Attachment_11_Financial_Release_Authorization_Letter_Attachment_11.doc

GSA Greater Southwest Region

PAGE

August 3, 2018 GSA FAS Region 7 819 Taylor Street

Fort Worth TX 76102

To Whom It May Concern

Subject: Financial Information Request and Release Authorization (Ref ID07170051)

1. Our office is evaluating ____________________________________________________

(Name of Firm)

(Firm’s Address, Including City, State, and Zip Code) for possible award of the reference task identification number. In order to proceed, we must verify the contractor’s financial capability.

2. The contractor will be responsible for providing the Government with the attached Responsibility Questionnaire as of the solicitation closing date. Please provide a point of contact (name, phone number, and e-mail address), so that this information may be verified.

Name

Title

Signature

3. The individual who signs this letter is an executive of the company and is authorized to provide the following release:

I hereby authorize the financial institution to release my information as requested:

Name

Title

Signature

3. All information provided will be FOR OFFICIAL USE ONLY and will not be publicly released. If you need any other information or have any questions, please call me at (504) 589-4366. Thank you for your assistance in this matter.

Patrick Clementine Contracting Officer

U.S. General Services Administration

819 Taylor Street

Fort Worth, TX 76102 www.gsa.gov