Encl_08_Financial Questionnaire.docx

CUI//FEDCON [when filled in]

ENCLOSURE 8

FINANCIAL QUESTIONNAIRE

(To be submitted by Offeror)

NAVFAC Far East, FEAD Camp Butler is currently considering award of a Navy contract to our firm. Prior to award, the Navy requests the financial information listed below with regard to our firm. In order to be responsive to the Navy’s needs it is requested that you complete this financial questionnaire with regard to our firm. Upon completion of the questionnaire it is requested that you place the completed questionnaire in a sealed envelope showing the return address of the financial institution and forward it to the offeror shown below. The requested information must be received by the contractor no later than _______________________ (date shall be inserted by the contractor).

Prospective Contractor for which information is being requested:

Name:

Address: _______________________________________________________ City/State/Zip: __________________________________________________ Telephone Number: ______________________________________________ Point of Contact: ________________________________________________ Signature of Prospective Contractor or Contractor Representative Requesting Financial Information

Name of Bank: ______________________________________ Address: _______________________________________________________ Phone: ________________________________________________________

1. How long has the Contractor been a client? ________________

2. A client has deposits in the amount of ¥____________

3. Does a client have any outstanding loans? ____ If so, what is the amount? ¥____________

4. Does a client have a line of credit? ____ If so, what is a current balance? ¥____________

5. Are you willing to grant additional monies to the Contractor, if necessary? ____

Name and Title of Person providing the above information

Signature of Person providing the above information

Please provide any additional comments that may help determine business and financial reputation and integrity of the prospective contractor on a separate sheet of paper. *SUBMIT THIS FORM WITH YOUR LATEST FINANCIAL STATEMENT (KESSAN HOKOKU SHO).

CUI//FEDCON [when filled in]