ATCH 4 Contractor Financial Questionnaire.doc
DOC document 33 KB Posted
- Attached to
- Kenai Concessionaire Restaurant
- Solicitation number
- FA5000-10-R-0004
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ATCH 4 - CONTRACTOR FINANCIAL QUESTIONNAIRE
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Solicitation: FA5000-10-R-0004
Attachment 4
Page 1 of
CONTRACTOR QUESTIONNAIRE & FINANCIAL INFORMATION SHEET
SECTION 1: GENERAL INFORMATION
Company Name: _______________________________________________________________________________ Physical Address: ______________________________________________________________________________ Mailing Address: _______________________________________________________________________________
Phone Number: ________________________________________________________________________________ Owner(s) Name: _______________________________________________________________________________ Phone Number: ________________________________________________________________________________ Management Point of Contact: __________________________________________________________ Phone Number: ____________________________________________________________________________ Alternate Management Point of Contact: ______________________________________________ Phone Number: _____________________________________________________________________________
SECTION 2: FINANCIAL INFORMATION
Information regarding the following items shall be furnished in sufficient detail to allow a full and complete business evaluation.
1. Business Name: ____________________________________________________________________________
2. Type of Business: ___________________________________________________________________________
3. Years in Business: __________________________________________________________________________
4. Individual(s) to contact regarding this proposal:___________________________________________________
3. Date company organized: ____________________________________________________________________
4. Attach a current organizational chart of the company.
5. Name and address of banking facility, point of contact and telephone number. Please notify your banking institution and provide permission to disclose financial information.
Bank Name: ___________________________________________________________________________________ Address: _____________________________________________________________________________________
Phone: _______________________________________________________________________________________
Point of Contact: _______________________________________________________________________________
SECTION 3: REFERENCES
Please list two (2) professional references and separately provide two (2) letters of recommendation from these references.
1. ____________________________________________________________________________________________________________________________________________________________________________
2. ____________________________________________________________________________________________________________________________________________________________________________
SECTION 4: PROFESSIONAL HISTORY
Please list and provide documentation of two (2) professional awards, if available.
1. ____________________________________________________________________________________________________________________________________________________________________________
2. ____________________________________________________________________________________________________________________________________________________________________________
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