L1.A (Template 1.A) - Financial Summary.docx

Template 1.A (Cover Sheet)

SUMMARY OF FINANCIAL RECORDS

USAID SOL XXXXXXXXXXXXX

(To be completed by Offeror and provided with copies of Financial Statements that demonstrate annual turnover)

Prospective Contractor for which information is being provided:

Name of Offeror:

Address:

Phone Number:

Point of Contact:

Name of Financial Institution:

Address:

Phone Number:

Account Number:

Type of Account:

Average Balance Figure:

1. Provide the value of all construction equipment fully owned by your organization:

2. Provide the value of the total assets of your organization, including equipment value described above:

3. Provide the value of your organization’s total liabilities (loans, debts, mortgages, accounts payable, etc.):

4. Provide the total contract value of the work accomplished by your organization in each of the last three (3) years:

2021: _____________ 2020: _____________ 2019: _____________ Total: _____________

5. Provide current and/or anticipated contract value of work awarded to your organization:

Current project(s) value: ___________________ Pending project(s) value: ____________________

6. Has any bonding company refused to write you a bond for any construction work? If yes, please explain below:

7. Provide the maximum value of contract work for which you can obtain Bond(s):

8. List any major supplier(s) and/or vendor(s) lines of credit available to the Offeror. This may include cement supplier lines credit, or other construction supplies/materials. Provide supplier/vendor name, contact information, and details on the arrangement.

Signature of Offeror’s Representative Providing Financial Information

Template 1.A – Cover Sheet for Financial Statements rev.1 02/22 Page of