Financial Institution Reference Sheet FA670325Q0026.pdf
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- Flatbed Trailer Federal contract opportunity
- Solicitation number
- FA670325Q0026
About this file
This document is a Financial Institution Reference Sheet for Solicitation FA670325Q0026, dated 13 September 2025, issued by the 94th Contracting Flight at Dobbins Air Reserve Base in Georgia. The form requires offerors to provide detailed financial account information from their banking institutions as part of a contractor responsibility determination process, in compliance with Federal Acquisition Regulation (FAR) 9.104-1 General Standards.
The reference sheet must be completed in two parts: first by the offeror, who provides company and point of contact details and grants permission to release account information, and then by the financial institution, which must disclose key financial metrics including average monthly balances, current loans, lines of credit, payment history, and credit rating. The document emphasizes that failure to fully complete the form may render the quote ineligible for award, and notes that offerors may supplement the form with additional financial documentation such as financial reports or banking statements.
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Questions and Answers FA670325Q0026.pdf | ||
| Combined Synopsis Solicitation FA670325Q0026.pdf | ||
| Offerors Representations and Certifications FA670325Q0026.pdf |
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Text version
FA670325Q0026
Attachment 2
13 September 2025
FINANCIAL INSTITUTION REFERENCE SHEET
Instructions to Offeror: Complete and return a reference sheet for each financial institution that you have a business account with. The Offeror is responsible to send this sheet to their banking institution(s) in regards to a determination of Contractor Responsibility in accordance with FAR 9.104-1, General Standards.
This sheet will be used to evaluate your ability to meet the necessary financial information required by this solicitation located at Dobbins ARB, GA. Failure to complete this sheet may render your quote ineligible for award.
NOTE: Offeror must complete this form in its entirety. Offerors may include additional information i.e. a copy of their latest Financial Report or Banking Statements (Current or previous year).
COMPLETED BY THE OFFEROR
Company’s Name:
Point of Contact (POC) Name:
POC Phone Number:
INSTITUTION’S 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 94th Contracting Flight, 1538 Atlantic Ave. Bldg. 812, Dobbins ARB, GA 30069-4900.
Print Name / Title Signature Date
COMPLETED BY FINANCIAL INSTITUTION:
Request amount 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
| Companys Name: |
| Point of Contact POC Name: |
| POC Phone Number: |
| INSTITUTIONS NAME: |
| POC Name: |
| POC Title: |
| POC Phone Number_2: |
| Fax Number: |
| Print Name Title: |
| 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: |
| Name Title: |
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