Business Enterprise Questionnaire - Florida Question Title * 1. Company Name Question Title * 2. DBA (If Applicable) Question Title * 3. Contact Name Question Title * 4. Street/Suite Question Title * 5. City Question Title * 6. State Question Title * 7. Zip Code Question Title * 8. Phone Number (XXX-XXX-XXXX) Question Title * 9. Email Address Question Title * 10. Website Question Title * 11. License Types (i.e. Electrical, Plumbing etc.) License 1 License 2 License 3 License 4 License 5 License 6 Question Title * 12. Professional Services (i.e. Architect, Engineer, Survey etc.) Service 1 Service 2 Service 3 Service 4 Service 5 Service 6 Question Title * 13. Service Type (i.e. Security, Janitorial, Pest Control etc.) Type 1 Type 2 Type 3 Type 4 Type 5 Type 6 Question Title * 14. Supplier Type (i.e. Drywall, Tools, MRO etc. ) Type 1 Type 2 Type 3 Type 4 Type 5 Type 6 Question Title * 15. Union Affiliation Yes No Question Title * 16. Trade Type (i.e. GC, Carpentry, Electrician etc) Trade 1 Trade 2 Trade 3 Trade 4 Trade 5 Trade 6 Question Title * 17. Number of full time employees Question Title * 18. Number of part time employees Question Title * 19. % of work self performed (i.e. 25%, 50%, 75%, 100%) Question Title * 20. Annual Revenue ($X,XXX,XXX) Question Title * 21. Largest Contract ($X,XXX,XXX) Question Title * 22. Average Contract ($X,XXX,XXX) Question Title * 23. Total Insurance Limit Question Title * 24. Total Bonding Capacity Question Title * 25. Experience Modification Rating (i.e. X.XXX) Question Title * 26. Judgements against your firm in the last 5 years Yes No If yes, please explain Question Title * 27. Failure to complete a project in the last 5 years Yes No If yes, please explain Question Title * 28. Prevailing wage violations in the last 5 years Yes No If yes, please explain Question Title * 29. Is it ok to share your information with other firms/agencies for the purpose of identifying potential opportunities? Yes No Done