contract number r -35611-a dbe affirmative action ... · contract number r -35611-a contract bid...
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Contract Number R -35611-A
Contract Bid Amount $827,000.00
DBE Goal 14.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C A FULKERSON LLC Subcontractor Race Conscious
1650 QUARRY ROAD , CORYDON, IN 47112
25-31, 35 Landscaping 118,142.70
--------------------------------------------------------------------------------
Check: 82C279F3 Page 12
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 14.29% or $ 118142.70
Required: 14.00% or $ 115780.00
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Gohmann Construction Inc
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 82C279F3 Page 13
Contract Number R -34204-A
Contract Bid Amount $664,382.71
DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW EARTH IMAGES INC Subcontractor Race Conscious
3471 WEST COUNTY LINE ROAD P O BOX 267 , GREENWOOD, IN 46142
24,29,34 mulch & plantings 66,529.20
--------------------------------------------------------------------------------
Check: 0E9AB5B7 Page 12
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 10.01% or $ 66529.20
Required: 10.00% or $ 66438.27
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Morphey Construction, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 0E9AB5B7 Page 13
Contract Number R -29729-A
Contract Bid Amount $1,867,524.57
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C-TECH CORPORATION INC Subcontractor Race Conscious
5300 W 100 N , BOGGSTOWN, IN 46110
17,19,20,48-51,53,54,57,59 52,274.32
--------------------------------------------------------------------------------
Check: B8F3B90B Page 16
Contract Number R -29729-A
Contract Bid Amount $1,867,524.57
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious
301 W HAMILTON DRIVE , KNOX, IN 46534
56,77-81,82(P),83,87,88,91 80,722.18
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 7.12% or $ 132996.50
Required: 7.00% or $ 130726.72
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Superior Construction Co., Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: B8F3B90B Page 17
Contract Number RS-35322-A
Contract Bid Amount $1,122,986.11
DBE Goal 8.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW DIAMOND TRUCKING INC Lease Race Conscious
2653 S 400 W , PERU, IN 46970
18 Hauling (partial) 90,757.00
--------------------------------------------------------------------------------
Check: 8843BE25 Page 13
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 8.08% or $ 90757.00
Required: 8.00% or $ 89838.89
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: E & B Paving, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 8843BE25 Page 14
Contract Number RS-35314-A
Contract Bid Amount $1,439,735.60
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious
5240 E 25TH ST , INDIANAPOLIS, IN 46218
7,34-43,46,51-56 (Traffic control & pavement markings) 101,877.92
--------------------------------------------------------------------------------
Check: 41166731 Page 12
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 7.08% or $ 101877.92
Required: 7.00% or $ 100781.49
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: American Contracting & Services, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 41166731 Page 13
Contract Number RS-31410-A
Contract Bid Amount $840,139.18
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious
5240 E 25TH ST , INDIANAPOLIS, IN 46218
11(p),36,37,39,40(p),46,47,48,49,50,51,52; pavement markings 36,601.70
--------------------------------------------------------------------------------
Check: A879227A Page 12
Contract Number RS-31410-A
Contract Bid Amount $840,139.18
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW CMG TRUCKING INC Lease Race Conscious
7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 47334
17(p),18(p),20(p),23(p); hauling 22,450.05
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 7.03% or $ 59051.75
Required: 7.00% or $ 58809.74
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: E & B Paving, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: A879227A Page 13
Contract Number RS-31340-A
Contract Bid Amount $1,274,075.40
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW KAREN HAAN INC Subcontractor Race Conscious
1825 S HADLEY ROAD , FORT WAYNE, IN 46804
34, 37, 38 signs 2,984.00
--------------------------------------------------------------------------------
Check: 46635CEE Page 12
Contract Number RS-31340-A
Contract Bid Amount $1,274,075.40
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW STATEWIDE TRUCKING INC Lease Race Conscious
7020 ARDMORE AVE P O BOX 9249 , FORT WAYNE, IN 46809
partial haul 14-18, 20., 28 87,000.03
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 7.06% or $ 89984.03
