Attachment 4 - Financial Institution Reference Sheet.pdf
PDF 68 KB Posted
- Attached to
- Mission Rehearsal Training (MRT) - Hurlburt Field, FL Federal contract opportunity
- Solicitation number
- FA441720Q0005
About this file
This document contains a financial institution reference sheet template and details of a federal contract opportunity for Mission Rehearsal Training services at Hurlburt Field, Florida. The financial institution reference sheet is to be filled out by contractors and sent to their banks to provide account and credit information for a responsibility determination as part of the evaluation process. The federal contract opportunity is for a single-award, firm-fixed-price contract to provide grounds maintenance and Mission Rehearsal Training services over a three-year period from March 2020 through March 2023. The solicitation number is FA441720Q0005 and it is being offered as a 100% total small business set-aside with a NAICS code of 611519 and size standard of $16.5 million. The agency is the Air Force Special Operations Command and proposals are due by February 11, 2020.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers for FA441720Q0005.pdf | ||
| Attachment 6- Past Performance Questionaire (Amended).pdf | ||
| Solicitation Amendment FA441720Q0005 0001.pdf | ||
| Attachment 6- Past Performance Questionaire.pdf | ||
| Attachment 5 - Government Furnished Property.pdf | ||
| Attachment 1 - WD 2015-4531 Rev 11.pdf | ||
| Solicitation - FA441720Q0005.pdf | ||
| Attachment 2 - DD Form 254.pdf | ||
| Attachment 3 - Performance Work Statement dated 14Jan2020.pdf |
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Text version
Attachment 4
FA441720Q0005
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Include with your offer 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 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: ______________
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: |
| COMPANYS NAME: |
| Point of Contact POC Name: |
| POC Phone Number: |
| INSTITUTION NAME: |
| POC name: |
| POC title: |
| POC phone number: |
| fax number: |
| 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 1: |
| I verify that the information provided above is current as of 2: |
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