King Island Council

King Island Airport Terminal

Expression of Interest (EOI) Response Questionnaire

Operation of airport kiosk and cleaning of airport terminal

Proposed Operation Provide in separate documentation as detailed a description of your proposal as possible. Include a business plan and all other information that will assist Council to establish the degree to which your proposal will meet its requirements. Refer to Section 4 for detailed information required by the Council in the proposal. The information should also include indicative timeframe to commence operations. Complete the following information and lodge both the development description and the following information to the Council in accordance with the requirements of the invitation to Expression of Interest. If there is insufficient room to answer any questions, please provide attachments. 1. Your Details 1.1 Your name

Provide the full legal name of the entity or person(s) that or who will be the leasee. If a company, provide the ACN. If a Trust, provide the name of the Trust. If a partnership, provide the full names of all individuals.

Name:

ABN:

ACN (if applicable): Trust Details (if applicable):

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1.2 Your Address Residential Address: Principal place of business address: Postal address: Registered office address (of a company): 1.3 Contact Details Contact persons name: Phone number: Fax Number: E-mail address: 1.4 Company Details If a company, provide full names and addresses of all directors and

shareholders:

Directors: Shareholders: 1.5 Business History Please attach a description of present and former business history:

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1.6 Memberships and Qualifications List all trade, business or professional associations of which you or any key

personnel are members and any qualifications of any key personnel (to the extent that they are relevant to demonstrating your capacity to complete all requirements of your proposed development to a high standard).

2 Your Expertise 2.1 Provide details of your experience or expertise in

Operations of a similar nature to that proposed. The financing and management arrangements of operations of a similar

nature to that proposed. 2.2 Business References

List any referees with respect to your business experience and expertise whom the Council is authorised to contact.

Individual’s Name Name of the Business Address and Telephone

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2.3 Financial Capacity

Provide details of your financial capacity to undertake the proposed operation

Have you or any businesses conducted, owned or controlled by predominantly the same persons, ever been declared bankrupt, insolvent, entered into receivership, management scheme or composition pursuant to the Bankruptcy Act or the Corporations Law?

Yes/No

If yes, give details.

2.4 Financial References

The Council is authorised to contact the following for a financial reference.

Particulars of Bank or Financial Institution: Bank Name: Branch: Account Name: Address: Phone Number: Facsimile:

Particulars of Accountant: Name: Address: Phone Number: Facsimile Number:

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2.5 Relationship with Council

You must disclose any relationship which may exist between any of the Interested parties directors, partners, employees, agents or contractors; and Councillors, staff, agents or contractors of Council.

EOI representative Council representative Nature of relationship

3. Lease Insert the indicative lease you are prepared to pay on the basis that Council accepts your proposal.

Monthly Lease Amount Lease of Kiosk

4. Information Required as part of Business Plan

4.1 Menu The list or attached list of the menu and indicative prices or type of service that is intended to be offered 4.2 Produce Cafe The list and variety of local produce and craft that will be offered in the café and for sale including cheese, berries, seafoods, meats, beverages, wine, and whiskey. Retail The proponent should identify the range and extent of what produce, craft, or merchandise that will be offered for sale to airport patrons.

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4.3 Hours of Operation

Proposed Hours of Operation Please provide details.

4.4 Cleaning Contract The proponent should identify the monthly charge that it proposes for the terminal precinct, full departure lounge, check-in in area, arrivals area; baggage claim area and immediate forecourt of terminal entry. A monthly service schedule should be submitted or alternative basis is available. 4.5 Other

The proponent should identify and other relevant data pertinent to the Expression of Interest not mentioned above.