Required: 7.00% or $ 89185.28
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 798.72
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Brooks Construction Company, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 46635CEE Page 13
Contract Number R -31067-A
Contract Bid Amount $4,137,945.00
DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious
5240 E 25TH ST , INDIANAPOLIS, IN 46218
10,38-49 MOB & DEMOB, SIGNS, PAVEMENT MARKINGS 110,088.25
--------------------------------------------------------------------------------
Check: 6301AF68 Page 12
Contract Number R -31067-A
Contract Bid Amount $4,137,945.00
DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW M A S MARKERS INC Subcontractor Race Conscious
1625 S 400 E , LEBANON, IN 46052
10,51 MOB & DEMOB, SNOWPLOWABLE RAISED PAVEMENT MARKINGS 36,725.30
DBEW STARNES TRUCKING INC Lease Race Conscious
1539 S 100W , PRINCTON, IN 47670
24,16 HAULING 60,538.75
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 5.01% or $ 207352.30
Required: 5.00% or $ 206897.25
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Gohmann Construction Inc
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 6301AF68 Page 13
Contract Number R -30320-A
Contract Bid Amount $775,000.00
DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious
3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 46140
Item 8-Partial, 39-40,43-44,46-47,51-62,66 / Pavement Markings 46,122.00
--------------------------------------------------------------------------------
Check: 7C2605B1 Page 13
Contract Number R -30320-A
Contract Bid Amount $775,000.00
DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW K & S MARKERS INC Subcontractor Race Conscious
2189 N 600 W , THORNTOWN, IN 46071
Items 63-65, Partial-8 / SPRPM 5,790.00
DBEW ELLINGTON TRUCKING LLC Lease Race Conscious
1829 BLANKENSHIP DRIVE , INDIANAPOLIS, IN 46217
Items 15, 18 Partial / Hauling 42,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.12% or $ 93912.00
Required: 12.00% or $ 93000.00
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Calumet Civil Contractors, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 7C2605B1 Page 14
Contract Number R -28946-A
Contract Bid Amount $3,983,147.00
DBE Goal 14.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW EARTH IMAGES INC Subcontractor Race Conscious
3471 WEST COUNTY LINE ROAD P O BOX 267 , GREENWOOD, IN 46142
24, 25, 60-63, 65 Temp Mulching & Silt Fence, Seed & Sod 43,908.85
--------------------------------------------------------------------------------
Check: 0627E448 Page 24
Contract Number R -28946-A
Contract Bid Amount $3,983,147.00
DBE Goal 14.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious
5240 E 25TH ST , INDIANAPOLIS, IN 46218
11p, 134-139, 140p, 141, 164-173 Const Sign, Barricade, Line, TM 83,256.75
DBEW C-TECH CORPORATION INC Subcontractor Race Conscious
5300 W 100 N , BOGGSTOWN, IN 46110
58, 59, 142p, ROW Marker, Monument B, Temp Traffic Barrier 20,355.00
DBEM STEPHEN J CHRISTIAN & ASSOCIATE Subcontractor Race Conscious
9102 N MERIDIAN STREET SUITE 200 , INDIANAPOLIS, IN 46260
1 Construction Engineering 29,210.00
DBEW HOOSIER COMPANY INC Subcontractor Race Conscious
5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268
11p, 140p, 143-163 Signal, MOT 45,482.06
DBE ENGEL MAN TRUCKING INC Lease Race Conscious
7408 N TREE FARM ROAD , SOLSBERRY, IN 47459
14, 20, 23, 26, 28, 32, 36-41, 55, 90-96, 101-107, 118-131 Truck 250,000.00
DBEW 3D COMPANY INC Subcontractor Race Conscious
3200 E CR 350N , MUNCIE, IN 47303
11p, 89, 100, 108-110 Video Inspection 88,189.20
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 14.07% or $ 560401.86
Required: 14.00% or $ 557640.58
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Dave O'Mara Contractor, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 0627E448 Page 25
Contract Number R -28794-A
Contract Bid Amount $297,309.26
DBE Goal 9.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C-TECH CORPORATION INC Subcontractor Race Conscious
5300 W 100 N , BOGGSTOWN, IN 46110
14, 30-34, 52, 53 Guardrail, Fence Remove, Sign Sheet 27,355.00
--------------------------------------------------------------------------------
Check: 14708845 Page 12
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 9.20% or $ 27355.00
Required: 9.00% or $ 26757.83
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 500.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Dave O'Mara Contractor, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 14708845 Page 13
Contract Number B -35423-A
Contract Bid Amount $2,305,948.00
DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious
3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 46140
5;99;100;101;102;103;104;105;108;112;113;114;115;116;117;118 & 1 26,853.90
