JA-6, Financial Information Request 14FEB20.pdf

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Attached to
Interior Alaska Paving Multiple Award Task Order Contract Federal contract opportunity
Solicitation number
FA500420R0001
Issued by
Department of the Air Force Pacific Air Forces

About this file

This document is a financial responsibility questionnaire and request for proposal related to a joint Interior Alaska paving multiple award task order contract for the Department of the Air Force and Army. The contract will provide paving services at Eielson Air Force Base, Clear Air Station, Fort Wainwright, and Fort Greely in Alaska. Services include maintenance, repair, and construction of airfield and non-airfield pavement surfaces such as signage, fencing, contaminated soil remediation, and head bolt outlet installations. Offerors must demonstrate financial responsibility by authorizing their financial institution to complete the attached questionnaire regarding details of the firm's accounts and loan/credit balances. The completed questionnaire must be returned to the contracting officer no later than the proposal due date, which is not specified in the document.

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Text version

1 FA5004-20-R-0001

JA-6

DEPARTMENT OF THE AIR FORCE

354TH FIGHTER WING

14 FEB 2020

MEMORANDUM FOR WHOM IT MAY CONCERN

FROM: 354 Contracting Squadron/PKA 2310 Central Ave Eielson AFB, Alaska 99702

SUBJECT: Financial Information Request and Release Authorization

REFERENCES: (a) Solicitation FA5004-20-R-0001

(b) Interior Alaska Paving Multiple Award Task Order Contract (MATOC)

1. Our office is evaluating of

(NAME OF FIRM)

(FIRM’S ADDRESS, INCLUDING CITY, STATE, AND ZIP CODE)

for possible award of referenced contract. In order to proceed, we must verify the contractor’s financial capability. The firm has provided your name as their bank reference and granted you release, as indicated below, to provide it to the government.

2. Please complete the attached questionnaire and return it by email to Mr. Gregory Johnson at gregory.johnson.68@us.af.mil at your earliest convenience, but not later than the proposal due date.

3. All information provided will be FOR OFFICIAL USE ONLY and will not be publicly released. If you need any other information or have any questions, please call me at 907-377-2464. Thank you very much for your assistance.

Attachment:

Financial Information Sheet

1st Ind, GREGORY T. JOHNSON

Contracting Officer

(Name of Offeror’s Firm) (Date)

TO:

(Name of Financial Institution) (Phone # w/Area Code)

I hereby authorize the financial institution to release my information as requested.

SIGNATURE:

BY:

(Print name/title of authorized representative)

RESPONSIBILITY QUESTIONNAIRE – FINANCIAL

FA5004-20-R-0001

Interior Alaska Paving Multiple Award Task Order Contract (MATOC)

1. Name of Contractor to whom the following information is applicable:

2. Name of Financial Institution:

3. Address of Financial Institution:

4. How long has the firm been a commercial customer of your bank?

5. What is the type of account and its average* balance? (continue on separate sheet if necessary)

Checking $ Checking $ Savings $ Savings $

CD $ CD $

Money Market $ Money Market $ Other $

(SPECIFY TYPE)

6. Does the company maintain a loan balance at the bank? In what amount?

YES NO $

7. Does the company maintain an unsecured line of credit at the bank? In what amount?

YES NO $

8. What is the company standing with your bank?

Outstanding Excellent Satisfactory Poor Unsatisfactory Other Explain on separate sheet of paper

9. COMMENTS:

I certify that the above information is correct and current as of

(DATE)

SIGNATURE:

BY:

(Print name/title of authorized representative)

DATE:

1. Name of Contractor to whom the following information is applicable:
6. Does the company maintain a loan balance at the bank? In what amount?
7. Does the company maintain an unsecured line of credit at the bank? In what amount?
8. What is the company standing with your bank?
9. COMMENTS:
2020-02-14T11:23:01-0900
JOHNSON.GREGORY.T.1137251805

File details come from the government source that posted it. Updated .