||
| ATTCH_5__-_Cover_Sheet.pdf | ||
| ATTCH_2_ADDENDUM_52.212-_2.pdf | ||
| ATTCH_1_ADDENDUM_TO_52.212-1.pdf |
Show all 14
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Text version
FA4417-18-T-0003
Washer Dryer Lease & Maintenance Services
Hurlburt Field, FL
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: ______________________ Email Address: _______________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 1st Special Operations Contracting Squadron, Hurlburt Field, FL.
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: ______________
FA4417-18-T-0003
Washer Dryer Lease & Maintenance Services
Hurlburt Field, FL
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
| COMPANYS NAME: |
| Point of Contact POC Name: |
| POC Phone Number: |
| INSTITUTION NAME: |
| POC name: |
| POC title: |
| POC phone number: |
| Email Address: |
| NameTitle: |
| 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 NSFs: |
| How long with this institution: |
| Credit rating with this institution: |
| I verify that the information provided above is current as of: |
| NameTitle_2: |
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