FINANCIAL_CAPACITY_FORM.pdf

599 KB Posted

Attached to
Uniforms - Operators
Solicitation number
2023-01
Issued by
Mclean County, Kentucky

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Written by GovTribe AI ·

The document is a Financial Capacity Form issued by Lextran, the Transit Authority of Lexington-Fayette Urban County Government in Kentucky. This standardized form is designed to be completed by a financial institution representative to verify the financial standing of a company proposing to do business with Lextran. The form requires the financial institution to confirm the company's customer status, including the duration of their relationship and whether all accounts are in good standing.

The form is confidential and not subject to open records requests, providing a mechanism for Lextran to assess the financial stability of potential contractors. It includes fields for the financial institution's name, the company being evaluated, the length of the customer relationship, and a checkbox to indicate the status of the company's accounts. The form requires an authorized signature, printed name, title, and date, serving as an official attestation of the company's financial condition for procurement purposes.

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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 .