4. Financial Reference.docx
DOCX document 17 KB Posted
- Attached to
- AAFES Underground Storage Tank Federal contract opportunity
- Solicitation number
- FA706024R0004
About this file
This document includes an attachment requesting financial references from contractors proposing on a federal solicitation to replace underground storage tanks at a gas station on Joint Base Anacostia-Bolling in Washington, DC. The solicitation requires replacing six under dispenser containment sumps, four 12,000-gallon underground fiberglass reinforced plastic gasoline storage tanks, associated piping, fittings, monitoring systems, and accessories. It also includes removing old tanks and sumps, excavating and backfilling trenches, testing and commissioning the new system, and coordinating work with AAFES personnel. Certified underground storage tank technicians are required. The acquisition is a Small Business set-aside between $500,000 to $1 million. A bid bond of 20% of the proposal price is required. The contract will be firm-fixed price awarded by the Department of the Air Force Headquarters District Washington. Funds are not presently available and no award will be made until funds are released, and the government reserves the right to cancel the solicitation before or after closing.
View the file
Other files for this federal contract opportunity
Show all 24
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
FA706024R0004
Attachment 4
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Contractor: Include with your proposal 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 award of this solicitation.
TO BE FILLED OUT BY CONTRACTOR:
COMPANY’S NAME: __________________________________________________________
Point of Contact (POC) Name: ___________________________________________________ POC Phone Number: __________________________________________________________
INSTITUTION NAME: __________________________________________________________
POC name: __________________________________________________________________ POC email address:____________________________________________________________ POC title: ____________________________________________________________________ POC phone number: ______________________ fax number: ___________________________ Account #_______________________________
I give permission for the following information regarding my account/s at your institution to be released to representatives of the 11th Contracting Squadron, Joint Base Anacostia-Bolling, DC.
| _____________________________________ | _____________________________________ | |
| Name/Title | Signature/Date |
DO NOT HAVE THIS SECTION FILLED OUT. IF YOUR FIRM IS SELECTED AS THE POTENTIAL AWARDEE, THIS FORM WILL BE SENT TO YOUR BANKING INSTITUTION FOR COMPLETION.
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 or NSF’s? ______________ 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 |
File details come from the government source that posted it. Updated .