L15PS00577_Banking_Information_Questionnaire_(Editable).doc

SEQ CHAPTER \h \r 1 In Reply

Refer To:

1510 (OC-664)

July 1, 2015 MEMORANDUM FOR National Operations Center

Bureau of Land Management

ATTN: John Kelley

Denver Federal Center

Denver, CO 80225

FROM: BANK NAME -

SUBJECT: In Response to Request for Information for Solicitation #L15PS00577, NIFC 300-JW Heating Gasket & Fire Alarm Replacement

1. The following information is provided for COMPANY NAME.

a. This company has been banking here since DATE.

b.

The company has NUMBER, TYPE OF ACCOUNTS, AVERAGE BALANCE (Example:

3 Figures = from $100 - $999

4 Figures = from $1,000 - $9,999

5 Figures = from $10,000 - $99,999

6 Figures = from $100,000 - $999,000

7 Figures = from $1,000,000 - $9,999,000

8 Figures = from $10,000,000 - $99,999,999

9 Figures = from $100,000,000 - $999,000,000)

c. This company has an average line of credit of __________ and has the following terms of availability:

d. The company has been extended a line of credit for __________ and payments have/have not been timely.

e. The company has/has not had any overdrafts against any accounts. (If so, how often are past due notices issued and approximately for how much.)

f. (Provide general information referencing the financial standings for the company, including the bank’s rating of the company as a customer based on the Risk Management Association (RMA)).

2. If you have any further questions, please communicate with John Kelley via 303-236-2626 or jakelley@blm.gov .

� SEQ CHAPTER \h \r 1�United States Department of the Interior

BUREAU OF LAND MANAGEMENT

National Operations Center

Denver Federal Center, Building 50

P.O. Box 25047

Denver, Colorado 80225-0047 http://www.blm.gov

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TPEC Appointment MFR Solicitation L13PS00085 2

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