MINORITY AND WOMEN'S BUSINESS ENTERPRISES …MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN ... Mobe and SPM 31,528.00 DBEW C A FULKERSON LLC Subcontractor Race Conscious

Contract Number B -39579-AContract Bid Amount $376,100.00MBE 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 ParticipationLetter 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 -39579-A BID DATE 12-14-16

RESPONDENT Illinois Constructors Corp.ADDRESS 39W866 Fabyan Parkway

CITY/STATE/ZIP Elburn, IL 60119PHONE 630-232-7280

-------------------------------------------------------------------------------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 463079 - Clean and Paint Steel 47,000.00

TOTAL MBE COMMITMENT FOR VENDOR: Entered: 12.50% or 47000.00(Race/Gender Conscious) Required: 7.00% or 26327.00

<GOAL MET>

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-------------------------------------------------------------------------------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 462185, 16-19 - Traffic Control 6,347.00

DBEW HOOSIER COMPANY INC WBE Supplier Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 4626820 - Truck Mounted Attenuator Supply 3,000.00

TOTAL WBE COMMITMENT FOR VENDOR: Entered: 2.49% or 9347.00(Race/Gender Conscious) Required: 5.00% or 18805.00

<GOAL NOT MET>

--------------------------------------------------------------------------------(Contains bid errors) Check: 8987F9AD Page 11

Contract Number B -39579-A

Contract Bid Amount $376,100.00

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--------------------------------------------------------------------------------None available

Actual Dollar Amount to be paid to IVBE: $ 0.00--------------------------------------------------------------------------------

Actual Dollar Amount to be paid to IVBE: $--------------------------------------------------------------------------------



Total Dollar Amount Credited toward IVBE Goal: $ 0.00Total Percentage: 0.00%

Name of Company / Bidder Name: Illinois Constructors Corp / John MackaninTitle: 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 RS-35117-A Contract Bid Amount $2,906,878.86 DBE Goal 4.00%

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 L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 47167Item 16 - Profilograph 7,000.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 460719-P, 53-54 - Mobe and SPM 31,528.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 4711225, 55 - Mob and Demob for Seeding, Mulched Seeding 3,050.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 462189-P, 23-P, 36-37,39-40,41-P, 43-52 - Mob-P, Drip Line, Signs, Ar 74,697.31

TOTAL DOLLAR AMOUNT CREDITED TOWARD DBE GOAL (RACE/GENDER CONSCIOUS):

Entered: 4.00% or $ 116275.31 Required: 4.00% or $ 116275.15 <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: J. H. RUDOLPH & CO., INC.

BID DATE: 12-14-16

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Contract Number R -35587-A Contract Bid Amount $2,970,000.00 DBE Goal 12.00%










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 CMG TRUCKING INC Lease Race Conscious7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 47334Partial Item 21-22, Partial Items 28-29, Partial Items 32, Parti 186,457.00

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-------------------------------------------------------------------------------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 46218Partial Item 7, Items 99-102, Item 108-109 15,814.00

DBEW TC ELECTRIC INC Subcontractor Race Conscious2817 W 100 S , FRANKLIN, IN 46131Partial Item 7, Item 101-107 52,014.00

DBEW NATURAL CONSTRUCTION INC Subcontractor Race Conscious3793 US 40 , GREENFIELD, IN 46140Partial Item 7, Items 40-44, Item 46, Item 48, Item 111 103,882.00





NAME OF COMPANY: Calumet Civil Contractors, Inc.

BID DATE: 12-14-16

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Contract Number T -35422-A Contract Bid Amount $671,020.34 DBE Goal 7.00%










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 462187, 8, 17, drip line, Removeable tape 128,341.18

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NAME OF COMPANY: Surface Preparation Technologies, LLC

BID DATE: 12-14-16

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Contract Number RS-37039-A Contract Bid Amount $87,745.00 MBE Goal 7.00% WBE Goal 5.00%





Minority & Women’s Business Enterprises Participation Letter of Commitment





Contract Number RS-37039-A BID DATE 12-14-16

RESPONDENT Calumet Civil Contractors, Inc.ADDRESS 4898 Fieldstone Drive

CITY/STATE/ZIP Whitestown, IN 46075PHONE 317-769-1900

-------------------------------------------------------------------------------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 46218hauling 12-14 8,968.82

TOTAL MBE COMMITMENT FOR VENDOR: Entered: 10.22% or 8968.82(Race/Gender Conscious) Required: 7.00% or 6142.15 <GOAL MET>

-------------------------------------------------------------------------------- Check: 9A3BA9E7 Page 9

-------------------------------------------------------------------------------CERTIFICATION CODE AND WBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO WBE-------------------------------------------------------------------------------DBEW CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 47130milling 13 7,539.74

