contract number rs-30226-a contract bid amount $2,306,606 ... · dbe affirmative action...
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Contract Number RS-30226-A Contract Bid Amount $2,306,606.60 DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 46110Guardrail and Monuments (Items 11, 39-43, and 48-50) 79,823.30
-------------------------------------------------------------------------------- Check: 7E8DBA5A Page 14
Contract Number RS-30226-A Contract Bid Amount $2,306,606.60 DBE Goal 5.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 47130Milling, Partial Item 75 40,242.90
DBEM BIBBS HAULING LLC Lease Race Conscious4937 EAST 41ST STREET , INDIANAPOLIS, IN 47226Item 26 (partial) Hauling 1,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 5.25% or $ 121066.20 Required: 5.00% or $ 115330.33 <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: 09-14-16
-------------------------------------------------------------------------------- Check: 7E8DBA5A Page 15
Contract Number TM-39436-A Contract Bid Amount $107,950.00 MBE Goal 7.00% WBE Goal 5.00%
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women'sBusiness Enterprises Participation Plan in accordance with IC 4-13-16.5 and25 IAC 5. The Plan must show that there are, participating in the proposedcontract, Minority Business Enterprises (MBE) and Women Business Enterprises(WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD)directory of certified firms. Respondents must indicate the name of the MBEand WBE with which it will work, the contact name and phone number at thefirm(s), the service supplied by the firm(s), the specific dollar amount fromthis contract that will be directed toward each firm, and the approximate datethese products and/or services will be utilized. If participation is metthrough use of vendors who supply products and/or services, the Respondentmust also indicate the vendor’s tax ID number as well as provide a descriptionof products and/or services provided to the Respondent that are directlyrelated to this proposal and the cost of direct supplies for this proposal.All prime contractors, including MBE and WBE prime contractors, must meet thecontract goals through use of subcontractors. MBE and WBE prime contractorswill get no credit toward the contract goal for the use of its own workforce.The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.The Department reserves the right to verify all information included in thePlan.
Respondents are encouraged to contact and work with MWBD to design a plan tomeet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/2495.htm/ and contains a complete list of all the Department’s certified MBE’sand WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must besubmitted within 24 hours of bid opening. This letter(s) shall state and willserve as acknowledgement from the MBE and/or WBE of its amount of participation,the scope of products and/or services, and approximate date these productsand/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors underthis contract on a monthly basis. Monthly reports shall be made using theonline audit tool, commonly referred to as "Pay Audit". MBE and WBEsubcontractor payments shall also be reported to IDOA as reasonably requestedand in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to bebound by the regulatory processes involving the State’s M/WBE Program.Questions involving the regulations governing the Plan should be directed toMWBD’s Compliance Unit at 317-232-3061.
MBE/WBE PARTICIPATION PLAN
Contract Number TM-39436-A BID DATE 09-14-16
RESPONDENT E & B Paving, Inc.ADDRESS 286 West 300 North
CITY/STATE/ZIP Anderson, IN 46012PHONE 765-643-5358
TOTAL MBE COMMITMENT FOR VENDOR: Entered: 0.00% or 0.00(Race/Gender Conscious) Required: 7.00% or 7556.50 <GOAL NOT MET>
-------------------------------------------------------------------------------- Check: 12437F3B Page 12
-------------------------------------------------------------------------------CERTIFICATION CODE AND WBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO WBE-------------------------------------------------------------------------------DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 4711221, 22 MOB FOR SEEDING MULCH SEEDING 2,290.00
DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 4716724-28,39-45 CONSTR SIGNS AND THERMO LINES 9,948.80
DBEW TC ELECTRIC INC Subcontractor Race Conscious1422 S TALBOTT ST , INDIANAPOLIS, IN 4622529-38 Traffic Signal items 11,295.00
TOTAL WBE COMMITMENT FOR VENDOR: Entered: 21.80% or 23533.80(Race/Gender Conscious) Required: 5.00% or 5397.50 <GOAL MET>
-------------------------------------------------------------------------------- Check: 12437F3B Page 13
Contract Number TM-39436-A
Contract Bid Amount $107,950.00
IVBE PARTICIPATION PLAN IVBE GOAL: 3.00%
Indiana Veteran's Business Enterprise Compliance: Award of this Contract isbased, in part, on the Indiana Veteran's Business Enterprise ("IVBE")Participation Plan. The following IVBE subcontractors will be participating inthis Contract:
IVBE SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Bryan's Hauling & Excavating 900 S Roberson Rd English IN 47118Item 7 Misc Hauling Actual Dollar Amount to be paid to IVBE: $ 3,250.00--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Total Dollar Amount Credited toward IVBE Goal: $ 3,250.00 Total Percentage: 3.00%
Name of Company / Bidder Name: E & B Paving, Inc. / Larry Canterbury Title: President Email Address: [email protected]
At the request of IDOA, a copy of each subcontractor agreement shall besubmitted to IDOA, [email protected], within thirty (30) days of therequest. Failure to provide any subcontractor agreement may also be considereda material breach of this Contract. The Contractor must obtain approval fromIDOA before changing the IVBE participation plan submitted in connection withthis Contract.
