Financial Institution Reference Sheet v2.docx
DOCX document 15 KB Posted
- Attached to
- Fire Protection and Emergency Services Federal contract opportunity
- Solicitation number
- FA465921R0002
About this file
This document contains a solicitation for fire protection and emergency services at Cavalier Air Force Station in North Dakota. The contractor will provide all labor, tools, equipment, materials, supervision, and services on a 24-hour, 7-days-a-week basis to perform fire protection and emergency services in accordance with the performance work statement. The base period of performance is 1 November 2021 through 31 October 2022, with four option periods of twelve months each that would extend the total period of performance through 31 October 2026 if all options are exercised. The award will be made through best value evaluation with past performance being significantly more important than price. The requirement is set aside for small businesses with a NAICS code of 561990 and size standard of $12 million. Questions are due by 21 April 2021, with no pre-proposal site visit scheduled.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Solicitation Amendment - FA465921R00020002.pdf | ||
| Questions and Answers.pdf | ||
| Past Performance Questionnaire v2.docx | DOCX document | |
| Past Performance Questionnaire.docx | DOCX document | |
| Performance Work Statement 16 March 2021.pdf | ||
| Financial Institution Reference Sheet.docx | DOCX document | |
| CAFS FES CBA (dated 3 August 2017).pdf | ||
| Solicitation FA465921R0002.pdf | ||
| Government Furnished Property and Equipment.xlsx | XLSX spreadsheet |
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Text version
Financial Institution Reference Sheet
Instructions to Contractor: Please fill out the top portion and return a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institutions in regards to a determination of contractor responsibility as part of the evaluation for the solicitation: FA465921R0002, for Fire Protection and Emergency Services at Cavalier Air Force Station, ND.
TO BE FILLED OUT BY THE CONTRACTOR:
Company’s Name: _________________________________ Point of Contact (POC) Name: _______________________ POC Phone Number: _______________________________
INSTITUTION NAME: _____________________________
POC Name: _______________________________________ POC Title: ________________________________________ POC Phone Number: ________________________________
I give permission for the following information regarding my account(s) at your institution to be released to representatives of the 319th Contracting Squadron, Grand Forks Air Force Base, ND.
| ____________________________ | _________________________ | |
| Printed 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 of NSFs: _____________________________ 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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