TOTAL WBE COMMITMENT FOR VENDOR: Entered: 8.59% or 7539.74(Race/Gender Conscious) Required: 5.00% or 4387.25 <GOAL MET>

-------------------------------------------------------------------------------- Check: 9A3BA9E7 Page 10

Contract Number RS-37039-A





Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Roger Ward Engineering, Inc. 7474 Noel Rd. Indianapolis, IN 46278Engineering 1,11 Actual Dollar Amount to be paid to IVBE: $ 5,600.00--------------------------------------------------------------------------------




Total Dollar Amount Credited toward IVBE Goal: $ 5,600.00 Total Percentage: 6.40%

Name of Company / Bidder Name: Calumet Civil Contractors, Inc. Title: President Email Address: [email protected]




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-------------------------------------------------------------------------------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 46218hauling 13-15 18,348.65


-------------------------------------------------------------------------------- Check: 890AC033 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 CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 47130milling 14 18,384.65

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 46218traffic devices 9,21-25 8,119.00


-------------------------------------------------------------------------------- Check: 890AC033 Page 11






Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Roger Ward Engineering, Inc. 7474 Noel Rd. Indianapolis, IN 46278engineering and SWQCP 1, 11 Actual Dollar Amount to be paid to IVBE: $ 8,500.00--------------------------------------------------------------------------------









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-------------------------------------------------------------------------------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 46218hauling 13,14,15,16,19 18,313.00


-------------------------------------------------------------------------------- Check: 8C09E320 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 46218traffic devices 9,21-26 6,344.00

DBEW CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 4713014,15 7,849.00


-------------------------------------------------------------------------------- Check: 8C09E320 Page 11






Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Roger Ward Engineering Inc. 7474 Noel Rd. Indianapolis, IN 46278Engineering item 1 Actual Dollar Amount to be paid to IVBE: $ 4,500.00--------------------------------------------------------------------------------









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RESPONDENT Temple and Temple Excavating and PavinADDRESS 1367 S State Rd 60

CITY/STATE/ZIP Salem, IN 47167PHONE 812-883-6644

-------------------------------------------------------------------------------CERTIFICATION CODE AND MBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO MBE-------------------------------------------------------------------------------DBEM HIGHWAY SAFETY SERVICES INC Subcontractor Race Conscious3215 IMPERIAL PARKWAY , LAFAYETTE, IN 4790340,41,42,43,44 Signs 5,260.00

TOTAL MBE COMMITMENT FOR VENDOR: Entered: 2.78% or 5260.00(Race/Gender Conscious) Required: 7.00% or 13251.56 <GOAL NOT MET>

-------------------------------------------------------------------------------- Check: F0024670 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 CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 4713013 Milling 6,345.69

WBE SLUSSERS GREEN THUMB INC Subcontractor Race Conscious125 MONTGOMERY STREET P O BOX 33 , LOGANSPORT, IN 46947-003322,23 Seeding 1,814.00

TOTAL WBE COMMITMENT FOR VENDOR: Entered: 4.31% or 8159.69(Race/Gender Conscious) Required: 5.00% or 9465.40 <GOAL NOT MET>

-------------------------------------------------------------------------------- Check: F0024670 Page 13






Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------Bryan's Hauling & Excavating, 900 S Roberson Rd. English, IN 47118, 812-338-2271Hauling Actual Dollar Amount to be paid to IVBE: $ 5,679.00--------------------------------------------------------------------------------





Name of Company / Bidder Name: Temple & Temple Excavating & Paving/Ken Temple Title: President Email Address: [email protected]




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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 CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 4713029 Partial 3,748.68

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-------------------------------------------------------------------------------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 4611012,37,38,39,40,41,42,43 49,119.30

DBEW TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 4653465,66,67,68,69,70,71,72,73,74 12,999.28

DBEW JACKSON DEMOLITION SERVICES ENT Subcontractor Race Conscious1674 N 750 W , ROCHESTER, IN 4697513 55,000.00

DBEW M A S MARKERS INC Subcontractor Race Conscious1625 S 400 E , LEBANON, IN 4605210 Partial, 75,76 2,750.00

DMW V & R TRUCKING INC Lease Race Conscious1845 N ELMER STREET , SOUTH BEND, IN 4662815,19,20,26,30,31,32 All Partial 26,000.00





NAME OF COMPANY: Rieth-Riley Construction Co. , Inc

BID DATE: 12-14-16

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Contract Number R -34790-A Contract Bid Amount $181,010.20 DBE Goal 14.00%










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 4755835, 36 WIngwalls, Concrete Box Sections 41,935.00

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-------------------------------------------------------------------------------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 4713018 Milling 2,520.00





