Sf-1407 Preaward Survey Of Prospective Contractor Financial Capa

PREAWARD SURVEY OF PROSPECTIVE CONTRACTOR
FINANCIAL CAPABILITY

SERIAL NO. (For surveying activity use)

OMB Control Number:
9000-0011
Expiration Date: 12/31/2013

PROSPECTIVE CONTRACTOR

Public reporting burden for this collection of information is estimated to average 24 hours per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this
burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Regulatory Secretariat (MVCB),
Office of Acquisition Policy, GSA, 1800 F Street, NW, Washington, DC 20405.

SECTION I - RECOMMENDATION
1. RECOMMENDED
a. COMPLETE AWARD

b. PARTIAL AWARD (Quantity:

)

c. NO AWARD

2. TOTAL OFFERED PRICE
3. NARRATIVE (Cite those sections of the report which substantiate the recommendation. Give any other backup information in this space or on an additional sheet, if necessary.)

IF CONTINUATION SHEETS
ATTACHED - MARK HERE

4. SURVEY
MADE BY
5. SURVEY
REVIEWING
OFFICIAL

a. SIGNATURE

b. TELEPHONE NUMBER
(Include area code)

c. DATE SIGNED

a. SIGNATURE

b. TELEPHONE NUMBER
(Include area code)

c. DATE REVIEWED

AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is usable.

STANDARD FORM 1407 (REV. 12/2013)
Prescribed by GSA - FAR (48 CFR) 53.209-1(e)

SECTION II - GENERAL
3. NAME AND ADDRESS OF:

1. TYPE OF COMPANY
CORPORATION

PARTNERSHIP

SUBSIDIARY

DIVISION

PROPRIETORSHIP

OTHER (Specify)

a. PARENT CO.

b. SUBSIDIARIES

2. YEAR ESTABLISHED:

SECTION III - BALANCE SHEET/PROFIT AND LOSS STATEMENT
PART A - LATEST BALANCE SHEET
PART B - LATEST PROFIT AND LOSS STATEMENT
2. FILED WITH
2. FILED WITH
1. CURRENT PERIOD

1. DATE

a. FROM

b. TO

3. FINANCIAL POSITION
$

a. Cash

3. NET SALES

b. Accounts Receivable
c. Inventory

$

a. CURRENT PERIOD
b. First prior fiscal year
c. Second prior fiscal year

d. Other Current Assets
e. Total Current Assets

4. NET PROFITS
BEFORE TAXES

f. Fixed Assets

$

a. CURRENT PERIOD
b. First prior fiscal year
c. Second prior fiscal year

g. Current Liabilities

PART C - OTHER

h. Long Term Liabilities
i. Total Liabilities

1. FISCAL YEAR ENDS (Date):

j. Net Worth

2. BALANCE SHEETS
AND PROFIT AND LOSS
STATEMENTS HAVE
BEEN CERTIFIED

4. WORKING CAPITAL (Current Assets less Current Liabilities)

b. BY (Signature)

3. OTHER PERTINENT DATA

5. RATIOS
b. ACID TEST (Cash, temporary
investments held in lieu of cash
and current receivables to current
liabilities)

a. CURRENT ASSETS
TO CURRENT
LIABILITIES

a. THROUGH (Date)

c. TOTAL LIABILITIES
TO NET WORTH

SECTION IV - PROSPECTIVE CONTRACTOR'S FINANCIAL ARRANGEMENTS
Mark "X" in appropriate column.

YES NO 4. INDEPENDENT ANALYSIS OF FINANCIAL POSITION SUPPORTS THE STATEMENTS SHOWN IN ITEMS 1, 2, AND 3

1. USE OF OWN RESOURCES

YES

2. USE OF BANK CREDITS

NO (If "NO", explain)

3. OTHER (Specify)

SECTION V - GOVERNMENT FINANCIAL AID
1. TO BE REQUESTED IN CONNECTION WITH 2. EXPLAIN ANY "YES" ANSWERS TO ITEMS 1a, b, AND c.
PERFORMANCE OF PROPOSED CONTRACT
Mark "X" in appropriate column.

YES NO

a. PROGRESS PAYMENT(S)
b. GUARANTEED LOAN
c. ADVANCE PAYMENTS

3. FINANCIAL AID CURRENTLY OBTAINED FROM THE GOVERNMENT
a. PROSPECTIVE
CONTRACTOR
RECEIVES
GOVERNMENT
FINANCING AT
PRESENT
YES

NO

Complete items below only if item a., is marked "YES."
b. IS LIQUIDATION
CURRENT?
YES

NO

c. AMOUNT OF UNLIQUIDATED
PROGRESS PAYMENTS
OUTSTANDING
$

DOLLAR AMOUNTS

(a) AUTHORIZED

(b) IN USE

a. Guaranteed loans

$

$

b. Advance payments

$

$

4. LIST THE GOVERNMENT AGENCIES INVOLVED

5. SHOW THE APPLICABLE CONTRACT NOS.

STANDARD FORM 1407 (REV. 12/2013) PAGE 2

SECTION VI - BUSINESS AND FINANCIAL REPUTATION
1. COMMENTS OF PROSPECTIVE CONTRACTOR'S BANK

2. COMMENTS OF TRADE CREDITORS

3. COMMENTS AND REPORTS OF COMMERCIAL FINANCIAL SERVICES AND CREDIT ORGANIZATIONS (Such as, Dun & Bradstreet, Standard and Poor, etc.)

4. MOST RECENT
CREDIT RATING

a. DATE

b. BY

5. DOES PRICE APPEAR UNREALISTICALLY LOW?

YES

NO (If Yes, explain in Section I NARRATIVE)

6. DESCRIBE ANY OUTSTANDING LIENS OR JUDGEMENTS

SECTION VII - SALES (000'S) FOR NEXT SIX QUARTERS
CATEGORY
1. CURRENT CONTRACT SALES (Backlog) $

1

2
$

3
$

4
$

5
$

6
$

TOTAL
$

A. GOVERNMENT (Prime & Subcontractor)
B. COMMERCIAL
2. ANTICIPATED ADDITIONAL SALES
A. GOVERNMENT (Prime & Subcontractor)
B. COMMERCIAL
3. TOTALS
STANDARD FORM 1407 (REV. 12/2013) PAGE 3