J-L-04.docx
DOCX document 15 KB Posted
- Solicitation number
- N6247316R1017
About this file
FINANCIAL QUESTIONNAIRE
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Text version
J-L-04
FINANCIAL QUESTIONNAIRE
SOLICITATION NO: N62473-16-R-1017
(To be completed by Financial Institution and submitted by Offeror)
NAVFAC Southwest, San Diego, California 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 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 ___________________________
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: _________________________________________________________ Account Number: __________________________________________ Type of Account: __________________________________________ Average Balance Figure: ___________________________________________ Does the Contractor have a line of credit? |_| Yes |_| No
What is the limitation? __________________ Remaining balance: ______________________
What is the Contractor’s relationship with the bank:
|_||_| Outstanding |_| Satisfactory |_| Other (explain): ________________________________
How long has the Contractor been a client? _______________________________
Signature of person providing the above information
Print Name and Title of person providing the above information
Please provide any additional comments that may help determine the business and financial reputation and integrity of the prospective contractor on a separate sheet.
File details come from the government source that posted it. Updated .