Attachment E_Financial Questionnaire.docx
DOCX document 18 KB Posted
- Attached to
- NAVFAC Northwest 8(a) Small Business Multiple Award Construction Contract (MACC) Regional Contract
- Solicitation number
- N44255-21-R-2001
About this file
This document contains a financial questionnaire for a prospective Navy contractor and details of a related solicitation for an 8(a) Small Business Multiple Award Construction Contract.
The financial questionnaire requests information from a financial institution about a prospective contractor's account details, credit terms, relationship with the bank, and whether additional funding would be provided if necessary. It must be completed and returned by a specified deadline.
The solicitation is for indefinite delivery/indefinite quantity construction contracts to build, renovate, alter, demolish, and repair facilities across several Northwestern states and other areas under Naval Facilities Engineering Command Northwest. The work includes various project types at administrative, industrial, housing, and other facility types. The solicitation is reserved exclusively for 8(a) small businesses in SBA Region X with an annual size standard of $39.5 million. The construction contracts require payment within 14 days.
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Text version
ATTACHMENT E FINANCIAL QUESTIONNAIRE
(To be completed by Financial Institution)
NAVFAC Northwest Silverdale, Washington is currently considering award of a Navy contract to this firm. Prior to award, the Navy requests the financial information listed below with regard to this firm. In order to be responsive to the Navy’s needs, it is requested that you complete this financial questionnaire with regard to this firm. Upon completion of the questionnaire, it is requested you email the completed questionnaire directly to jason.a.lewis34.civ@us.navy.mil and nancy.m.coffee.civ@us.navy.mil and forward it to the Offeror shown below. The requested information must be received by the Government no later than _____.
Prospective Contractor for which information is being requested:
Name:__________________________________________________________________________
Address: ________________________________________________________________________
Phone Number: ________________________ Point of Contact: ________________________
Contractor Email (to be used for completed Financial Questionnaire): _________________________________________________ Signature of Prospective Contractor or Contractor Representative Request Financial Information
Name of Financial Institution: _______________________________________________________
Address:________________________________________________________________________
Phone Number: ____________________________________
Account Number: _______________________________ Type of Account: ________________________
Average Balance Figure: ____________________________ Does the Contractor have a line of credit Yes No
What is the limitation: ___________________ Remaining Balance: _________________
Does the Contractor have any outstanding loans? Yes or No (circle one)
What is the Contractor’s relationship with the bank?
Outstanding Satisfactory Other (explain) ______________________________
Would Financial Institution grant the Contractor additional monies, if necessary? Yes or No (circle one)
Name & title of person providing the above information: _________________________________________
Signature of person providing the above information Date Signed image1.png image2.png
File details come from the government source that posted it. Updated .