Attch 12 - Financial Worksheet FA441724R0001.docx
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- Attached to
- SABER IDIQ - Hurlburt Field FL
- Solicitation number
- FA441724RSABER
About this file
This document provides details for an indefinite delivery indefinite quantity contract opportunity with the 1st Special Operations Contracting Squadron at Hurlburt Field, Florida. The contract is for non-complex, minor construction, maintenance and repair projects including demolition, site work, excavation, concrete, masonry, structural steel, electrical, mechanical, painting, carpentry, roofing, and road repair. The base period is six months with four one-year options, and the contract value is estimated between $10-25 million. A draft solicitation will be released on February 2nd, 2024 with proposals due in mid-February, and award is projected for late February. The North American Industry Classification System code is 236220 with a $45 million size standard. The contract will be a competitive 8(a) small business set-aside awarded using best value tradeoff procedures. Payment and performance bonds are required within ten days of task order award.
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ATTACHMENT 12
FA441724R0001
Financial Reference Worksheet
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 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 |
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