Proposal Attachment 3 Determination of Finance Responsibility.pdf
PDF 141 KB Posted
- Attached to
- Level II Armed Security Guards / DR-4827-NC Federal contract opportunity
- Solicitation number
- 70FBR426R00000001
- Issued by
- Federal Emergency Management Agency
About this file
This document is a Determination of Financial Responsibility Questionnaire from the U.S. Department of Homeland Security's FEMA Region IV located in Atlanta, GA. The form is designed to assess a vendor's financial stability and creditworthiness, requiring both the vendor and their banking institution to complete specific sections. The vendor must authorize the release of their banking information to FEMA, while the banking institution is asked to provide details such as the length of the vendor's banking relationship and their lending assessment. The form includes fields for bank name, contact information, representative signature, and a critical question regarding the bank's willingness to provide the vendor a loan, which serves as an indicator of the vendor's financial reliability.
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Text version
U. S. Department of Homeland Security FEMA Region IV, Atlanta, GA 3005 Chamblee Tucker Road Atlanta, GA 30341
DETERMINATION OF FINANCIAL RESPONSIBILITY QUESTIONNAIRE
1. Carefully review the questionnaire of offeror’s responsibility.
2. Banking Information:
Name of Bank: Date:
Phone #:
Name of Bank Representative:
Signature of Representative:
How long has the vendor been a banking customer:
Is there any reason you would not provide this vendor a loan?
[VENDOR COMPLETES BOTTOM ONLY]
I, (Name), (Title) of (Company Name), hereby authorize the release of the above information to the Federal Emergency Management Agency, 3005 Chamblee Tucker Rd, Atlanta, Georgia, 30341.
(Signature)
(Date) www.fema.gov
(To be completed by the Banking Institution) http://www.fema.gov/
File details come from the government source that posted it. Updated .