Atch 4 Finance Institution Reference Sheet 1 page 20 August 2020.pdf

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Attached to
Repair Transient Parking Ramp Federal contract opportunity
Solicitation number
FA670320B0005
Issued by
Department of the Air Force Reserve Command

About this file

This document contains a federal contract opportunity notice for repair work on a transient parking ramp. The Department of the Air Force Reserve Command is soliciting bids to repair the transient parking ramp located at Dobbins Air Reserve Base in Georgia. The work includes replacing concrete slabs with cracks and installing anchors and mooring points. The repair work is estimated between $10-25 million and is fully set aside for small businesses. The solicitation will be an invitation for bid with a firm fixed price contract and a performance period of 420 calendar days. Interested contractors must register in the System for Award Management and the solicitation will be posted on August 7th, 2020 with bids due by September 8th, 2020. The primary point of contact is listed for any questions.

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Text version

Attachment 4 FA670320B0005 20 August 2020

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

FA670320B0005

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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