PSA-16-R-0012_-_Financial_Reference_-_Attachment_V.pdf
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- Attached to
- Substance Use Disorder Treatment Services Federal contract opportunity
- Solicitation number
- PSA-16-R-0012
- Issued by
- Pretrial Services Agency
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PSA-16-R-0012 - Financial Reference - Attachment V
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Text version
PSA-16-R-0012
ATTACHMENT
FINANCIAL REFERENCE
The following information must be submitted by the offeror in sufficient detail.
The Government will use this information for offeror’s financial responsibility determination.
In addition to the below information, the offeror must attach a signed and dated credit reference letter from their banking establishment and include this letter with the proposal.
Failure to attach a credit rating from the bank may result in rejection of the entire proposal.
If the question indicated is not applicable or the answer is none, it must be annotated as such.
1. Offeror primary point of contact regarding the proposal:
(First and Last Name) (Address) (Telephone Number)
2. Tax Identification Number ____________________________________
3. Dun & Bradstreet Number: ____________________________________
4. Date Company Established: ____________________________________
5. Banking Information:
(Name of Bank) (Address)
(Point of Contact) (Telephone Number)
(Account Numbers) (Type of Accounts)
6. Credit Reference
* The Offeror shall include a Credit Reference Letter from a banking institution as an addendum attachment to this Financial Reference form.
File details come from the government source that posted it. Updated .