--------------------------------------------------------------------------------
Check: F5EE5C94 Page 19
Contract Number B -35423-A
Contract Bid Amount $2,305,948.00
DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C-TECH CORPORATION INC Subcontractor Race Conscious
5300 W 100 N , BOGGSTOWN, IN 46110
43;44;45;46;47;48;49;50;55;56;83; & 107 67,411.08
DBEW EARTH IMAGES INC Subcontractor Race Conscious
3471 WEST COUNTY LINE ROAD P O BOX 267 , GREENWOOD, IN 46142
19; 20; 22; 60; 61; & 62 11,034.24
DBEW HOOSIER COMPANY INC Subcontractor Race Conscious
5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268
111; Conduit 14,623.99
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 5.20% or $ 119923.21
Required: 5.00% or $ 115297.40
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Beaty Construction, Inc
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: F5EE5C94 Page 20
Contract Number B -30982-A
Contract Bid Amount $799,025.04
DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C L S INDUSTRIES INC Subcontractor Race Conscious
3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 47167
16SignRmv., 18GrdrlEndtrtRmv., 44-47Guardrail Components 26,549.04
--------------------------------------------------------------------------------
Check: 4FF373EB Page 15
Contract Number B -30982-A
Contract Bid Amount $799,025.04
DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C L S INDUSTRIES INC Subcontractor Race Conscious
3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 47167
74-79TmpSgnsMrkng,80Maint.trffc(P),81Brricd, 82TmpBrrir(P),83-88 22,407.92
DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious
4002 INDUSTRIAL BLVD , INDIANPOLIS, IN 46254
64 Rebar (P) 55,342.57
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 13.05% or $ 104299.53
Required: 10.00% or $ 79902.50
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Weddle Bros. Highway Group, LLC.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 4FF373EB Page 16
Contract Number R -31590-A
Contract Bid Amount $421,260.30
DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious
3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 46140
72-75, 77, 78, 83-85, 87 Const Sign, Detour Marker, Barricade, L 9,640.00
--------------------------------------------------------------------------------
Check: 511301F8 Page 15
Contract Number R -31590-A
Contract Bid Amount $421,260.30
DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW C-TECH CORPORATION INC Subcontractor Race Conscious
5300 W 100 N , BOGGSTOWN, IN 46110
34, 36-40, 46-48, 79, 81, 82 Guardrail, ROW Marker, Monument, Si 22,060.75
DBEW EARTH IMAGES INC Subcontractor Race Conscious
3471 WEST COUNTY LINE ROAD P O BOX 267 , GREENWOOD, IN 46142
16, 17, 21, 51-56 Temp Mulch, Silt Fence & Seed Mixture, Sod, Er 13,577.35
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 10.75% or $ 45278.10
Required: 10.00% or $ 42126.03
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 3,000.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Dave O'Mara Contractor, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 511301F8 Page 16
Contract Number R -33088-A
Contract Bid Amount $1,097,324.88
DBE Goal 14.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW HAWK ENTERPRISES INC Subcontractor Race Conscious
1850 EAST NORTH STREET , CROWN POINT, IN 46307
104-108 TRAFFIC CONTROL SIGN INSTALLATION 3,076.00
--------------------------------------------------------------------------------
Check: CDEAD7A6 Page 19
Contract Number R -33088-A
Contract Bid Amount $1,097,324.88
DBE Goal 14.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW LAPORTE CONSTRUCTION COMPANY IN Subcontractor Race Conscious
4999 S US HIGHWAY 35 P O BOX 577 , LAPORTE, IN 46352
27, 39, 66, 67, 78, 89, 90 BLOCK WALL/SMALL STRUCTURES 82,162.00
DBEW TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious
301 W HAMILTON DRIVE , KNOX, IN 46534
9, 91-103, 109-119, TRAFFIC CONTROL SIGN INSTALLATION PAVEMENT M 38,935.48
DBEW 3D COMPANY INC Subcontractor Race Conscious
3200 E CR 350N , MUNCIE, IN 47303
74 VIDEO INSPECTION FOR PIPE 1,999.50
DBEM C LEE CONSTRUCTION SERVICES INC Lease Race Conscious
1200 W. MAIN ST P O BOX 618 , GRIFFITH, IN 46319
10, 18, 21-25, 28-31 HAULING 12,750.00
DBEW DYER VAULT COMPANY INC DBE Supplier Manufacturer Race Conscious
1750 SHEFFIELD AVE , DYER, IN 46311
81-88 SUPPLY MATERIAL FOR CATCH BASIN, MANHOLE, INLETS 18,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 14.30% or $ 156922.98
Required: 14.00% or $ 153625.48
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Walsh & Kelly, Inc.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: CDEAD7A6 Page 20
Contract Number R -35360-A
Contract Bid Amount $392,800.00
DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INTERNATIONAL PIPE CONSULTANTS DBE Supplier Manufacturer Race Conscious
