Attachment 8 - Appendix F_Financial Institution Reference Sheet.docx

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Little Rock Air Force Base Industry Day
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This is a Financial Institution Reference Sheet template appendix designed for use in connection with the Little Rock Air Force Base Multiple Award Construction Contract (MACC) Industry Day notice. The document serves as a template or form that prospective contractors would use to provide financial information about their organization or affiliated financial institutions during the solicitation process. As an appendix to the evaluation materials, this reference sheet likely requires contractors to document banking relationships, credit facilities, financial stability indicators, or other fiscal credentials relevant to demonstrating capability to perform on a federal construction contract. The specific fields and requirements contained within the template would support the government's evaluation of contractor financial responsibility and ability to execute construction services under the anticipated MACC IDIQ vehicle, which is structured with a three-year base period, two two-year option periods, and a potential six-month extension. Contractors responding to the future MACC solicitation would be expected to complete this financial reference sheet as part of their proposal submission under the Two-Phase Highest Technically Rated Offeror with Fair and Reasonable Price (HTRO-RFP) evaluation methodology that the 19th Contracting Squadron plans to implement.

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Text version

Solicitation No.: FA446027R0001

Instructions to Contractor: Include with your proposal a reference sheet for each financial institution that you have a business account with. This sheet may be sent to the banking institution/s in regards to a determination of contractor responsibility as part of the evaluation for award of this solicitation.

TO BE FILLED OUT BY CONTRACTOR:

COMPANY’S NAME: ____________________________________________________________

Point of Contact (POC) Name: ______________________________________________________ POC Phone Number: ______________________________________________________________

INSTITUTION NAME: ___________________________________________________________

POC name: _____________________________________________________________________ POC title: ______________________________________________________________________ POC email address: ______________________________________________________________ POC phone number: ______________________ fax number: ___________________________

I give permission for the following information regarding my account/s at your institution to be released to Ms. Rachel Italiano and Ms. Kali Finke of the 19th Contracting Squadron, Little Rock AFB, Arkansas.

Name/Title Signature/Date DO NOT HAVE THIS SECTION FILLED OUT. IF YOUR FIRM IS SELECTED AS THE POTENTIAL AWARDEE, THIS FORM WILL BE SENT TO YOUR BANKING INSTITUTION FOR COMPLETION.

TO BE FILLED OUT BY FINANCIAL INSTITUTION:

Please give amounts 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 or NSF’s? ____________________________ How long with this institution: ___________________________ Credit rating with this institution: _________________________ I verify that the information provided above is current as of _________________.

Name/Title Signature/Date Attachment 27

File details come from the government source that posted it. Updated .