The Contractor shall report payments made to IVBE subcontractors under thisContract on a monthly basis. Monthly reports shall be made using the onlineaudit tool, commonly refereed to as "Pay Audit". IVBE subcontractor paymentsshall also be reported to IDOA as reasonably requested and in a format to bedetermined by IDOA.
An Excel file of State of Indiana Veteran's Business Enterprises is found at:http://www.in.gov/idoa/mwbe/2743.htm.Information concerning the details of the IVBE program is available at:http://www.in.gov/idoa/2862.htm.Email questions to: [email protected].
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Contract Number R -33575-A Contract Bid Amount $3,974,307.00 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW HAWK ENTERPRISES INC Subcontractor Race Conscious1850 EAST NORTH STREET , CROWN POINT, IN 46307Partial 13 and 129 to 180 298,940.50
-------------------------------------------------------------------------------- Check: BA845A94 Page 26
Contract Number R -33575-A Contract Bid Amount $3,974,307.00 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW LCK TRUCKING LLC Lease Race Conscious1171 E 400N , HARTFORD CITY, IN 47348Partial 13 140,500.00
DBEW KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 46804116-125, 127-128 37,510.40
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.00% or $ 476950.90 Required: 12.00% or $ 476916.84 <GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 34.06
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: 09-14-16
-------------------------------------------------------------------------------- Check: BA845A94 Page 27
Contract Number B -29702-A Contract Bid Amount $542,408.00 DBE Goal 10.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE JJS CONCRETE CONSTRUCTION LLC Subcontractor Race Conscious9149 E 800 N , MONTGOMERY, IN 47558#61 (Partial - Furnish Only) Structure 3-Sided Box 68,466.00
-------------------------------------------------------------------------------- Check: FBD70892 Page 14
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.62% or $ 68466.00 Required: 10.00% or $ 54240.80 <GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 14,000.00
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: 09-14-16
-------------------------------------------------------------------------------- Check: FBD70892 Page 15
Contract Number B -33876-A Contract Bid Amount $721,163.97 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE JJS CONCRETE CONSTRUCTION LLC DBE Supplier Manufacturer Race Conscious9149 E 800 N , MONTGOMERY, IN 4755868 Manufacturer and deliver box partial 78,787.00
-------------------------------------------------------------------------------- Check: 3B2FF528 Page 15
Contract Number B -33876-A Contract Bid Amount $721,163.97 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 4711219 (part), 47-51 erosion control and seeding and sodding 13,492.00
DBEW EROSION RESOURCES AND SUPPLY IN Supplier DBE Reg. Dealer Race Conscious900 NORTH BAKER ROAD , BOONVILLE, IN 4761044 & 18 (part) 3,191.28
DBEW A1 EXCAVATING LLC Lease Race Conscious1221 COBB LANE , SPRINGVILLE, IN 4748211,13,17,23 all partial hauling 2,660.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 13.43% or $ 96853.77 Required: 12.00% or $ 86539.68 <GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 10,314.09
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: CLR Inc.