3716 W CR 750 N , ORLEANS, IN 47452
24 Liner Pipe 31,567.40
--------------------------------------------------------------------------------
Check: ED0221AB Page 9
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 8.04% or $ 31567.40
Required: 5.00% or $ 19640.00
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Temple and Temple Excavating and Pavin
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: ED0221AB Page 10
Contract Number RS-35313-A
Contract Bid Amount $454,749.96
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW COLUMBUS TRANSPORT INC Lease Race Conscious
5055 LONG ROAD SUITE A , COLUMBUS, IN 47203
Item #16 (Partial), Misc Hauling 12,000.00
--------------------------------------------------------------------------------
Check: 02ADB025 Page 11
Contract Number RS-35313-A
Contract Bid Amount $454,749.96
DBE Goal 7.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious
3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 46140
Item 25 & 26, 33-41, 44 & 45, Pavement Markings & Construction S 21,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 7.26% or $ 33000.00
Required: 7.00% or $ 31832.50
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: Milestone Contractors L.P.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 02ADB025 Page 12
Contract Number RS-35329-A
Contract Bid Amount $1,610,870.00
DBE Goal 9.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively
seek out and consider certified DBEs to participate in this contract as
subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with
this contract, whether undertaken prior to or subsequent to award of contract,
will be in accordance with the requirements for the Disadvantaged Business
Enterprise (DBE) Program. The applicable requirements are included in the
Standard Specifications and the Special Provisions in the Contract Information
Book for this contract. I understand and agree that no subcontracting will be
approved or commenced until the Department has reviewed and approved the
affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other
equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this
contract.
I understand and agree that the submission of a blank certification shall cause
my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this
certification, and that I have confirmed that these firms are certified by the
State of Indiana as DBEs. (For listing of DBE certified firms, see
www.in.gov/indot/2576.htm and click on DBE Public Search.)
If my company becomes the Contractor, the certified DBEs listed below have
tentatively agreed to perform the corresponding services as part of this
contract's DBE goal ("race/gender conscious" DBE participation). If a portion
of a line item is used to satisfy the goal, the full dollar amount of the item
will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform
the corresponding services listed below beyond what is necessary to meet the
contract’s DBE goal ("race/gender neutral" DBE participation). I understand
that neither my company nor I will be penalized for failure to achieve the
dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS
AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE
APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior
approval by INDOT’s Economic Opportunity Section, Central Office.
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious
5240 E 25TH ST , INDIANAPOLIS, IN 46218
8(p),25-28,29(p),32-42,45 construction signs & pav't markings 115,075.75
--------------------------------------------------------------------------------
Check: 3EE32974 Page 11
Contract Number RS-35329-A
Contract Bid Amount $1,610,870.00
DBE Goal 9.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------
CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATION
AND ADDRESS ACTUAL DOLLAR AMOUNT
PAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE
-------------------------------------------------------------------------------
DBEM NASH & SON TRUCKING COMPANY INC Lease Race Conscious
1608 S JEFFERSON , MUNCIE, IN 47302
15 hauling (p) 30,100.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 9.01% or $ 145175.75
Required: 9.00% or $ 144978.30
<GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL
(RACE/GENDER NEUTRAL): $ 0.00
Please Note: Credit for utilization of a DBE material supplier depends on
whether the supplier is a manufacturer, regular dealer or broker.
The following credit will be counted toward the goal: Supplier
Manufacturer receives 100% credit, Supplier Regular Dealer receives
60% credit, and Supplier Broker receives fees and commissions only.
NAME OF COMPANY: E & B PAVING, INC.
BID DATE: 11-06-13
--------------------------------------------------------------------------------
Check: 3EE32974 Page 12