FORM A TRANSMITTAL LETTER SUBMITTER:____________________________________________ SOQ Submission Date:______________________________________ Georgia Department of Transportation One Georgia Center 600 West Peachtree Street, NW Atlanta, Georgia 30308 Ladies and Gentlemen: The undersigned (“Respondent”) submits this qualification submittal (this “SOQ”) in response to that certain Request for Qualifications dated as of November 3, 2014, together with addenda thereto (the “RFQ”), issued by the Georgia Department of Transportation (“GDOT”) to develop the I-285 & SR 400 Reconstruction Project (the “Project”) through a Design-Build-Finance Agreement (“DBF Agreement”). Initially capitalized terms not otherwise defined herein shall have the meanings set forth in the RFQ. Enclosed, and by this reference incorporated herein and made a part of this SOQ, are the following: VOLUME 1- Pass/Fail Transmittal Letter (this Form A) Form B – Information Regarding Respondent, Lead Contractor, Lead Engineering Firm and Guarantors Form C-1 – Technical Qualifications –Design Form C-2 – Technical Qualifications –Construction Form D – Personnel References Form E – Certification Form F - Financing Experience of Lead Contractor Form G - Financial Information Summary CFO Certificate Teaming Agreement(s), or Summary of Key Terms of the Anticipated Agreements
FORM F –FINANCING EXPERIENCE OF THE LEAD CONTRACTOR LEAD CONTRACTOR MEMBER NAME PROJECT NAME AND LOCATION NAME OF AND RELATIONSHIP TO ENTITY WHOSE EXPERIENCE IS CITED PROJECT TYPE (1) ROLE(S) ON PROJECT (2) PROJECT CONSTRUCTION VALUE (3) PROJECT FINANCING SIZE (3), (4) DEBT AMOUNT & SOURCE (3), (5) INTEREST IN BORROWER (% AND TYPE) (6) OUTCOME OR STATUS (7) Sample entry: X Construction Co. Interstate-X Corridor Project, USA X Conglomerate (guarantor of X Construction Co.) DBFOM (Availability Payments and Final Acceptance Payment) Lead contractor $1.1 billion $950,000,000 $200,000,000 (senior bank loan) $350,000,000 (TIFIA loan) $400,000,000 (PABs) 50% equity ownership of project company Financial close (Nov. 15, 2012) INSTRUCTIONS: Respondents may only list the experience(s) of the Lead Contractor or any firm that comprises 20% or more of the Lead Contractor, or the Guarantor of such firms. Respondents may include the financing experience of affiliates of such firms if they provide, as an attachment to
(4) “Project Financing Size” means the total amount of the project financed with private financing (i.e. excluding public debt, public equity or capital grants but including conduit debt that is recourse to the borrower). Include all debt and equity provided by the Lead Contractor and any concessionaire. (5) Indicate in parenthesis the type of debt (e.g., TIFIA loan, PABs or other bonds (unwrapped or wrapped), bank loan or private placement). (6) Indicate the percentage (%) of ownership or participation held by the company, its affiliate or guarantor in the borrower. (7) Indicate outcome of RFP process (Financial Financial close pending, Not selected, Other (please explain)). Include date of financial close (actual or expected date) if applicable. If the procurement was canceled or the proposal was not selected, provide the date of submission of the financial proposal.