Attachment 5 - Financial Reference.docx
DOCX document 15 KB Posted
- Attached to
- Repair CRL Bldg 975 Federal contract opportunity
- Solicitation number
- FA4528-20-R-0003
About this file
This document contains a financial reference sheet template and details of a federal contract opportunity for repair work on Building 975 at Minot Air Force Base. The financial reference sheet is to be filled out by contractors and sent to their financial institutions as part of the responsibility determination process for the repair contract award. The repair contract opportunity involves completing a total interior and exterior renovation of Building 975, including 15% general work, 35% architectural, 25% mechanical, and 25% electrical work. Responses are due by the date specified in the solicitation number FA4528-20-R-0003 issued by the Department of the Air Force Global Strike Command. The financial reference sheet requests average monthly balance and loan information from financial institutions to assess contractors' creditworthiness and financing available for the repair work on Building 975 at Minot Air Force Base.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 9 - Revised Drawing Amendment Item List #1.pdf | ||
| FA4528-20-R-0003 Amendment 3.pdf | ||
| Attachment 8 - Questions and Answers.pdf | ||
| Attachment 9 - Drawing Amendment Item List #1.pdf | ||
| FA4528-20-R-0003 Amendment 2.pdf | ||
| FA4528-20-R-0003 Amendment 1.pdf | ||
| Attachment 6 - Section L - Instructions to Offerors_CRL.docx | DOCX document | |
| Solicitation - FA452820R0003.pdf | ||
| Attachment 3 - DBA Wage Determination - 4 Oct 19.pdf | ||
| Synopsis Notice FY20.doc | DOC document | |
| Attachment 4 - Past Performance Information (PPIF).docx | DOCX document | |
| Attachment 1 - Bldg 975 Specifications.pdf | ||
| Attachment 7 - Section M - Evaluations_CRL.docx | DOCX document | |
| Attachment 2 - Bldg 975 Drawings.pdf |
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Text version
FA452820R0003
Attachment 5
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 email address:____________________________________________________________ POC title: ____________________________________________________________________ POC phone number: ______________________ fax number: ___________________________ Account #_______________________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 5th Contracting Squadron, Minot AFB, North Dakota.
| _____________________________________ | _____________________________________ | |
| 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 |
File details come from the government source that posted it. Updated .