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pdfPREAWARD SURVEY OF
PROSPECTIVE CONTRACTOR
(FINANCIAL CAPABILITY)
SERIAL NUMBER (For surveying activity use)
PROSPECTIVE CONTRACTOR
OMB Control Number: 9000-0011
Expiration Date: 12/31/2020
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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 Type | application/pdf |
File Title | Standard Form 1407 - Preaward Survey of Prospective Contractor (Financial Capability) |
File Modified | 2020-08-12 |
File Created | 2020-08-12 |