Financial Institution Reference Sheet.docx
DOCX document 37 KB Posted
- Solicitation number
- FA465426R0006
About this file
This is a Financial Institution Reference Sheet template required as Attachment 9 for solicitation FA465425B0001, a separate Air Force contract for Add/Renovate Aircraft Maintenance Shop FAC 453 at Grissom Air Reserve Base, Indiana. The document serves as a contractor responsibility evaluation tool and must be completed by the contractor for each financial institution with which they maintain business accounts.
The form requires contractors to provide company information and authorize release of financial data to USAF AFRC 434 CONF/LGC at Grissom ARB, Indiana. Financial institutions must complete the reverse side by providing account information in ranges, including average monthly checking and savings balances, current loan amounts, lines of credit, payment history, account tenure, and credit rating as of a specified date. Both contractor and financial institution representatives must sign and date their respective sections. This reference sheet is utilized as part of the contractor responsibility determination process during proposal evaluation for the referenced solicitation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| FA465426R0006 Site Visit Sign in Sheet.xlsx | XLSX spreadsheet | |
| Construction Site Visit Agenda - Sustain Pavement IDIQ.docx | DOCX document | |
| FA465426R0006 - Questions and Answers.docx | DOCX document | |
| Grissom Air Reserve Base Standards.pdf | ||
| Davis-Bacon Act WD IN20260006 Modification 1.pdf | ||
| Grissom DBIDS - How to Request Base Access.pdf | ||
| Pricing Evaluation Workbook - FA465426R0006.xlsx | XLSX spreadsheet | |
| Service Contract Act WD 2015-4809 Revision No 33.txt | TXT text file | |
| Grissom ARB Environmental Requirements.docx | DOCX document | |
| Solicitation - FA465426R0006.pdf | ||
| Grissom ARB Bio Identification and Notification.pdf |
Show all 11
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
19 JAN 2025
Attachment 9
FA465425B0001
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 FA465425B0001, Project CTGB 162017, Add/Renovate Aircraft Maintenance Shop FAC 453, Grissom Air Reserve Base, IN
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 USAF AFRC 434 CONF/LGC, Grissom ARB, IN.
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
File details come from the government source that posted it. Updated .