Attach_4_-_Financial_Worksheet.pdf
PDF 74 KB Posted
- Attached to
- Repair/Extend Small Arms Training Range, B-107 Federal contract opportunity
- Solicitation number
- FA6703-17-B-0001
About this file
Attach 4 - Financial Worksheet
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FBO_POST_-_Award_Notice_--70th_Anniversary_Letterhead.pdf | ||
| Amendment_4.pdf | ||
| GEO_REPORT.pdf | ||
| FA6703-17-B-0001_Amendment_3.pdf | ||
| Questions_&_Answers.pdf | ||
| FA6703-17-B-0001-0002.pdf | ||
| FA6703-17-B-0001-0001_Amendment_1.pdf | ||
| Site_Visit_Attendance.pdf | ||
| Site_Visit_Information.pdf | ||
| Solicitation_FA6703-17-B-0001.pdf | ||
| Attach_2_-_Combined_Final_Drawing_Set.pdf | ||
| Attach_3_-_DARB_4.pdf | ||
| Attach_1_-_Final_Combined_Specs_Double_Sided.pdf | ||
| Solicitation_FA6703-17-B-0001.pdf | ||
| Attach_5_-_DOL_Wage_Determination.pdf |
Show all 15
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Please fill out and return 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.
CAGE CODE: ___________________
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 94th Contracting Flight, Dobbins ARB, GA.
Printed Name/Title Signature/Date
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 of NSFs: ____________________________________ How long with this institution: __________________________________ Credit rating with this institution: ________________________________
I verify that the information provided above is current as of _____________________________
Name/Title Signature/Date
Attachment 4 Dated 11/3/2016 FA6703-17-B-0001
File details come from the government source that posted it. Updated .