Attachment_5-Financial_Responsibility_Worksheet.docx

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Command Maintenance and Sustainment Team (CMST)
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W912D0-16-R-0012
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Attachment 5 Financial Responsibility Worksheet

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Attachment 5 - Financial Responsibility Worksheet

A Determination of Contractor Responsibility is required to be completed for all purchases. In accordance with the FAR 9.104 part of that process includes Financial Responsibility.

Utilize the below to obtain and record information to be used in preparing your Determination.

Contractors Name: Date Prepared:

Does the contractor have the ability to obtain resources to perform this contract? Is the contractor in good standing with your bank?

Has the contractor ever defaulted on any loans?

Does the contractor have a standing line of credit? If so what is the line of credit? Does the contractor have a strong accounting and operational controls?

Does the contractor have adequate financial resources? How are loan payments made?

How is the banks overall relationship with the contractor? What is the debt to income ratio for the company?

Has the contractor defaulted on payments to their subcontractors to your knowledge? Has the contractor ever filed bankruptcy?

Are there any judgments against the company?

Contractors Financial Institution POC Information

Name of Bank/Financial Institution: Persons Name:

Position:

--END OF CONTRACTOR FINANCIAL INSTITUTION INFORMATION INSTRUCTIONS--

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