Attachment_12__Responsibility_Questionnaire_Financial.docx

DOCX document 25 KB Posted

Attached to
Advanced Joint Terminal Attack Controller Training System (AAJTS) Federal contract opportunity
Solicitation number
ID07170051
Issued by
GSA Federal Acquisition Service

About this file

Attachment 12 Responsibility Questionnaire Financial. This document must be completed and submitted with your proposal on the date of closing.

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Text version

RESPONSIBILITY QUESTIONNAIRE – FINANCIAL ATTCHMENT 12

ID07170051

Training System Support Center (TSSC)/(AAJTS)

1. Name of Contractor to whom the following information is applicable:

2. Name of Financial Institution:

3. Address of Financial Institution:

4. How long has the firm been a commercial customer of your bank?

5. What is the type of account and its average *balance? (continue on separate sheet if necessary)

☐Checking $☐Checking $
☐Savings $☐Savings $
☐CD $☐CD $
☐Money Market $☐Money Market $
☐Other$
(SPECIFY TYPE)

6. Does the company maintain a loan balance at the bank? In what amount?

☐YES ☐NO $

7. Does the company maintain an unsecured line of credit at the bank? In what amount?

☐YES ☐NO $

8. What company’s standing with your bank?

☐Outstanding ☐Excellent ☐Satisfactory ☐Poor ☐Unsatisfactory ☐Other Explain on separate sheet of paper

9. COMMENTS:

I certify that the above information is correct as of (Date)

SIGNATURE:

BY:

(Print name/tile of authorized representative)

DATE:

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