BID DATE: 09-14-16
-------------------------------------------------------------------------------- Check: 3B2FF528 Page 16
Contract Number B -34296-A Contract Bid Amount $782,385.54 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611016,30-33 all partials 45,500.00
-------------------------------------------------------------------------------- Check: 0E4E6D4A Page 14
Contract Number B -34296-A Contract Bid Amount $782,385.54 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DMW N I SPANOS PAINTING INC Subcontractor Race Conscious1310 WEST 99TH AVE. , CROWN POINT, IN 4630748,49 all partials 50,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.21% or $ 95500.00 Required: 12.00% or $ 93886.26 <GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 1,613.74
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: PRIMCO, INC.
BID DATE: 09-14-16
-------------------------------------------------------------------------------- Check: 0E4E6D4A Page 15
Contract Number B -39591-A Contract Bid Amount $348,792.01 MBE Goal 7.00% WBE Goal 5.00%
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women'sBusiness Enterprises Participation Plan in accordance with IC 4-13-16.5 and25 IAC 5. The Plan must show that there are, participating in the proposedcontract, Minority Business Enterprises (MBE) and Women Business Enterprises(WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD)directory of certified firms. Respondents must indicate the name of the MBEand WBE with which it will work, the contact name and phone number at thefirm(s), the service supplied by the firm(s), the specific dollar amount fromthis contract that will be directed toward each firm, and the approximate datethese products and/or services will be utilized. If participation is metthrough use of vendors who supply products and/or services, the Respondentmust also indicate the vendor’s tax ID number as well as provide a descriptionof products and/or services provided to the Respondent that are directlyrelated to this proposal and the cost of direct supplies for this proposal.All prime contractors, including MBE and WBE prime contractors, must meet thecontract goals through use of subcontractors. MBE and WBE prime contractorswill get no credit toward the contract goal for the use of its own workforce.The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.The Department reserves the right to verify all information included in thePlan.
Respondents are encouraged to contact and work with MWBD to design a plan tomeet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/2495.htm/ and contains a complete list of all the Department’s certified MBE’sand WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must besubmitted within 24 hours of bid opening. This letter(s) shall state and willserve as acknowledgement from the MBE and/or WBE of its amount of participation,the scope of products and/or services, and approximate date these productsand/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors underthis contract on a monthly basis. Monthly reports shall be made using theonline audit tool, commonly referred to as "Pay Audit". MBE and WBEsubcontractor payments shall also be reported to IDOA as reasonably requestedand in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to bebound by the regulatory processes involving the State’s M/WBE Program.Questions involving the regulations governing the Plan should be directed toMWBD’s Compliance Unit at 317-232-3061.
MBE/WBE PARTICIPATION PLAN
Contract Number B -39591-A BID DATE 09-14-16
RESPONDENT Rieth Riley Construction Co., Inc.ADDRESS P. O. Box 276 1751 W. MinnesotaCITY/STATE/ZIP Indianapolis, INPHONE (317) 634-5561
-------------------------------------------------------------------------------CERTIFICATION CODE AND MBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO MBE-------------------------------------------------------------------------------DMW N I SPANOS PAINTING INC Subcontractor Race Conscious1310 WEST 99TH AVE. , CROWN POINT, IN 46307Items:8, 11 Painting Steel-All Partial 28,000.00
TOTAL MBE COMMITMENT FOR VENDOR: Entered: 8.03% or 28000.00(Race/Gender Conscious) Required: 7.00% or 24415.44 <GOAL MET>
-------------------------------------------------------------------------------- (Contains bid errors) Check: 27B3BB9F Page 10
-------------------------------------------------------------------------------CERTIFICATION CODE AND WBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO WBE-------------------------------------------------------------------------------DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 46218Items:6 Mob-Partial, 12-19, 20-Partial, 21,22 19,406.00
TOTAL WBE COMMITMENT FOR VENDOR: Entered: 5.56% or 19406.00(Race/Gender Conscious) Required: 5.00% or 17439.60 <GOAL MET>
-------------------------------------------------------------------------------- (Contains bid errors) Check: 27B3BB9F Page 11
Contract Number B -39591-A
Contract Bid Amount $348,792.01
IVBE PARTICIPATION PLAN IVBE GOAL: 3.00%
Indiana Veteran's Business Enterprise Compliance: Award of this Contract isbased, in part, on the Indiana Veteran's Business Enterprise ("IVBE")Participation Plan. The following IVBE subcontractors will be participating inthis Contract:
IVBE SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Total Dollar Amount Credited toward IVBE Goal: $ 0.00 Total Percentage: 0.00%
Name of Company / Bidder Name: RIETH-RILEY CONSTRUCTION CO., INC. / PAUL J. TATE Title: REGIONAL VP CENTRAL INDIANA Email Address: [email protected]
At the request of IDOA, a copy of each subcontractor agreement shall besubmitted to IDOA, [email protected], within thirty (30) days of therequest. Failure to provide any subcontractor agreement may also be considereda material breach of this Contract. The Contractor must obtain approval fromIDOA before changing the IVBE participation plan submitted in connection withthis Contract.
