Exhibit 3 FNG5085.pdf

FNG 5085

EXHIBIT 3

OWNER'S INSTRUCTIONS FOR

PREQUALIFICATIONS FOR AWARD OF THE CONTRACT ON LEVELS FOUR AND FIVE CONTRACTS

The information listed in this Exhibit is required to be filed with soliciting agencies prior to award of any contract. In order to expedite the processing of contracts, please complete the enclosed forms or attach required documentation in accordance with these instructions.

Heading Project Title - Indicate title of project as shown in the solicitation/specifications.

Project Number – State/Federal project number assigned see original solicitation/specifications.

Location - Project location as shown in the solicitation/specifications.

Item 1 List projects of comparable size, scope and complexity to subject project.

Item 2-3 Complete in accordance with form.

If additional space is required, please attach supplementary pages.

ADDITIONAL QUALIFICATION REQUIREMENTS/INSTRUCTIONS

The following must be included with packet-use as check list

1. Copy of Florida State Contractor License (if applicable)

2. Florida Pollutant Storage Contractor License from either the Contractor or their Sub-Contractor

3. Corporate Charter Number.

4. Proof of Contractor's active office within 300 road miles of project. (Attach Map Quest or like) (see 60D-5.004(2)(b)1.f.)

5. Contractor agreement to perform no less than 15% of the construction work utilizing its own employees, on company letterhead.

6. Resumes of experience for Project Manager and Project Superintendent meeting the requirements at 60D-5.003(2)(b)i, F.A.C.

7. List of projects and their status for a period of thirty-six months prior to solicitation.

8. Proof the Contractor has successfully completed no less than two (2) projects of similar size and complexity within the last three years, see item 1. Complete as instructed, do not use other forms or alter our format. Additional information may be included with pictures. Do not submit projects that were performed as a subcontractor or not yet completed. Do not reuse this form from previous project submittals as the form could have changed to meet specific requirements.

9. Proof (i.e. Project information, description, owner contact information) the bidding contractor or subcontractor holding the FPSCL is the contractor doing the piping and tank installation and they have sufficient demonstrated experience.

10. Proof of vendor registration in MyFloridaMarketplace at www.dms.myflorida.com.

11. Letter of Confirmation from your bonding company stating that you can bond or have bonded with this company.

http://www.dms.myflorida.com/

FNG5085

EXHIBIT 3 Continued

1. List all projects of similar size, scope and complexity successfully completed by your organization in the previous three to five years (must be no less than two (2) within last three years or no less than three (3) within last five years).

Projects MUST be listed in spaces below for Level Five. Additional information may be attached if desired. (Required for Bids in excess of $500,000.00 (Level Five)

A B C. Original Contract Price/

Completion Dates:

Name of Owner

(Include POC & phone numbers)

Name, Location & Description of Project

Type of Work

(New Construction)

Name of Design Architect and/or Design Engineer

(Include POC & phone numbers)

D. Final Contract Price

E.

Original

F. Revised G. Actual

FNG 5085

EXHIBIT 3 CONTINUED

With reference to all contracts completed by your organization in the previous fiscal years, as listed on item 1, answer the following questions:

2. Explain differences in original and final contract price, and original and actual completion dates, if any. (Required for Bids in excess of

$500,000.00 (Level Five)

3. Were there any liquidated damages, penalties, liens, defaults or cancellations imposed or filed against your organization?

If so, list the name and location of the project, as shown in Column A, explain.