SF1407 Pre-Award Survey of Prospective Contractor - Financial C

Preaward Survey Forms (SFs 1403, 1404, 1405, 1406, 1407, and 1408)

SF1407-14d1

Preaward Survey Forms (SFs 1403, 1404, 1405, 1406, 1407, and 1408)

OMB: 9000-0011

Document [pdf]
Download: pdf | pdf
PREAWARD SURVEY OF
PROSPECTIVE CONTRACTOR
(FINANCIAL CAPABILITY)

SERIAL NUMBER (For surveying activity use)
PROSPECTIVE CONTRACTOR

OMB Control Number: 9000-0011
Expiration Date: 12/31/2020

Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The
OMB control number for this collection is 9000-0011. We estimate that it will take 24 hours to read the instructions, gather the facts, and answer the questions.
Send only comments relating to our time estimate, including suggestions for reducing this burden, or any other aspects of this collection of information to: U.S.
General Services Administration, Regulatory Secretariat Division (M1V1CB), 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

a. SIGNATURE

5. SURVEY a. SIGNATURE
REVIEWING
OFFICIAL
AUTHORIZED FOR LOCAL REPRODUCTION
Previous edition is NOT usable.

b. TELEPHONE NUMBER c. DATE SIGNED
(Include area code)
b. TELEPHONE NUMBER c. DATE REVIEWED
(Include area code)

STANDARD FORM 1407 (REV. 1/2014)
Prescribed by GSA - FAR (48 CFR) 53.209-1(e)

SECTION II - GENERAL

1. TYPE OF COMPANY

3. NAME AND ADDRESS OF:

CORPORATION

PARTNERSHIP

SUBSIDIARY

DIVISION

PROPRIETORSHIP

OTHER (Specify)

a. PARENT COMPANY

b. SUBSIDIARIES

2. YEAR ESTABLISHED:

SECTION III - BALANCE SHEET/PROFIT AND LOSS STATEMENT

PART A - LATEST BALANCE SHEET
1. DATE

PART B - LATEST PROFIT AND LOSS STATEMENT

2. FILED WITH

2. FILED WITH

1. CURRENT PERIOD
b. TO
a. FROM

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
4. NET PROFITS a. CURRENT PERIOD
BEFORE TAXES b. First prior fiscal year

e. Total Current Assets
f. Fixed Assets

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)

a. THROUGH (Date) b. BY (Signature)

3. OTHER PERTINENT DATA

5. RATIOS
a. CURRENT ASSETS
TO CURRENT
LIABILITIES

$

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

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
NO (If "NO", explain)
YES
2. USE OF BANK CREDITS
3. OTHER (Specify)

SECTION V - GOVERNMENT FINANCIAL AID

1. TO BE REQUESTED IN CONNECTION 2. EXPLAIN ANY "YES" ANSWERS TO ITEMS 1a, b, AND c.
WITH 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
b. IS LIQUIDATION
RECEIVES
GOVERNMENT CURRENT?
FINANCING AT
PRESENT
NO
YES
NO
YES

Complete items below only if item a., is marked "YES."
c. AMOUNT OF UNLIQUIDATED DOLLAR AMOUNTS
PROGRESS PAYMENTS
OUTSTANDING
a. Guaranteed loans $
$

b. Advance payments $

4. LIST THE GOVERNMENT AGENCIES INVOLVED

(a) AUTHORIZED

(b) IN USE
$
$

5. SHOW THE APPLICABLE CONTRACT NUMBERS

STANDARD FORM 1407 (REV. 1/2014) 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
YES

5. DOES PRICE APPEAR UNREALISTICALLY LOW?

NO (If Yes, explain in Section I NARRATIVE)

6. DESCRIBE ANY OUTSTANDING LIENS OR JUDGEMENTS

SECTION VII - SALES (000'S) FOR NEXT SIX QUARTERS
1

CATEGORY
1. CURRENT CONTRACT SALES (Backlog)

$

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. 1/2014) PAGE 3


File Typeapplication/pdf
File TitleStandard Form 1407 - Preaward Survey of Prospective Contractor (Financial Capability)
File Modified2020-08-12
File Created2020-08-12

© 2024 OMB.report | Privacy Policy