This industry comprises establishments primarily responsible for the entire construction (i.e.., new work, additions, alterations, and repairs) of commercial and institutional buildings (e.g.., stores, schools, hospitals, office buildings, public warehouses). Establishments identified as commercial and institutional building construction management firms are also included in this industry. Kinds of establishments include commercial and institutional building general contractors, design builders, engineer-constructors, joint-venture contractors, and turnkey contractors.