Attachment 16 - Financial Information Form - Amd 1.docx

DOCX document 24 KB Posted

Attached to
Multiple-Award Construction Contract (MACC) Holloman AFB, NM
Solicitation number
PKB-0001
Issued by

About this file

This document contains a financial information request form and details of a Multiple-Award Construction Contract solicitation from the Department of the Air Force Air Combat Command. The financial information request form seeks verification of a contractor's financial standing from its financial institution, including details of account types and balances, any loan amounts maintained, and the institution's assessment of the contractor's standing. The Multiple-Award Construction Contract opportunity is for Holloman Air Force Base in New Mexico and represents a solicitation for indefinite-delivery/indefinite-quantity construction contracts to be awarded on a multiple award basis for facility construction and repair services at the base over the next few years.

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Attachment 16 – Financial Information Request Form Solicitation #: FA4801-23-R-0001 Holloman MACC 2024

1. Name of Contractor to whom the following information is applicable:

2. Name of Financial Institution: ________________________________________

Address: _________________________________________________________

3. How long has the Contractor been a customer of your bank? _______________

4. What is the type of account and its average balance?

___ Checking, $_____________ ___ Savings, $_____________ ___ Other, $_____________(type of account:________________________)

5. Does the Contractor maintain a loan balance at the bank? Amount?

___ Yes $___________________ ___ No

6. What is the Contractor’s standing with your bank?

___ Outstanding ___Excellent ___Satisfactory ___ Poor ___ Unsatisfactory

7. COMMENTS:

Signature: _____________________________________________ Printed name/title/date: _____________________________________________ For verification: phone:________________ email: ________________________

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