The Contractor shall report payments made to IVBE subcontractors under thisContract on a monthly basis. Monthly reports shall be made using the onlineaudit tool, commonly refereed to as "Pay Audit". IVBE subcontractor paymentsshall also be reported to IDOA as reasonably requested and in a format to bedetermined by IDOA.
An Excel file of State of Indiana Veteran's Business Enterprises is found at:http://www.in.gov/idoa/mwbe/2743.htm.Information concerning the details of the IVBE program is available at:http://www.in.gov/idoa/2862.htm.Email questions to: [email protected].
--------------------------------------------------------------------------------
Contract Number IR-39032-A Contract Bid Amount $267,869.00 MBE Goal 7.00% WBE Goal 5.00%
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women'sBusiness Enterprises Participation Plan in accordance with IC 4-13-16.5 and25 IAC 5. The Plan must show that there are, participating in the proposedcontract, Minority Business Enterprises (MBE) and Women Business Enterprises(WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD)directory of certified firms. Respondents must indicate the name of the MBEand WBE with which it will work, the contact name and phone number at thefirm(s), the service supplied by the firm(s), the specific dollar amount fromthis contract that will be directed toward each firm, and the approximate datethese products and/or services will be utilized. If participation is metthrough use of vendors who supply products and/or services, the Respondentmust also indicate the vendor’s tax ID number as well as provide a descriptionof products and/or services provided to the Respondent that are directlyrelated to this proposal and the cost of direct supplies for this proposal.All prime contractors, including MBE and WBE prime contractors, must meet thecontract goals through use of subcontractors. MBE and WBE prime contractorswill get no credit toward the contract goal for the use of its own workforce.The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.The Department reserves the right to verify all information included in thePlan.
Respondents are encouraged to contact and work with MWBD to design a plan tomeet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/2495.htm/ and contains a complete list of all the Department’s certified MBE’sand WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must besubmitted within 24 hours of bid opening. This letter(s) shall state and willserve as acknowledgement from the MBE and/or WBE of its amount of participation,the scope of products and/or services, and approximate date these productsand/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors underthis contract on a monthly basis. Monthly reports shall be made using theonline audit tool, commonly referred to as "Pay Audit". MBE and WBEsubcontractor payments shall also be reported to IDOA as reasonably requestedand in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to bebound by the regulatory processes involving the State’s M/WBE Program.Questions involving the regulations governing the Plan should be directed toMWBD’s Compliance Unit at 317-232-3061.
