Common use of FINANCIAL RESOURCES AND RESPONSIBILITY Clause in Contracts

FINANCIAL RESOURCES AND RESPONSIBILITY. 1. Is your firm preparing to be sold, in the process of being sold, or in negotiations to be sold? Yes No If Yes, use Attachment A to explain the circumstances, including the buyer’s name and principal contact information. 2. In the past five (5) years, has your firm been denied bonding? Yes No If Yes, use Attachment A to explain specific circumstances; include bonding company name. 3. In the past five (5) years, has a bonding company made any payments to satisfy claims made against a bond issued on your firm's behalf or a firm where you were the principal? Yes No If Yes, use Attachment A to explain specific circumstances. 4. In the past five (5) years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm? Yes No If Yes, use Attachment A to explain specific circumstances. Within the last five years, has your firm filed a voluntary petition in bankruptcy, been adjudicated bankrupt, or made a general assignment for the benefit of creditors? Yes No If Yes, use Attachment A to explain specific circumstances. Are there any claims, liens or judgements that are outstanding against your firm? Yes No If Yes, please use Attachment A to provide detailed information on the action.

FINANCIAL RESOURCES AND RESPONSIBILITY. 1. Is your firm preparing to be sold, in the process of being sold, or in negotiations to be sold? Yes No If Yes, use Attachment A to explain the circumstances, including the buyer’s name and principal contact information. 2. In the past five (5) years, has your firm been denied bonding? Yes No If Yes, use Attachment A to explain specific circumstances; include bonding company name. 3. In the past five (5) years, has a bonding company made any payments to satisfy claims made against a bond issued on your firm's behalf or a firm where you were the principal? Yes No If Yes, use Attachment A to explain specific circumstances. 4. In the past five (5) years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm? Yes No If Yes, use Attachment A to explain specific circumstances. Within the last five years, has your firm filed a voluntary petition in bankruptcy, been adjudicated bankrupt, or made a general assignment for the benefit of creditors? Yes No If Yes, use Attachment A to explain specific circumstances. Are there any claims, liens or judgements that are outstanding against your firm? Yes No If Yes, please use Attachment A to provide detailed information on the action.

FINANCIAL RESOURCES AND RESPONSIBILITY. 1. Is your firm preparing to be sold, in the process of being sold, or in negotiations to be sold? Yes ✔ No If Yes, use Attachment A to explain the circumstances, including the buyer’s name and principal contact information. 2. In the past five (5) years, has your firm been denied bonding? Yes ✔ No If Yes, use Attachment A to explain specific circumstances; include bonding company name. 3. In the past five (5) years, has a bonding company made any payments to satisfy claims made against a bond issued on your firm's behalf or a firm where you were the principal? Yes ✔ No If Yes, use Attachment A to explain specific circumstances. 4. In the past five (5) years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm? Yes ✔ No If Yes, use Attachment A to explain specific circumstances. 5. Within the last five years, has your firm filed a voluntary petition in bankruptcy, been adjudicated bankrupt, or made a general assignment for the benefit of creditors? Yes ✔ No If Yes, use Attachment A to explain specific circumstances. 6. Are there any claims, liens or judgements that are outstanding against your firm? Yes No If Yes, please use Attachment A to provide detailed information on the action.?

FINANCIAL RESOURCES AND RESPONSIBILITY. 1. Is your firm preparing to be sold, in the process of being sold, or in negotiations to be sold? Yes No ✔ If Yes, use Attachment A “A” to explain the circumstances, including the buyer’s name and principal contact information. 2. In the past five (5) years, has your firm been denied bonding? Yes No ✔ If Yes, use Attachment A “A” to explain specific circumstances; include bonding company name. 3. In the past five (5) years, has a bonding company made any payments to satisfy claims made against a bond issued on your firm's behalf or a firm where you were the principal? Yes No If Yes, use Attachment A “A” to explain specific circumstances. 4. In the past five (5) years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm? Yes No ✔ If Yes, use Attachment A “A” to explain specific circumstances. 5. Within the last five (5) years, has your firm filed a voluntary petition in bankruptcy, been adjudicated bankrupt, or made a general assignment for the benefit of creditors? Yes No ✔ If Yes, use Attachment A “A” to explain specific circumstances. 6. Are there any claims, liens or judgements that are outstanding against Please provide the name of your firm? Yes No If Yes, please use Attachment A principal financial institution for financial reference. By submitting a response to provide detailed this Solicitation Contractor authorizes a release of credit information on the action.for verification of financial responsibility. _

FINANCIAL RESOURCES AND RESPONSIBILITY. 1. Is your firm preparing to be sold, in the process of being sold, or in negotiations to be sold? Yes No If Yes, use Attachment A to explain the circumstances, including the buyer’s name and principal contact information. 2. In the past five (5) years, has your firm been denied bonding? Yes No If Yes, use Attachment A to explain specific circumstances; include bonding company name. 3. In the past five (5) years, has a bonding company made any payments to satisfy claims made against a bond issued on your firm's behalf or a firm where you were the principal? Yes No If Yes, use Attachment A to explain specific circumstances. 4. In the past five (5) years, has any insurance carrier, for any form of insurance, refused to renew the insurance policy for your firm? Yes No If Yes, use Attachment A to explain specific circumstances.  Within the last five years, has your firm filed a voluntary petition in bankruptcy, been adjudicated bankrupt, or made a general assignment for the benefit of creditors? Yes No If Yes, use Attachment A to explain specific circumstances.  Are there any claims, liens or judgements that are outstanding against your firm? Yes No If Yes, please use Attachment A to provide detailed information on the action.