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