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Sample Document
Three Golf Course Management Agreement Proposer Questionnaire -- Section II
This Proposer Questionnaire Must Be Submitted Between ________________, 2002
Background Questionnaire The proposer hereby certifies that all statements and all answers to questions herein are true and correct to the best of its knowledge and belief. All information requested in this questionnaire must be furnished by the proposer. Statements must be complete, accurate, and in the form requested. Additional sheets may be attached if required. If additional sheets are required, write all responses in the form of the outline established herein. A. Name, address, and telephone
number of proposer exactly as it should appear on the Agreement. Name: _______________________________________________________________ Address: _____________________________________________________________ City, State, Zip: ________________________________________________________ Telephone Number: _____________________________________________________ Fax Number: __________________________________________________________ Email Address: _________________________________________________________ Website:
______________________________________________________________ B. Address of proposer, if
different from above, for purposes of notice(s) or other communication
relating to the proposal and Agreement. (If proposer is other than a designee
or authorized person, provide the name of an individual who can answer for
proposer.) Name: _______________________________________________________________ Address: _____________________________________________________________ City, State, Zip: ________________________________________________________ Telephone Number: _____________________________________________________ Fax Number: __________________________________________________________ Email Address:
_________________________________________________________ Business Structure
Proposer intends to operate the TGC concession as a: ( ) Corporation ( ) Partnership ( ) Joint Venture ( ) Sole Proprietorship ( ) Other:
_________________________ Corporate Statement (If a corporation or a corporation-in-formation, answer the following)
1) Date of Incorporation: __________________________________________________ 2) State of 3) Is the corporation authorized to do business in
4) Furnish the following information on the
principal officers of the corporation and include their resumes. NAME TITLE ADDRESS ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
Partnership Statement (If a partnership, answer the following) 1) Date of Organization: 2) ( )
General Partnership 3) Has the partnership done business in 4) Name and address of each general partner:
NAME TITLE ADDRESS ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
Joint Venture Statement (If A Joint Venture, answer the following) 1) Date of Organization: _______________________________________________ 2) Has the joint venture done business in 3) Detail structure of joint venture (% of each joint venture). 4) Name and address of each joint venture,
identifying key joint venture: NAME TITLE ADDRESS ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
5) When and where (which state) was joint venture incorporated? __________________________________________________________________ 6) Is the joint venture
incorporated to do business in Sole Proprietorship (If Sole Proprietorship, furnish the following)
1) Proprietor's Full Name: ________________________________________________ 2) Address: ___________________________________________________________ 3) Company Name: _____________________________________________________ 4) Company Address: ___________________________________________________ 5) How long in business under the company name? ____________________________
Statement of Qualifications
Each question requires a separate
attachment sheet, restate the paragraph number, and restate the corresponding
question. Address: _________________________________________________________ City, State, Zip: ____________________________________________________ Telephone Number: _________________________________________________ Fax Number: ______________________________________________________ Email Address: ____________________________________________________
B.
Indicate below if proposer is certified by the City and ( )Yes -
Attach copy of certification Attach copy of the front page of certification application. C. How many years of experience does the proposer have in the golf course concession business? If concession is to be managed by a joint venture or a partner, indicate the experience of each party. (Attach answer as Attachment 1.) D. Describe the nature of your business experience in the management of golf course concessions and state the number of persons you currently employ. (Attach answer as Attachment 2.) E. Submit a list of locations (facilities, city and state) where you have managed golf course concessions within the last five (5) consecutive years, include the date, location, and concession operational costs for each location. (Attach answer as Attachment 3.) F. Provide the name, address, and telephone number of your client for each concession, if any, for all golf course facilities listed in paragraph 5 above. (Attach answer as Attachment 4.) G. List the name, location, and date of all golf course concessions, if any, that have been terminated or suspended within the past five (5) years, for any reason, either voluntarily or involuntarily, prior to the completion of the contract term. H. List any judgments terminating, pending lawsuits, or unresolved disputes for the termination of concession managed by you within the past five- (5) years. (Attach answer, if necessary as Attachment 5.) If none, indicate not applicable "N/A" here: _________________________
Names of owners, (For additional space, attach as Attachment 6.)
NAME TITLE ADDRESS __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
I. Provide the names and
experience of key personnel and partners of proposer. (If additional space is
needed, attach answer as Attachment 7.) NAME TITLE ADDRESS __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
J. What is the total number of personnel and/or partners proposer plans to employ at the TGC. K. Give name, address, and telephone number of at
least two (2) banks and/or financial NAME TITLE TELEPHONE __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
L Give name, address, and telephone number of at
least two references as to proposer’s and Letter(s) of reference from
responsible persons familiar with proposer's and partner’s NAME TITLE TELEPHONE __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________
Financial Information Provide financial statements of your organization as follows:
Publicly Held Corporation (Attach As Attachment 9.)
1) Consolidated financial statements as submitted to the Securities and
Exchange
Privately Held Organization (Attach As Attachment 10.) 1) List the following
numbers for all principals: Social security, federal Financing Proposers must specify how they are going to finance the venture, debt financing, equity financing, etc. Depending on the type of financing, the company will need to provide the following:
Bank Financing
Internal Resources of the
Company
Personal Resources
Cash Infusion or Loan from Shareholder or Corporate Parent
funded and the terms of that funding.
or corporate parent. The City reserves the right to
confirm and request clarification of all information provided. Incomplete
disclosures may deem your Proposal to be non-responsive by the City, and the
Proposal may be rejected and returned. (Attach as Attachment 14.) Surety Information Have you ever had a bond or surety canceled or forfeited? ( ) Yes. If yes, state name of bonding company, date, amount of bond, and reason for such cancellation or forfeiture. (Attach as Attachment 15.) (
) No Provide information, including
name of bonding company of reference, that indicates your ability to qualify for,
obtain, and submit the Tenant Performance Bond, Construction Performance
Bond, and Labor and Materials Payment Bond that must be submitted to the City
if you are awarded the concession privilege. (Attach as Attachment 16.) Bankruptcy Information Have you ever filed Chapter 7, 11, and/or 13 in Bankruptcy Court? ( ) Yes. If yes, give
details, including date, court jurisdiction, amount of liabilities, and
amount of assets and current status. (Attach as Attachment 17.) Management Teams Each proposer should give special
attention to identification and negotiations with highly qualified team
members in all areas of their TGC concession management plan. The successful
proposer will finance and manage the TGC. However, the City and Questionnaire Minimum Required Documentation Each proposer must attach, at a minimum, to this questionnaire the following:
A)
Annual Financial Statements;
D) Bonding
Company Information; Confidentiality of Records Proposer should give specific attention to the identification of any portions of their Proposal, which they deem confidential, or which contains proprietary information or trade secrets, copyrights, patents, or patents pending. Proposer should provide justification of why materials, upon request, should not be disclosed by the City under the Colorado Open Records Act (C.B.S, 24-72-201 through 205). The City may otherwise use or disclose the data submitted by each Proposer. The Proposer's opinion of proprietary information is not necessarily binding on the City. (Attach as Attachment 18.) The undersigned hereby attests to the truth, sufficiency,
completeness, and accuracy of all statements, answers, and representations
made in this Questionnaire, including all supplementary statements,
references, and information attached here (individual, partner, joint
venture, authorized officer of corporation). Name ___________________________________________ Title: _______________ Name ___________________________________________ Title: _______________ Name ___________________________________________ Title: _______________ Name ___________________________________________ Title: _______________ Name ___________________________________________ Title: _______________ (SEAL) Dated ________________________, 1998
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