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e All questionnaires must be accompanied by the following additional information. I. Specific amount of U.S. dollars being requested to be raised by issuance of industrial Development Bonds. 2. A brief description of the company, its history operations. 3. A specific statement of the use to which bond proceeds will be put. A complete project budget including, as applicable, a breakdown of building costs, equipment costs, land acquisition costs, and all other fees. 4. A statement indicating the applicant's estimate of company performances as a result of new investment made possible by Industrial Development Revenue Bonds, including new employment or existing employment to be preserved. 5. A statement of the contribution the project will make to the local economy, expected economic impact of the project including such items as existing employment, new jobs to be created, amount of local purchases for operation of the project, increase in the property tax base of the County, new capital investments, and socio-economic impact on the local area. 6. A statement indicating the proposed security and guarantors of the bonds. 7. A statement as to the proposed method of sale of the bonds. 8. An applicant (including parent or subsidiary) must include conventional financing statements prepared in accordance with generally accepted accounting principals for the immediate three preceding years and audited by an•independent Certified Public Accountant. An audited statement is required for the latest fiscal year prior to the closing on the bond sale. Information should be available concerning outstanding debts, earnings history and copies of annual reports or of Form 10-K filed with the Securities & Exchange Commission, if applicable. In addition to the above standard financial statements the applicant must submit special supporting statements prepared by a certified public accountant for the three immediately preceding fiscal years as follows: (a) A statement, by year, of cash receipts and disbursements. (b) A statement, by year, of financing activities. 9. Names, addresses, and phone numbers of the parties to the application when appropriate, eg. Commercial Banks, Financial Advisor, Underwriter, General Counsel, etc. 10. Evidence indicating that the proposed project will be used by an entity which is financially responsible and fully capable and willing to fulfill its obligations under agreements with Indian River County including the obligation to pay lease or installment payments in the amounts and at times required.; the obligation to operate, repair and maintain the project at its own expense; the obligation to serve the purposes of the Florida Industrial Development Financing Act; and such other responsibilities as may be imposed under the agreements executed in connection with the issuance of the Bonds. 11. The applicant will furnish sufficient information to allow Indian River County to determine if local government will be able to cope satisfactorily with the impact of the project and will be able to provide, or cause to be provided when needed, the public facilities, including utilities and public services, that will be necessary for the construction, operation, repair, and maintenance of the project or due to any increases in population or other circumstances resulting from' the project. The applicant must also show that the project meets all applicable codes and zoning regulations of Indian River County All applications should be returned to Neil A. Nelson, County Administrator, 2345 14th Avenue, Vero Beach, Florida 32960 (305-562-4186), together with a cashiers check for,the administrative fee as established by the Board of County Commissioners of Indian River County. 37 BOOK 48 PAGF353 DEC 161981 J