Rev Financial Questionnaire.doc

DOC document 53 KB Posted

Attached to
HUBZONE SB II SET-ASIDE MACC, FOR NEW CONSTRUCTION, REPAIR, AND RENOVATION OF COMMERCIAL AND INSTITUTIONAL FACILITIES
Solicitation number
N6247319R2436
Issued by

About this file

This document contains a financial questionnaire and details of a federal contract opportunity. The financial questionnaire is to be completed by a financial institution for a prospective contractor and submitted in a sealed envelope by the specified due date. The federal contract opportunity is a multiple award construction contract set aside for HUBZone small businesses. The solicitation is to construct commercial and institutional facilities for the Navy in several western states. The contract type is indefinite delivery/indefinite quantity with a minimum $5,000 guarantee per awardee and a maximum value of $495 million over five years. Evaluation will be based on technical approach, experience, past performance, safety, technical solution, and price, with selection for award made using best value tradeoff procedures. Proposals are due by the date specified with award intended to be made without discussions to the most advantageous offerors.

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Text version

FINANCIAL QUESTIONNAIRE

N62473-19-R-2436

(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 (Please insert date : XX Month 20XX) for Offeror to submit.

Prospective Contractor for which information is being requested:

Name:
Address:
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? FORMCHECKBOX Yes FORMCHECKBOX No

What is the limitation?
Remaining Balance:

What is the Contractor’s relationship with the bank?

FORMCHECKBOX

Outstanding FORMCHECKBOX Satisfactory FORMCHECKBOX Other (explain):

How long has the Contractor been a client?
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 the business and financial reputation and integrity of the prospective contractor on a separate sheet.

Financial Questionnaire, Page 1 of 1 (Rev 12/12)

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