APPENDIX I CONTRACTOR QUESTIONNAIRE.pdf

1 (Rev. 07/2025)

APPENDIX I

CONTRACTOR EXPERIENCE QUESTIONNAIRE AND FINANCIAL INFORMATION

The information listed is required to be filed with the Department of Agriculture and Consumer Services (FDACS) in accordance with the applicable solicitation document.

The firm responding to the solicitation (Respondent or Firm) is required to complete all Items 1-14. If the Respondent is a joint venture, then each entity that is a party to the joint venture must individually complete the entire form.

Project Information:

• Project Number - 1178

• Project Name - Bronson Animal Disease Diagnostic Laboratory Building 1000 Expansion

• Project Location - 2700 N. John Young Parkway, Kissimmee, FL 34741

Respondent must provide or identify:

1. The entity’s name as listed with the Department of State, Division of Corporation Listing on http://www.sunbiz.org/ or “sunbiz.org;”

2. The requested business structure information;

3. The Firm’s annual construction gross revenue for previous five (5) years;

4. The Firm’s current bonding capacity;

5. Years in business under current name;

6. The number of full-time personnel within the Firm;

7. Subsidiary or affiliated companies’ financial involvement information;

8. Construction management personnel experience for the Firm;

9. If the Firm or predecessor organization failed to complete a project;

10. If the Firm or predecessor organization has been involved in litigation;

11. The most recent ten (10) contracts completed by the Firm;

12. Explain the differences in final contract price and/or scheduled completion dates for the ten (10) most recently completed contracts;

13. Any liquidated damages, penalties, liens, defaults, cancellations, or early terminations imposed or filed for the ten

(10) most recently completed contracts; and

14. All contract information requested below for projects currently under construction.

DIRECTIONS: Items 1-14 must be fully completed or marked “Does Not Apply” for any non-pertinent item(s).

The Department reserves the right to request the Respondent provide its most recent audited financial statements or other documents evidencing a Respondent’s financial stability as set forth in subsection 287.057(27), Florida Statutes.

The Respondent acknowledges that FDACS may, at its discretion, by means which FDACS may choose, determine the truth and accuracy of all representations made by Respondent and Respondent agrees to assist FDACS with any reasonable requests made in connection therewith. Notwithstanding the foregoing, the Respondent acknowledges that in the event the Respondent is selected for an interview/presentation or an award of a contract, FDACS will be relying upon the representations made by Respondent in making such selection.

If additional space is required, supplementary pages may be attached.

CONTRACTOR EXPERIENCE QUESTIONNAIRE AND FINANCIAL INFORMATION

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Project Number: 1178 Project Name: Bronson Animal Disease Diagnostic Laboratory Building 1000 Expansion Project Location: 2700 N. John Young Parkway, Kissimmee, FL 34741

1. Firm Name: _______________________________________ Firm Address: _________________________________________________________________ Contact Name and Telephone Number: _______________________________________ Contact Email Address: ____________________________

2. Business Structure: (List all Firm names if partnership or joint venture) Corporation ( ) Joint Venture ( ) Partnership ( ) Limited Liability Company ( )

If Firm is a corporation, limited liability company, or limited partnership, a copy of the Firm’s State of Florida Certificate of Status is required. If Firm is a joint venture and one or more parties to the joint venture is a corporation, limited liability company, or limited partnership, a copy of State of Florida Certificate of Status for all such corporations, limited liability companies, and limited partnerships is required.

If Corporation, answer below If Joint Venture or Partnership, answer below

Date of incorporation: Date of organization:

State of incorporation: State of organization:

Names of Corporate Officers Organizations or partners involved:

President:

Vice President:

Secretary:

Treasurer:

If LLC, answer below Date of organization:

State of organization:

Names of Company Managers

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3. Annual construction gross revenue for Respondent for previous five (5) years:

Year: $

Year: $

Year: $

Year: $

Year: $

4. Firm’s current bonding capacity:

A. Per Project Limit: $ B. Per Aggregate Limit: $

5. Provide the number of years the Firm has been in the construction business.

A. Number of years under the current business name:

B. List previous business names and the number of years under each name:

Name Years

6. Number of full-time personnel within the Firm:

A. Executive Administrators:

B. Preconstruction Managers and Estimators:

C. Construction Project Managers:

D. Field Superintendents and Foremen:

E. Other Field Construction Employees:

F. Administrative Assistants:

G. Total number of full-time personnel:

7. Subsidiary or affiliated companies in which the Firm’s principal(s) have financial interest and list nature of business:

Name Nature of Business 1.

2.

3.

4.

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8. Identify construction management personnel and experience.

(Highlight personnel likely to be assigned to project being bid or solicited)

Name Title Years with Firm or Years in Construction

1.

2.

3.

4.

5.

For staff members within the Firm that will be working during the preconstruction and construction phases if awarded a contract, indicate the phase(s) in which they will be performing work and provide resumes which contain details about these individuals’ abilities, including their experience with relevant projects, length of time worked in construction, and length of time with the Firm.

9. Within the previous five (5) fiscal years has the Respondent or its predecessor organization(s) ever failed to complete a project? If so, state the name of the project and the reason thereof:

1.

2.

3.

4.

5.

10. Within the previous five (5) fiscal years has the Respondent or predecessor organization(s) ever been involved in litigation with a client? If so, list the client and explain the nature of the litigation and the current status.

1.

2.

3.

4.

5.

Continued on next page.

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11. List the most recent ten (10) contracts completed by the Respondent:

Construction Budget Construction Duration Completion Dates

Owner of Project Project Name and Location Building Type Name of Architect-

Engineer Original GMP Final Contract

Price Project Start

Date

Original Completion

Date

Actual Completion

Date

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With reference to the ten (10) most recently completed contracts listed in Item 11, answer Items 12 and 13.

12. Explain the differences in the GMP vs. Final Contract Price and/or Original Completion Date vs. Actual Completion Date

13. Were any liquidated damages, penalties, liens, defaults, cancellations, or early terminations imposed or filed? If so, list the name and location of the project, and any damages, penalties, liens, defaults, cancellations, or early terminations imposed or filed, if known.

14. Provide contract information for projects currently under construction as requested below. If more than seven projects are currently under construction, use the seven largest dollar value projects.

Project Description, Location, & Owner Architect- Engineer

Total Contract Amount

Uncompleted Contract Amount

Scheduled Substantial

Completion Date

Totals