NAME OF COMPANY: Paul H. Rohe Company

BID DATE: 12-14-16

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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 4630710, 90-95, 118 TRAFFIC CONTROL ELECTRICAL INSTALLATION 515,048.60

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-------------------------------------------------------------------------------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 4611013, 48-53, 58, 119 GUARDRAIL 61,688.83

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 4607110, 116, 117 SNOWPLOWABLE RAISED PAVEMENT MARKERS 68,649.00

DBEW TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 4653410, 79-81, 83-89, 96-115 TRAFFIC CONTROL SIGN INSTALLATION/PAVEM 415,290.33

DBEM C LEE CONSTRUCTION SERVICES INC Lease Race Conscious1200 W MAIN ST , GRIFFITH, IN 4631912, 16, 17, 20-36 HAULING 37,500.00





NAME OF COMPANY: Walsh & Kelly, Inc.

BID DATE: 12-14-16

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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 CMG TRUCKING INC Lease Race Conscious7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 47334partial 14-15,18-20,21-28,30,34,41-42 145,416.00

-------------------------------------------------------------------------------- Check: 542C8019 Page 18



-------------------------------------------------------------------------------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 4621873-78,95-99,101-105,109-110 28,932.00





NAME OF COMPANY: Calumet Civil Contractors, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 542C8019 Page 19











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 HOOSIER COMPANY INC Subcontractor Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268124,126-156,158-164,168,231 335,232.80

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW CRANE ENVIRONMENTAL SERVICES LL Subcontractor Race Conscious1120 STAR GATE COURT , EVANSVILLE, IN 4772512 1,248.00

DBE NASH & SON TRUCKING COMPANY INC Lease Race Conscious1608 S JEFFERSON , MUNCIE, IN 47302175-177 Partial 69,998.28

DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611042,47-50 26,376.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 4711253-55,230 64,023.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 46218117-123,124 Partial,125,165-167,168 Partial,186-197 113,128.01





NAME OF COMPANY: Weddle Bros. Highway Group, LLC.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 844ECED8 Page 31

Contract Number B -38291-A Contract Bid Amount $4,741,416.38 DBE Goal 8.00%










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 4611038-42,44,47-49,111p Guardrail 76,344.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE APEX CONSULTING & SURVEYING Subcontractor Race Conscious12010 S ANTHONY BLVD , FORT WAYNE, IN 4681916 Engineering 4,800.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 46071121 Pavement Markings 3,660.00

DBEM HIGHWAY SAFETY SERVICES INC Subcontractor Race Conscious3215 IMPERIAL PARKWAY , LAFAYETTE, IN 47903102-107,108p,110-112,114,117-120 Traffic Control 66,400.00

DBEM KINGDOM STEEL LLC Subcontractor Race Conscious6122 REDCOACH COURT , INDIANAPOLIS, IN 4625085-87 Install Reinforcing Steel 101,339.00

DMW N I SPANOS PAINTING INC Subcontractor Race Conscious1310 WEST 99TH AVE. , CROWN POINT, IN 4630794 Surface Seal 31,252.00

DBE THORNTON RAVE STEEL FABRICATION Supplier DBE Reg. Dealer Race Conscious118 MERLE LANE , NORMAL, IL 6176185-87 Supply Reinforcing Steel 156,000.00

DBE SHOSHONE TRUCKING LLC Lease Race Conscious1525 WEST HOOSIER BOULEVARD , PERU, IN 4697010-20,22-26,28-30 Hauling 2,000.00

-------------------------------------------------------------------------------- Check: 31A8D4E2 Page 20





NAME OF COMPANY: Superior Construction Co., Inc.

BID DATE: 12-14-16

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Contract Number B -37980-A Contract Bid Amount $916,471.85 DBE Goal 6.00%










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 K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 460719p, 73 SRPM 4,000.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 46254#46p, Furnish Only 11,211.65

DBEM KINGDOM STEEL LLC Subcontractor Race Conscious6122 REDCOACH COURT , INDIANAPOLIS, IN 4625046p, Tie In Only 8,775.34

DBE B & B CONTRACTING AND SUPPLY LL Subcontractor Race Conscious750 S. KEYSTONE AVE , INDIANAPOLIS, IN 4620362-65, 66p, 67-71 Const Sign, Barricade, Detour Route Marker, Li 33,122.20





NAME OF COMPANY: Dave O'Mara Contractor, Inc.

BID DATE: 12-14-16

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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 BASELINE SUPPLY LLC Supplier DBE Reg. Dealer Race Conscious65 TURNBERRY DRIVE , MONROE TOWNSHIP, NJ 0883132 Joint Material Supplier 87,000.00

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-------------------------------------------------------------------------------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 4630714,15,16,17,18,19,20 Painting Steel and bearings 76,000.00





NAME OF COMPANY: Pioneer Associates Inc.

