Financial Institution Reference Sheet.docx
DOCX document 35 KB Posted
- Attached to
- Replace Airfield HVAC Units
- Solicitation number
- FA465426Q0011
About this file
This is a Financial Institution Reference Sheet template designed for contractor responsibility evaluation. The form is intended for use by contractors bidding on solicitation FA465425B0001 (Add/Renovate Aircraft Maintenance Shop FAC 453 at Grissom Air Reserve Base, Indiana). Contractors must complete and submit a reference sheet for each financial institution where they maintain business accounts, with authorization for the USAF AFRC 434 CONF/LGC at Grissom ARB to contact the financial institutions directly.
The financial institution section requests specific account information provided as ranges, including average monthly checking and savings balances, current loan amounts, lines of credit, payment history, length of account relationship, and credit rating. The form serves as a screening mechanism to assess contractor financial stability and responsibility as part of the evaluation process. Financial institutions are instructed to provide current information as of a specified date and validate the response with an authorized signature.
View the file
Other files
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 .