Contact Information *Required Information

Company Background Information

Products or Services:

Annual Revenues: $

Project Information

Project Type
Please Select One: Administrative Office Manufacturing Distribution Retail Commercial R&D Headquarters Other Other:

Please list the motivating factors for this expansion/relocation (i.e., growth, workforce, incentives)

Estimated date facility is to be operational ex: 00/00/00

Project Requirements

Description of New Facility / Purpose

Preferred Area of Search:

Country: Please Select One: Canada United States Mexico

Geographic Area of Search: Please Select One: Northeast Southeast Midwest South Central Mountain Pacific Northwest Southwest East of Mississippi West of Mississippi

States or Areas under consideration:

Preferred community population (metro area): Please Select One: Large (2 million + ) Medium (500,000 to 2 million) Small (100,000 to 500,000) Rural location

Transportation:

Within Please Select One: 5 10 25 50 miles of interstate highway

Within Please Select One: 5 10 25 50 miles of a commercial airport

Site Characteristics:

Min. Site Size:

Max. Site Size:

Cost/Acre:

Zoning: Please Select One: Office Industrial Commercial Other

Industrial Park? Yes No

Greenfield Site? Yes No

All utilities to site? Yes No

Rail access to site? Yes No

Proximity to Multimodal? Yes No

On Interstate Highway? Yes No

Access to Port Facilities? Yes No

Distance from Port Facilities: Please Select One: 5 miles 10 miles 25 miles 50 miles More

Building Characteristics:

Existing Building? Yes No

Type of Building: Please Select One: Office Laboratory Manufacturing Distribution Other

Minimum Size sq.ft.

Maximum Size sq.ft.

Minimum Clear Height (under eaves) ft.

Office

Lab

Manufacturing

Disribution

Bay Spacing ft. X ft.

Type of Construction: Please Select One: Metal Masonry Tilt up Other

Number of Truck Docks

Rail Served? Yes No

Sq. Ft of Space by Utilization Type

Office sq.ft.

Lab sq.ft.

Manufacturing sq.ft.

Distribution sq.ft.

Utility Requirements

Electric Power Needs

Volts

Amps

KvA

KwH/Month

KW Demand

Natural Gas Therms/Mo

Sewer gallons/day

Water gallons/day

Other Requirements:

Wet Lab Space? Yes No

Overhead Cranes? Yes No

Food Grade Manufacturing and Storage?
Yes No

Drug Manufacturing and Storage? Yes No

Clean Room:

Type

No. Sq. Ft.

Back up electrical? Yes No

Fiber Optic? Yes No

Other

Financial Information

Financial Please Select One: Purchase Lease

If answered "Lease" for Financial:

Length of Lease

Number of Renewals

Length of Renewals

Employment Information:

Number of Employees by Year

Year 1

Year 3

Year 5

Number of Shifts/Day

shifts

hours/shift

Incentives

Please check if you have an interest in the following economic incentives:

Feedback is critical to our mutual success. As a recipient of this service, your company's primary obligation is to respond to monthly requests for brief project updates.

I understand this obligation and will respond to the SSN's information request in a timely manner.*