FINANCIAL_CAPACITY_FORM.pdf

PDF 599 KB Posted

Attached to
Electrician Services
Solicitation number
2023-03
Issued by
Mclean County, Kentucky

About this file

The document is a Financial Capacity Form from Lextran, the Transit Authority of Lexington-Fayette Urban County, located in Kentucky. This standard form is designed to be completed by a financial institution representative to verify the financial standing of a company proposing to do business with the organization. The form requires the financial institution to confirm the company's customer status, length of relationship, and whether all accounts are in good standing. The form emphasizes confidentiality, noting that the financial information is not subject to open records requests.

The form provides blank spaces for the financial institution to fill in the name of the financial institution, the name of the company being evaluated, the month and year the company became a customer, and requires the financial representative to check a box indicating whether all accounts are in good standing or if one or more accounts are not in good standing. The document includes fields for the date, an authorized signature, the printed name of the signatory, and their professional title. The form is branded with the Lextran logo and appears to be a standard template used in the procurement process to assess a potential vendor's financial reliability.

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Text version

FINANCIAL CAPACITY FORM

This form is to be filled out in its entirety by a financial institution representative for the proposal to be deemed responsive. All financial information is confidential and is not subject to open records requests.

As an authorized financial representative of ___________________________________________, all records Name of Financial Institution show that ____________________________________________ is an existing customer and has been since Name of Company

Month/Year

Please mark the correct statement as it applies to the company listed above:

All accounts remain in good standing status.

One or more accounts are not in good standing.

DATE: ___________________________________________________________

AUTHORIZED SIGNATURE: _______________________________________

PRINT NAME: ___________________________________________________

TITLE: ___________________________________________________________

As an authorized financial representative of:
show that:
undefined:
DATE:
PRINT NAME:
TITLE:
Check Box3: Off
Check Box4: Off

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