Exhibit_E_-_Financial_Questionnaire.docx
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- Indefinite Delivery Indefinite Quantity Roofing
- Solicitation number
- N62473-14-R-2201
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Exhibit E - Financial Questionnaire
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EXHIBIT E - FINANCIAL QUESTIONNAIRE
Solicitation N62473-13-R-0603 (To be submitted by Offeror)
MCIWEST, ROICC Camp Pendleton, CA is currently requesting proposals for a Navy contract for IDIQ Roofing Construction Services. As part of the proposal submission requirements, 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 September 23, 2013 in order for them to meet the proposal submission deadline.
Prospective Contractor for which information is being requested:
Name: ______________________________________________________________ Address: _____________________________________________________________ City/State/Zip: ________________________________________________________ Phone Number: _______________________________________________________ Point of Contact: ______________________________________________________ Signature of Prospective Contractor or Contractor Representative Requesting Financial Information
Name of Financial Institution: ______________________________________________________ Address: __________________________________________________________________________ Phone Number: _________________________________________________________
a. Account(s):
Checking: Date Opened:_______________ *Average Balance :___________________________
Savings: Date Opened: _______________ *Average Balance: ___________________________ *Please note that the account balances may be provided by indicating a range, or only the number of figures, e.g., low five figures, high four figures, etc.
Loan(s): Date Opened: _______________ Original Amount:____________________________
Current Balance:____________________
b. Does the Contractor have a line of credit? |_| Yes |_| No
Customer’s Line of Credit: ___________________________ Expiration Date:______________________
Unused Balance: _________________
c. Would you be willing to grant this customer a Line of Credit Increase, or loan, if required?
|_| Yes |_| No
What is the Contractor's relationship with the bank:
|_| Outstanding |_| Satisfactory |_| Other (explain): ________________________________________________
How long has the Contractor been a client? ___________________________________________________________
Name of Person providing the above information
Signature and Title of Person providing the above information
Phone Number 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.
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