FA441720Q0015 Attachment 4 Financial Institution Reference Sheet.pdf
PDF 107 KB Posted
- Attached to
- Customer Support Services - Military Personnel Flight Federal contract opportunity
- Solicitation number
- FA441720Q0015
About this file
This document includes an attachment template for financial institution references to be included with offers for the solicitation. The solicitation is for customer support services for the Military Personnel Flight from the Department of the Air Force Special Operations Command. The contractor will be required to provide all personnel, equipment, supplies, facilities, transportation, tools, materials, supervision, and other non-personal services needed to perform the defined customer support services, excluding any government furnished property or services. The financial institution reference template requires contractors to provide information on their bank including average account balances, loans, lines of credit, payment history and relationship length that the government agency can confirm with the bank as part of the responsibility determination for awarding the contract.
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| File | Type | Posted |
|---|---|---|
| CorrectionstoPreviousQuestionsnAnswers30Jul20.pdf | ||
| Solicitation Amendment FA441720Q00150001 SF 30.pdf | ||
| Attachment 7 Evaluations.pdf | ||
| Attachment 6 Customer Support Instructions to Offerors.pdf | ||
| Customer Support Solicitation Questions and Answers.pdf | ||
| Solicitation - FA441720Q0015.pdf | ||
| FA41720Q0015 Attachment 1 PWS.pdf | ||
| FA441720Q0015 Attachment 2 Wage Determination 2015-4531 revision 13 dated 1 May 2020.pdf | ||
| FA441720Q0015 Attachment 3 DD Form 254 1 SOFSS Customer Support 20200427.pdf | ||
| FA441720Q0015 Attachment 6 Customer Support -1 and -2 19Jun.pdf | ||
| FA441720Q0015 Attachment 5 Past Performance Information.pdf |
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Text version
Attachment 4
FA441720Q0015
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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