Attachment_3_Financial_Reference_Sheet.docx

DOCX document 22 KB Posted

Attached to
Mess Attendant Services Federal contract opportunity
Solicitation number
FA4819-17-R-4007
Issued by
Department of the Air Force Air Combat Command

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Attachment 3 - Financial Reference Sheet

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Other files attached to Mess Attendant Services, newest first.
File Type Posted
FA481917R4007_Conformed.pdf PDF
FA481917R4007_00004.pdf PDF
FA4819-17-R-4007-_0003.pdf PDF
FA4819-17-R-4007_0002.pdf PDF
Questions.pdf PDF
Change_Pages.pdf PDF
Attachment_2_Collective_Bargaining_Agreement.pdf PDF
Questions_22_NOV.pdf PDF
Attachment_1_PWS.pdf PDF
FA481917R4007_0001.pdf PDF
Attachment_5_Site_Visit_Authorization_Letter.pdf PDF
Attachment_4_PPQ.docx DOCX document
Attachment_1_PWS_Revised.pdf PDF
Attachment_2_Collective_Bargaining_Agreement.pdf PDF
FA4819-17-R-4007.pdf PDF
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Text version

FINANCIAL INSTITUTION REFERENCE SHEET

Instructions to Contractor: Include with your proposal a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for award of this solicitation.

TO BE FILLED OUT BY CONTRACTOR:

COMPANY’S NAME: ____________________________________________________________

Point of Contact (POC) Name: _______________________________________________ POC Phone Number: __________________________________________________________

INSTITUTION NAME: __________________________________________________________

POC name: __________________________________________________________________ POC title: _________________________________________________________________ POC phone number: ______________________ fax number: _______________________

I give permission for the following information regarding my account/s at your institution to be released to representatives of the 325th Contracting Squadron, Tyndall AFB, FL.

_____________________________________________________________________
Name/TitleSignature/Date

DO NOT HAVE THIS SECTION FILLED OUT. IF YOUR FIRM IS SELECTED AS THE POTENTIAL AWARDEE, THIS FORM WILL BE SENT TO YOUR BANKING INSTITUTION FOR COMPLETION.

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 or NSF’s? ______________ How long with this institution: ______________ Credit rating with this institution: ______________

I verify that the information provided above is current as of ____________.

_____________________________________________________________________
Name/TitleSignature/Date

FA4819-17-R-4007

Attachment 3

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