MBE/WBE PARTICIPATION PLAN
Contract Number IR-39032-A BID DATE 09-14-16
RESPONDENT Yardberry Landscape CompanyADDRESS 9940 S 1000 W
CITY/STATE/ZIP Anderson, IN 46017PHONE 7653785783
-------------------------------------------------------------------------------CERTIFICATION CODE AND MBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO MBE-------------------------------------------------------------------------------DBEM OATTS TRUCKING Lease Race Conscious3925 EAST 26TH STREET , INDIANAPOLIS, IN 462180007 - HAULING ONLY 20,000.00
TOTAL MBE COMMITMENT FOR VENDOR: Entered: 7.47% or 20000.00(Race/Gender Conscious) Required: 7.00% or 18750.83 <GOAL MET>
-------------------------------------------------------------------------------- Check: 29310173 Page 10
-------------------------------------------------------------------------------CERTIFICATION CODE AND WBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO WBE-------------------------------------------------------------------------------DBEW LAURA KOPETSKY TRI AX INC Lease Race Conscious5320 S BELMONT , INDIANAPOLIS, IN 462170010 - HAULING ONLY 13,650.00
TOTAL WBE COMMITMENT FOR VENDOR: Entered: 5.10% or 13650.00(Race/Gender Conscious) Required: 5.00% or 13393.45 <GOAL MET>
-------------------------------------------------------------------------------- Check: 29310173 Page 11
Contract Number IR-39032-A
Contract Bid Amount $267,869.00
IVBE PARTICIPATION PLAN IVBE GOAL: 3.00%
Indiana Veteran's Business Enterprise Compliance: Award of this Contract isbased, in part, on the Indiana Veteran's Business Enterprise ("IVBE")Participation Plan. The following IVBE subcontractors will be participating inthis Contract:
IVBE SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------BRYAN'S HAULING & EXCAVATING 900 S ROBERSON RD., ENGLISH, IN 47118 812/338-22710007 CLEARING & GRUBBING - HAULING ONLY Actual Dollar Amount to be paid to IVBE: $ 8,500.00--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Total Dollar Amount Credited toward IVBE Goal: $ 8,500.00 Total Percentage: 3.20%
Name of Company / Bidder Name: YARDBERRY / TIM YARBERRY Title: OWNER Email Address: [email protected]
At the request of IDOA, a copy of each subcontractor agreement shall besubmitted to IDOA, [email protected], within thirty (30) days of therequest. Failure to provide any subcontractor agreement may also be considereda material breach of this Contract. The Contractor must obtain approval fromIDOA before changing the IVBE participation plan submitted in connection withthis Contract.
The Contractor shall report payments made to IVBE subcontractors under thisContract on a monthly basis. Monthly reports shall be made using the onlineaudit tool, commonly refereed to as "Pay Audit". IVBE subcontractor paymentsshall also be reported to IDOA as reasonably requested and in a format to bedetermined by IDOA.
An Excel file of State of Indiana Veteran's Business Enterprises is found at:http://www.in.gov/idoa/mwbe/2743.htm.Information concerning the details of the IVBE program is available at:http://www.in.gov/idoa/2862.htm.Email questions to: [email protected].
--------------------------------------------------------------------------------
Contract Number M -39542-A Contract Bid Amount $84,309.19 MBE Goal 7.00% WBE Goal 5.00%
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women'sBusiness Enterprises Participation Plan in accordance with IC 4-13-16.5 and25 IAC 5. The Plan must show that there are, participating in the proposedcontract, Minority Business Enterprises (MBE) and Women Business Enterprises(WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD)directory of certified firms. Respondents must indicate the name of the MBEand WBE with which it will work, the contact name and phone number at thefirm(s), the service supplied by the firm(s), the specific dollar amount fromthis contract that will be directed toward each firm, and the approximate datethese products and/or services will be utilized. If participation is metthrough use of vendors who supply products and/or services, the Respondentmust also indicate the vendor’s tax ID number as well as provide a descriptionof products and/or services provided to the Respondent that are directlyrelated to this proposal and the cost of direct supplies for this proposal.All prime contractors, including MBE and WBE prime contractors, must meet thecontract goals through use of subcontractors. MBE and WBE prime contractorswill get no credit toward the contract goal for the use of its own workforce.The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.The Department reserves the right to verify all information included in thePlan.
Respondents are encouraged to contact and work with MWBD to design a plan tomeet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/2495.htm/ and contains a complete list of all the Department’s certified MBE’sand WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must besubmitted within 24 hours of bid opening. This letter(s) shall state and willserve as acknowledgement from the MBE and/or WBE of its amount of participation,the scope of products and/or services, and approximate date these productsand/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors underthis contract on a monthly basis. Monthly reports shall be made using theonline audit tool, commonly referred to as "Pay Audit". MBE and WBEsubcontractor payments shall also be reported to IDOA as reasonably requestedand in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to bebound by the regulatory processes involving the State’s M/WBE Program.Questions involving the regulations governing the Plan should be directed toMWBD’s Compliance Unit at 317-232-3061.
