Attach_12_Financial_Worksheet_FA910125RB011.docx

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Attached to
SABER IDIQ 2025 - Arnold AFB, TN Federal contract opportunity
Solicitation number
FA910125RB011
Issued by
Department of the Air Force Materiel Command Test Center

About this file

This document is a Financial Reference Worksheet for the FA910125RB011 SABER IDIQ 2025 solicitation issued by the Department of the Air Force Materiel Command Test Center at Arnold AFB, TN. The form is designed for potential contractors to provide banking institution references as part of the proposal evaluation process for determining contractor responsibility.

The worksheet requires contractors to complete a section authorizing their financial institution to release account information, including average monthly balances, current loans, lines of credit, payment history, and credit rating. If selected as a potential awardee, the contractor's banking institution will be requested to fill out the detailed financial section, providing verification of the company's financial standing and capabilities. This financial reference check is a standard part of the government's contractor qualification assessment for the Simplified Acquisition of Base Engineering Requirements (SABER) IDIQ 2025 contract opportunity.

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ATTACHMENT 12

FA910125RB011

Financial Reference Worksheet

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 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 Air Force Test Center, Arnold AFB, TN.

_____________________________________________________________________
Name/TitleSignature/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/TitleSignature/Date

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