Attachment 4_Responsibility.doc

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Repair Cathodic Protection, Minot AFB (Various Missile Sites)
Solicitation number
FA4528-08-R-0019
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Sect J Attachment 4 Responsibility Questionnaire

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FA4528-08-R-0019

Attachment 4

RESPONSIBILITY QUESTIONNAIRE

The following information is needed to help evaluate and determine your company responsible. Please complete the following items and submit with your proposal:

A. Financial Capability

Your proposal shall contain one or more statements from financial institutions indicating that your firm is in good standing and can withstand the financial burden of the contract resulting from the instant solicitation in addition to other financial obligations.

B. The names of at least three (3) suppliers that you do business with, to include points of contact and phone numbers.

I. Name of Supplier: _____________________________________________________

Address: ______________________________________________________________

Name of POC: _________________________________________________________

Telephone No: _________________________________________________________

II. Name of Supplier: ____________________________________________________

Telephone No: _________________________________________________________

III. Name of Supplier: ___________________________________________________

Telephone No: ________________________________________________

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