MBE/WBE PARTICIPATION PLAN
Contract Number M -39542-A BID DATE 09-14-16
RESPONDENT Schutt-Lookabill Co., Inc.ADDRESS 4050 Rockville Road
CITY/STATE/ZIP Indianapolis, IN 46222PHONE 317-484-1500
-------------------------------------------------------------------------------CERTIFICATION CODE AND MBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO MBE-------------------------------------------------------------------------------DBEM EASTSIDE TRUCKING COMPANY INC Lease Race Conscious1545 E 35TH STREET , INDIANAPOLIS, IN 46218#21 HAULING 5,950.00
TOTAL MBE COMMITMENT FOR VENDOR: Entered: 7.06% or 5950.00(Race/Gender Conscious) Required: 7.00% or 5901.64 <GOAL MET>
-------------------------------------------------------------------------------- Check: 11ED1FE9 Page 10
-------------------------------------------------------------------------------CERTIFICATION CODE AND WBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO WBE-------------------------------------------------------------------------------DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 46110#15 ENERGY ABSORBING TERMINAL 4,220.00
TOTAL WBE COMMITMENT FOR VENDOR: Entered: 5.01% or 4220.00(Race/Gender Conscious) Required: 5.00% or 4215.46 <GOAL MET>
-------------------------------------------------------------------------------- Check: 11ED1FE9 Page 11
Contract Number M -39542-A
Contract Bid Amount $84,309.19
IVBE PARTICIPATION PLAN IVBE GOAL: 3.00%
Indiana Veteran's Business Enterprise Compliance: Award of this Contract isbased, in part, on the Indiana Veteran's Business Enterprise ("IVBE")Participation Plan. The following IVBE subcontractors will be participating inthis Contract:
IVBE SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Mooresville Welding - Miscellaneous Steel220 E. Washington St., Mooresville, IN 46158 (317) 831-2265 Actual Dollar Amount to be paid to IVBE: $ 2,530.00--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------
Total Dollar Amount Credited toward IVBE Goal: $ 2,530.00 Total Percentage: 3.00%
Name of Company / Bidder Name: Schutt-Lookabill Co., Inc. / Edward H. Kennedy, I Title: President Email Address: [email protected]
At the request of IDOA, a copy of each subcontractor agreement shall besubmitted to IDOA, [email protected], within thirty (30) days of therequest. Failure to provide any subcontractor agreement may also be considereda material breach of this Contract. The Contractor must obtain approval fromIDOA before changing the IVBE participation plan submitted in connection withthis Contract.
The Contractor shall report payments made to IVBE subcontractors under thisContract on a monthly basis. Monthly reports shall be made using the onlineaudit tool, commonly refereed to as "Pay Audit". IVBE subcontractor paymentsshall also be reported to IDOA as reasonably requested and in a format to bedetermined by IDOA.
An Excel file of State of Indiana Veteran's Business Enterprises is found at:http://www.in.gov/idoa/mwbe/2743.htm.Information concerning the details of the IVBE program is available at:http://www.in.gov/idoa/2862.htm.Email questions to: [email protected].
