Section J-4 Responsibility Eval Form.docx
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- N4008521R0062
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RESPONSIBILITY EVALUATION FORM
Offeror:
Date:
| A. | NAMES OF OFFICERS, OWNERS, OR PARTNERS |
| President: |
Vice President:
Secretary:
Treasurer:
Owner or Partners:
| B. | PERSONS AUTHORIZED TO SIGN OFFERS, MODIFICATIONS, AND CONTRACT FOR COMPANY |
| Name: |
Official Capacity:
| C. | BANKING REFERENCES (Please notify the Point of Contact that we will be calling.) |
| Name of Bank: |
Point of Contact:
Address:
Phone:
E-mail:
Checking Account:
Savings Account:
Loan:
| D. | CREDIT REFERENCES |
| Date Account Opened: |
Ratings:
Amount:
Balance:
E-mail:
GOVERNMENT USE
Date Account Opened:
Ratings:
Amount:
Balance:
Comments:
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