ATTACHMENT_A_Financial_Questionnaire.docx

ATTACHMENT A

FINANCIAL STANDING QUESTIONNAIRE

A primary consideration in the source selection process is to determine an offeror’s qualification, responsibility, and financial standing. Prior to awarding a contract, per Federal Acquisition Regulation (FAR) Part 9, the government must determine, through acceptable evidence, that an offeror has adequate financial resources, or the ability to obtain the financial resources, to perform the contract.

The Financial Standing Questionnaire is to be completed by the offeror’s financial institution. Offeror’s should obtain a bank seal and signature of the referenced individual on the questionnaire. Failure to provide the requested information may determine an offeror’s proposal as non-responsive and removed from competition.

A. GENERAL INFORMATION

Contractor’s Name:

Point of Contact:

Telephone:

Email:

B. RESPONDENT INFORMATION (Person completing this form)

Name and Title:

Organization and

Address:

Telephone/Fax:

Email:

1. Does the contractor have an active account with your financial institution?

1. How long has this account been active?

1. What is their average balance (digits only)?

1. How many returns (insufficient funds) has the contractor had in the last 12 months?

1. How many loans does the contractor currently have outstanding?

1. Has the vendor been able to meet their financial obligations on time?

1. Do they have a line of credit? If so, what is that amount (digits only)?