--------------------------------------------------------------------------------
Contract Number R -34206-A Contract Bid Amount $1,095,465.00 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611042-43, 45, 51-53, 64, 97-99, Fence, Handrail, Monuments, Bench P 64,929.00
-------------------------------------------------------------------------------- Check: D2F1B7D1 Page 17
Contract Number R -34206-A Contract Bid Amount $1,095,465.00 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 4614092-94, 96, 100-106, Construction Signs, Road Closure Sign, Barri 11,000.00
DBEW MAC TRUCKING INC Lease Race Conscious1116 N W 5TH , RICHMOND, IN 47374All Part Items 18-19, 23, 25, 26-34, 36-37, 56-57, 70-73 Materia 56,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.04% or $ 131929.00 Required: 12.00% or $ 131455.80 <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: 09-14-16
-------------------------------------------------------------------------------- Check: D2F1B7D1 Page 18
Contract Number R -36872-B Contract Bid Amount $1,746,872.03 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW TC ELECTRIC INC Subcontractor Race Conscious1422 S TALBOTT ST , INDIANAPOLIS, IN 4622583, 102, 105-125; Electrical Work 202,642.00
-------------------------------------------------------------------------------- Check: 3E032DD0 Page 19
Contract Number R -36872-B Contract Bid Amount $1,746,872.03 DBE Goal 12.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 461409-portions, 98, 99, 101, 124: Traffic Control and Painted Lines 6,129.75
DBEM KINGDOM STEEL LLC Subcontractor Race Conscious6122 REDCOACH COURT , INDIANAPOLIS, IN 46250Portions of 76, 93 & 97; Installation of Reinforcing Steel 7,000.00
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 12.35% or $ 215771.75 Required: 12.00% or $ 209624.64 <GOAL MET>
TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 161,012.00
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: 09-14-16
-------------------------------------------------------------------------------- Check: 3E032DD0 Page 20
Contract Number RS-39048-A Contract Bid Amount $495,086.40 DBE Goal 11.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 46218#21, #24, #29-#36, #39 15,273.39
-------------------------------------------------------------------------------- Check: 9787DCC2 Page 11
Contract Number RS-39048-A Contract Bid Amount $495,086.40 DBE Goal 11.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE NASH & SON TRUCKING COMPANY INC Lease Race Conscious1608 S JEFFERSON , MUNCIE, IN 47302Hauling Partial 39,689.30
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 11.10% or $ 54962.69 Required: 11.00% or $ 54459.50 <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: E&B Paving Inc
BID DATE: 09-14-16
-------------------------------------------------------------------------------- Check: 9787DCC2 Page 12
Contract Number T -37293-B Contract Bid Amount $369,284.60 DBE Goal 2.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEM MASTER ENTERPRISES Supplier DBE Reg. Dealer Race Conscious4201 MILLERSVILLE ROAD P O BOX 18523 , INDIANAPOLIS, IN 4621817 Supplie .100 Gauge Sheet Signs 13,222.80
-------------------------------------------------------------------------------- Check: DB221FE4 Page 8
TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 2.15% or $ 7933.68 Required: 2.00% or $ 7385.69 <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: Hummel Electric, Inc.
BID DATE: 09-14-16
-------------------------------------------------------------------------------- Check: DB221FE4 Page 9
Contract Number T -38014-A Contract Bid Amount $77,930.11 DBE Goal 6.00%
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmativelyseek out and consider certified DBEs to participate in this contract assubcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection withthis contract, whether undertaken prior to or subsequent to award of contract,will be in accordance with the requirements for the Disadvantaged BusinessEnterprise (DBE) Program. The applicable requirements are included in theStandard Specifications and the Special Provisions in the Contract InformationBook for this contract. I understand and agree that no subcontracting will beapproved or commenced until the Department has reviewed and approved theaffirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all otherequal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of thiscontract.
I understand and agree that the submission of a blank certification shall causemy bid to be rejected.
I hereby certify that contact has been made with the firms listed in thiscertification, and that I have confirmed that these firms are certified by theState of Indiana as DBEs. (For a listing of DBE certified firms, refer to theDBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed below havetentatively agreed to perform the corresponding services as part of thiscontract's DBE goal ("race/gender conscious" DBE participation). If a portionof a line item is used to satisfy the goal, the full dollar amount of the itemwill be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to performthe corresponding services listed below beyond what is necessary to meet thecontract’s DBE goal ("race/gender neutral" DBE participation). I understandthat neither my company nor I will be penalized for failure to achieve thedollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORSAND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BEAPPLIED TOWARD GOAL in this Affirmative Action Certification must have priorapproval by INDOT’s Economic Opportunity Section, Central Office.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW M A S MARKERS INC Subcontractor Race Conscious1625 S 400 E , LEBANON, IN 460520013 Sheet Sign Post Sheet removal 4,706.10
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TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):
Entered: 6.04% or $ 4706.10 Required: 6.00% or $ 4675.81 <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: M.A.S Contractors
BID DATE: 09-14-16
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