Submittals_-_Financial_Responsibility_Questionnaire.pdf

PDF 124 KB Posted

Attached to
Implementation, Operation, Management, and Maintenance of a Traditional Bike Share System in Phoenix
Solicitation number
RFP GGS-26-0017
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This document is a Financial Responsibility Questionnaire from the City of Phoenix Public Transit Department, located at 302 N. 1st Ave., Phoenix, AZ 85003. The form is a critical submittal document for potential vendors or contractors bidding on a project, which must be completed and submitted with proposal documents. Failure to provide a fully completed questionnaire may result in proposal rejection. The questionnaire requires detailed information about the offeror's business, including years in operation, ability to meet performance schedules, contract completion history, and any pending litigation.

The form seeks comprehensive financial and operational information, including the offeror's principal business address, contact details, DUNS number, and primary financial institution information. Key sections require the vendor to disclose whether they have failed to complete previous contracts, have any ongoing litigation, and provide details about their organization's capacity to fulfill contractual obligations. The document is designed to assess the financial responsibility and reliability of potential contractors for the City of Phoenix Public Transit Department, enabling a thorough pre-qualification screening process before contract award.

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SUBMITTALS –

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

CITY OF PHOENIX

Public Transit Department

302 N. 1st Ave.

Phoenix, AZ 85003

PTDProcurement@phoenix.gov

This questionnaire must be submitted with Proposal documents. Failure to provide the completed questionnaire may cause rejection of the Proposal. All references and information must be current and traceable. If the Offeror is a Joint Venture, a separate form shall be prepared by each Joint Venture Partner.

Name of Offeror:

Principal Business Address:

Contact/Title:

Phone: Email:

Website: DUNS No.

How long has your organization been in business under present name? _____ years.

Describe your company’s ability to meet the required delivery or performance schedule, taking into consideration all existing commercial and governmental business commitments.

Have you or your organization, or any officer or partner thereof, failed to complete a Contract?

□ No □ Yes. If yes, give details:

Is any litigation pending against your organization?

□ No □ Yes. If yes, give details:

mailto:PTDProcurement@phoenix.gov

SUBMITTALS –

FINANCIAL RESPONSIBILITY QUESTIONNAIRE

CITY OF PHOENIX

Public Transit Department 302 N. 1st Ave.

Phoenix, AZ 85003 PTDProcurement@phoenix.gov

Identify your principal financial institution for financial responsibility reference:

Name of Bank:

Street Address:

City and State:

Telephone: E-Mail:

Officer Familiar with Offeror’s Account:

mailto:PTDProcurement@phoenix.gov

Name of Offeror:
Principal Business Address:
ContactTitle:
Phone:
Email:
Website:
DUNS No:
How long has your organization been in business under present name:
Have you or your organization or any officer or partner thereof failed to complete a Contract: Off
No: Off
Yes If yes give details:
Is any litigation pending against your organization: Off
No_2: Off
Yes If yes give details_2:
Name of Bank:
Street Address:
City and State:
Telephone:
EMail:
Officer Familiar with Offerors Account:
Ability to meet delivery:

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