Attachment 4 Revision- Determination of Contractor Responsibility.pdf
PDF 974 KB Posted
- Attached to
- Vertical Transportation Equipment ( elevator ) Repair Services Federal contract opportunity
- Solicitation number
- FA480925Q0003
About this file
This document is an attachment titled "Determination of Contractor Responsibility" related to the federal contract opportunity for Vertical Transportation Equipment (elevator) Repair Services at Seymour Johnson AFB, NC.
The document requests the following information from the contractor to determine responsibility: 1) Completed financial information form from the contractor's banking institution, 2) Contact information for at least three companies the contractor does business with, 3) A copy of the contractor's most current financial statements prepared by a CPA, 4) A description of the contractor's specialty and how long they have performed this work, 5) Statement on whether any work will be subcontracted, 6) Statement on whether any equipment will be rented, and 7) Statement on whether the contractor has any ongoing government or commercial contracts that may conflict with this work. This information must be provided by November 26, 2024. The federal contract opportunity has a solicitation number of FA480925Q0003 and is being issued by the Department of the Air Force Air Combat Command.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Attachment 1 PWS VTE Maintenance Revised 21 Nov 24.docx | DOCX document | |
| Q and A.docx | DOCX document | |
| 2902 Elevator controls room 2.jpg | JPG image | |
| 3808 Elevator controls room.jpg | JPG image | |
| 3808 Elevator controls.jpg | JPG image | |
| Attachment 4 Revision- Determination of Contractor Responsibility.pdf | ||
| 2902 Elevator controls room 3.jpg | JPG image | |
| B4400 Elevator Data Cards (002).pdf | ||
| 2902 Elevator controls room.jpg | JPG image | |
| 3809 Elevator controls 2.jpg | JPG image | |
| 3809 Elevator controls.jpg | JPG image | |
| 4400 Elevator room.jpg | JPG image | |
| Attachment 1 Revised 18 Nov 2024 PWS VTE Maintenance.docx | DOCX document | |
| Attachment 2 WD 1985-0949 17 Jan 2024.docx | DOCX document | |
| Solicitation - FA480925Q0003.pdf | ||
| Attachment 4 - Determination of Contractor Responsibility.pdf | ||
| Atch 3 Past Perf Questionaire.docx | DOCX document | |
| Attachment 1 PWS VTE Maintenance.docx | DOCX document |
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Text version
DETERMINATION OF CONTRACTOR RESPONSIBILITY
In an effort to determine your company responsible, the following items are requested. These are in addition to the instructions contained in Section L of the solicitation.
1. Provide page 2 to your banking institution(s) to fill out, sign and return no later then 26 Nov 24 . The banking institution(s) shall submit the completed and signed forms via e-mail to michael.demers.4@us.af.mil and billy.parham.1@us.af.mil.
2. Provide page 3 at least three (3) companies that you do business with, to include points of contact and phone numbers. NOTE: Please ensure you have authorized verbal release of information concerning your accounts. If you have not authorized verbal release of information or your supplier(s) will not verbally release information, have your supplier(s) complete the attached form and send via e-mail to michael.demers.4@us.af.mil and billy.parham.1@us.af.mil.
3. A copy of your most current financial statement prepared by a certified public accountant, to include CPAs notes.
4. A brief description of your company’s specialty and a statement of how long you have been performing this specialty.
5. A statement of whether or not your company is incorporated, and if so, when you became incorporated.
6. A statement of whether or not any of the work will be subcontracted, and if so, the disciplines and the percentages of work to be completed by each party. Your attention is directed to the NAICS code applicable to this solicitation and the requirements of FAR 52.219-14 Deviation for services acquisitions.
7. A statement of whether or not you will be renting any equipment, and if so, the item(s) to be rented. Provide proof of ability to obtain rental (i.e., rental agreement).
8. A statement of whether or not any other ongoing government or commercial contracts you have will conflict with this work.
FA480925Q0003
Attachment 4
28 Oct 2024 mailto:kyle.donah@us.af.mil mailto:kyle.donah@us.af.mil
FINANCIAL INFORMATION ON
PROVIDED BY
1. Are you aware of any problems this company has currently or has had in the past with paying suppliers or employees?
2. Do you have a line of credit established for this company? If so, what is the high to low range? Is it secured or unsecured?
3. Does this company pay in accordance with the payment terms?
4. Additional Comments:
Date:
Phone:
Signature:
Title:
FA480925Q0003
Attachment 4
E-mail completed questionnaire to michael.demers.4@us.af.mil and billy.parham.1@us.af.mil.
28 Oct 2024
ACCOUNT INFORMATION ON
PROVIDED BY
1. How long have you been doing business with this company?
2. What materials do you supply to this company?
3. Does this company pay within your payment terms?
4. What line of credit have you established for this company?
5. Additional Comments:
Signature: Date:
Phone:
Title:
E-mail completed questionnaire to michael.demers.4@us.af.mil and billy.parham.1@us.af.mil.
FA480925Q0003
Attachment 4
28 Oct 2024 mailto:angela.gibson.4@us.af.mil mailto:kyle.donah@us.af.mil
| Text2: |
| Text3: |
| Text4: |
| Name of Company: (Name of Company) |
| Name of Banking Institution: (Name of Banking Institution) |
| Name of Supplier: (Name of Banking Institution) |
| Text1: |
| Text21: |
| Text22: |
| Text23: |
| Text24: |
| Text25: |
| Name of Company2: (Name of Company) |
| Date5_af_date: |
| Date6_af_date: |
| Phone Number: |
| Title: |
| Phone Number2: |
| Title2: |
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