Attachment 13A - Financial_Information_Request.docx
DOCX document 26 KB Posted
- Attached to
- Add/Repair Base Infrastructure Federal contract opportunity
- Solicitation number
- FA480320B0002
About this file
This solicitation is seeking bids for the addition and repair of base infrastructure at Shaw Air Force Base in South Carolina. The scope of work includes demolition of buildings, slabs, foundations, septic systems, parking lots, fencing, electrical service, and capping water wells. Installation of new fencing, a vehicle gate, overhead lighting, roadway, and an improved driving surface is also required. Interested parties must register on SAM.gov and subscribe to procurement announcements on that site. Questions must be submitted by email to the specified contracting officers by the closing date. The bid submission, evaluation, and award process will follow FAR Part 14 for sealed bidding. The acquisition is set aside for Historically Underutilized Business Zone small businesses only. The contractor will be responsible for required licenses, permits, surveys, and handling hazardous materials. Payment will be processed through the Wide Area Workflow system.
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Text version
MEMORANDUM FOR WHOM IT MAY CONCERN
FROM: 20 CONS/PKC
321 Cullen Street Shaw AFB SC 29152-5125
SUBJECT: Financial Information Request and Release Authorization
REFERENCES: (a) Solicitation FA480320B0001
| 1. | Our office is evaluating |
| (NAME OF FIRM) |
of
(FIRM’S ADDRESS, INCLUDING CITY, STATE, AND ZIP CODE)
for possible award of referenced contract. In order to proceed, we must verify the contractor’s financial capability. The firm has provided your name as their bank reference and granted you release, as indicated below, to provide it to the government.
2. Please complete the attached questionnaire and return it by email to me laurie.harvey.1@us.af.mil and moore.williams.1@us.af.mil at your earliest convenience, but not later than seven (7) calendar days after receipt of this request.
3. All information provided will be FOR OFFICIAL USE ONLY and will not be publicly released. If you need any other information or have any questions, please call me at 803-895-9743 or Zelda Williams at 803-895-9424. Thank you very much for your assistance.
| LAURIE HARVEY |
| Contracting Officer |
Attachment Financial Information Sheet
1st Ind, (Name of Offeror’s Firm) (Date)
TO:
(Name of Financial Institution) (Phone # w/Area Code)
|_| I hereby authorize the financial institution to release my information as requested.
SIGNATURE:
BY:
(Print name/title of authorized representative)
| FA480320B0001 |
| Attachment 13 |
| VLSB 15-0007 |
RESPONSIBILITY QUESTIONNAIRE - FINANCIAL
FA480320B0001
1. Name of Contractor to whom the following information is applicable:
2. Name of Financial Institution:
3. Address of Financial Institution:
4. How long has the firm been a commercial customer of your bank?
5. What is the type of account and its average* balance? (continue on separate sheet if necessary)
| |_| Checking $ | |_| Checking $ | |
| |_| Savings $ | |_| Savings $ | |
| |_| CD $ | |_| CD $ | |
| |_| Money Market $ | |_| Money Market $ | |
| |_| Other | $ | |
| (SPECIFY TYPE) |
6. Does the company maintain a loan balance at the bank? In what amount?
|_| YES |_| NO $
7. Does the company maintain an unsecured line of credit at the bank? In what amount?
|_| YES |_| NO $
8. What company’s standing with your bank?
|_| Outstanding |_| Excellent |_| Satisfactory |_| Poor |_| Unsatisfactory |_| Other Explain on separate sheet of paper
9. COMMENTS:
I certify that the above information is correct and current as of
(DATE)
SIGNATURE:
BY:
(Print name/title of authorized representative)
DATE:
File details come from the government source that posted it. Updated .