General_Financial_Information.docx

DOCX document 17 KB Posted

Attached to
Aerial Gunnery Target System (AGTS-36 Refurbishment) Federal contract opportunity
Solicitation number
FA481915R0012
Issued by
Department of the Air Force Air Combat Command

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AGTS-36 Financial Questionnaire

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Attachment 4 - FA4819-15-R-0012

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. System for Award Managment 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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