FA4819-09-R-0038 Attachment 3 General Financial Information.docx
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- Attached to
- Tyndall AFB, FL Airfield Paving IDIQ Federal contract opportunity
- Solicitation number
- FA4819-09-R-0038
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DRAFT SOLICITATION FOR INFORMATIONAL PURPOSES FA4819-09-R-0038 AIRFIELD PAVING TYNDALL AFB - Attachment 3 General Financial Info
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DRAFT SOLICITATION FOR INFORMATIONAL PURPOSES – FA4819-09-R-0038 AIRFIELD PAVING TYNDALL AFB - Attachment 3 General Financial Information
GENERAL FINANCIAL INFORMATION
The following information is requested to aid the Government in determining your financial responsibility. If your answer to any question is “Not Applicable” indicate as such.
1. Central Contractor Registration Information:
a) Date Enrolled:__________________________________________________________________
b) Expiration Date:________________________________________________________________
c) DUNS:________________________________________________________________________
d) CAGE:________________________________________________________________________
2. Offeror Point of Contact Information:
a) Name:_________________________________________________________________________
b) Position Held:___________________________________________________________________
c) Telephone:_____________________________________________________________________
d) Email:_________________________________________________________________________
3. Company is a separate entity ( ) division ( ). If a division or subsidiary, please provide name of parent company:_______________________________________________________________________
4. Financial Information:
a) Name of Bank:__________________________________________________________________
b) MailingAddress:_______________________________________________________________________________________________________________________________________________
c) Point of Contact:________________________________________________________________
d) Work email/telephone:____________________________________________________________
5. Do you have the equipment needed to perform the contract on which you are submitting a proposal or do you have the resources to obtain the equipment? Yes ( ) No ( )
_____________________________________________________________________________________Typed Name of Preparer Signature Date
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