JA-2_Financial.pdf
PDF 78 KB Posted
- Attached to
- Base SABER contract Federal contract opportunity
- Solicitation number
- FA6703-17-R-0006
About this file
JA-2, Financial Worksheet
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| FA6703-17-R-0006_Amend_0002.pdf | ||
| FA6703_17_R_0006_Site_visit_responses.pdf | ||
| FA6703-17-R-0006_Amend_0001.pdf | ||
| Site_visit_sign_in_7_Sep_2017.pdf | ||
| JA-9_DARB_4.pdf | ||
| JA-11_01560_Dobbins_Environmental_Requirements.pdf | ||
| JA-10_DARB3.pdf | ||
| JA-8_Consent.pdf | ||
| JA-6_WD_GA170134_28_Apr_17_134.pdf | ||
| JA-14_Seed_Project_Bldg_935_SOW.pdf | ||
| JA-1_Statement_of_Work.pdf | ||
| FA6703-17-R-0006,_Simplified_Acquisition_Base_Engineering_Requirements_Solicitation.pdf | ||
| JA-7_WD_GA170246_6_Jan__17_246.pdf | ||
| JA-12_01010_General_Requirements.pdf | ||
| JA-4_Past_Performance_Worksheet.pdf | ||
| JA-13_01300_Submittals_.pdf | ||
| JA-3_PAST_AND_PRESENT_PERFORMANCE_QUESTIONNAIRE[1].pdf | ||
| JA-5_WD_GA170079_14_Apr_17_GA79.pdf |
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Text version
JA-2 FA6703-17-R-0006
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 as part of the evaluation for solicitation number FA6703-17-R- 0006, Simplified Acquisition of Base Engineering Requirements (SABER), Dobbins ARB, GA.
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
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