Attachment_2_-_Financial_Responsibility_Questionnaire_(rev._01).pdf
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- Attached to
- Melrose Air Force Range Support Services Solicitation Federal contract opportunity
- Solicitation number
- FA4855-17-R-0008
About this file
This is the revised Attachment 2- "Financial Responsibility Questionnaire." The original document under the subheading "Financial Institution" referring to Lt Shane Tittinger contains an incorrect email address which has been corrected from "shane.tittinger@us.af.mil" to "shane.tittinger.1@us.af.mil." The remainder of Attachment 2- Financial Responsibility Questionnaire remains unchanged.
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Text version
FA4855-17-R-0008-0002
Attachment 2
7 June 2017
FINANCIAL RESPONSIBILTY QUESTIONNAIRE
SUSPENSE: 21 June 2017 @ 1400hrs MST
Contractor Information:
Name: _______________________________________________________________________________
Address: _______________________________________________________________________________
Point Of Contact (POC): ________________________________________________________________
Phone: ______________________________________________________________________________
Financial Institution:
The above named contractor is competing for contract award at Cannon AFB, NM. As part of the financial responsibility determination required by FAR 9.104-1, please complete the following and return this form to both the contractor listed above and the 27th Special Operations Contracting Squadron (27 SOCONS) points of contact: Brittney Pastore, brittney.pastore.2@us.af.mil and Lt Shane Tittinger, shane.tittinger.1@us.af.mil not later than 21 June 2017/ 1400 MST.
If you have any questions, please contact the 27 SOCONS POCs listed above. Your assistance is appreciated.
Institution Name: _________________________________________________________________
Address: _________________________________________________________________
POC: _________________________________________________________________
Title: _________________________________________________________________
Phone: _________________________________________________________________
Fax: _________________________________________________________________
1. How long has the account(s) been open?____________________________________________
2. What is the average balance in the account?______________________________
FA4855-17-R-0008-0002
Attachment 2
7 June 2017
(ex: high 6 figure, low 8 figure etc.)
3. Does the customer have a credit line available?_______________________________________
If so, what amount of credit is available?________________________________ (ex: high 6 figure, low 7 figure, etc.)
4. Is the customer in good standing?______________________________________
5. Does the institution feel comfortable continuing to support this customer in their business endeavors:_____________________________________________________________________
6. Additional remarks, if any:________________________________________________________
Signature:_____________________________ Date:___________________
File details come from the government source that posted it. Updated .