Financial_Institution_Ref_Sheet.pdf
PDF 254 KB Posted
- Attached to
- Law Enforcement Services Federal contract opportunity
- Solicitation number
- FA4659-17-R-0002
About this file
This Financial Institution Reference Sheet should be filled out according to the instructions listed therein and should be received by 319 CONF before the response due date of this RFP.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 17-R-0002_QA_Financial_Amendment.pdf | ||
| CAFS_Law_Enforcement_QA.pdf | ||
| Addendum_to_CBA_Wage_and_Benefit.pdf | ||
| Amendment_2.pdf | ||
| Amendment_1.pdf | ||
| Law_PWS.pdf | ||
| FA4659-17-R-0002,_Solicitation.pdf | ||
| FA4659-17-R-0002_GFP_Attachment.pdf | ||
| WD.pdf | ||
| CBA.pdf | ||
| past_perf_quest_sample_3.pdf | ||
| Solicitation_Cover_Letter.pdf |
Show all 12
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Text version
FINANCIAL INSTITUTION REFERENCE SHEET (FA4659-17-R-0002)
Instructions to Contractor: Forward this 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 to exercise the option year of this contract.
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 319 th
Contracting Flight, Grand Forks AFB, North Dakota.
Name/Title Signature/Date
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
Fax or Email Reference Sheet to A1C Adam Ornduff (adam.ornduff@us.af.mil) Contract Specialist
Fax: 701-747-4215
File details come from the government source that posted it.