BID DATE: 12-14-16

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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 4611038-40,42-48, Guardrail and monuments 40,998.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE B & B CONTRACTING AND SUPPLY LL Subcontractor Race Conscious750 S. KEYSTONE AVE , INDIANAPOLIS, IN 4620377-85, Construction Signs, Barricades, and Painted Lines 20,071.60

DBE GREEN STEEL INC Subcontractor Race Conscious1332 WEST 26TH STREET , INDIANAPOLIS, IN 4620869, 86 or 88, Placing Reinforcing Steel 27,660.09

DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 4625469, 86 or 88, Supply Reinforcing Steel 36,257.15





NAME OF COMPANY: HIS Constructors, Inc

BID DATE: 12-14-16

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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 4611032, 33, 35, 36, 38, 42-44 & 76 46,455.00

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-------------------------------------------------------------------------------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 4713023 & 24 3,775.20

DBEW STATE BARRICADING INC Subcontractor Race Conscious24963 US 20 WEST , SOUTH BEND, IN 4662837, 41, 68-75, 77 & 81-83 14,210.25

DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 4625458-59 26,781.37

DBE Victory Trucking & Supply Inc. Lease Race ConsciousP. O. Box 468, Auburn, Indiana 4670619 & 46 11,970.45





NAME OF COMPANY: Northern Indiana Construction Co., Inc

BID DATE: 12-14-16

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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 MONTGOMERY TRUCKING INC OF INDI Lease Race Conscious233 NW PASSAGE TRAIL , FORT WAYNE, IN 4682512-17,19-20,31 (All Partial) Hauling 197,000.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW STATE BARRICADING INC Subcontractor Race Conscious24963 US 20 WEST , SOUTH BEND, IN 466289(P), 41-42,44,46 Construction Signs and Temporary Markings 7,000.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 460719 (P) 62-63 Snowplowable Raised Pavement Markers 9,622.00





NAME OF COMPANY: Phend & Brown, Inc.

BID DATE: 12-14-16

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ATTACHMENT CM 32-34

CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY CLAUSE AND THE FILING OF REQUIRED REPORTS

The bidder hereby certifies that it HAS participated in a previouscontract or subcontract subject to the Equal Opportunity clause, as requiredby Executive Orders 10925, 11114, or 11246, and that it HAS filedwith the Joint Reporting Committee, the Director of the Office of FederalContract Compliance, a Federal Government contracting or Administering agency,or the former President's Committee on Equal Employment Opportunity, allreports due under the applicable filing requirements.

The above certification is required by the Equal Employment OpportunityRegulations to the Secretary of Labor (41 CFR 601.7(b)(1)). Thiscertification shall be submitted by bidders and proposed subcontractors onlyin connection with contracts and subcontracts which are subject to theequal opportunity clause. Contracts and subcontracts which are exempt fromthe equal opportunity clause are set forth in 41 CFR 601.5. Generally onlycontracts or subcontracts of $10,000 or under are exempt.

Currently,Standard Form 100(EEO-1) is the only report required by theExecutive Orders or their implementing regulations.

Pursuant to 41 CFR 601.7(b)(1), proposed contractors and subcontractors whohave participated in a previous contract or subcontract subject to theExecutive Orders listed above and have not filed the required reports, shallnot be awarded contracts and subcontracts unless such contractor orsubcontractor submits a report covering the delinquent period or such otherperiod specified by the Federal Highway Administration or by the Director'sOffice of Federal Contract Compliance. U.S. Department of Labor.

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DRUG FREE WORKPLACE CERTIFICATION

Pursuant to Executive Order No. 90-5, April 12, 1990, issued by Governor EvanBayh, the Indiana Department of Administration requires the inclusion of thiscertification in all contracts with and grants from the State in excess of$25,000. No award of a contract or grant shall be made, and no contract,purchase order or agreement, the total amount of which exceeds $25,000, shallbe valid unless and until this certification has been fully executed by theContractor or Grantee and attached to the contract or agreement as part of thecontract documents. False certification or violation of the certification mayresult in sanctions including, but not limited to, suspension of contractpayments, termination of the contract or agreement and or debarment ofcontracting opportunities with the State for up to 3 years.

The Contractor or Grantee certifies and agrees that it will provide a drugfree workplace by the means as follows:

(a) Publishing and providing to all its employees a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the

Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition.

(b) Establishing a drug free awareness program to inform employees about (1) the dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining a drug free workplace; (3) available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon an employee for drug abuse violations occurring in the workplace.

(c) Notifying all employees in the statement required by (a) above that as a condition of continued employment the employee will (1) abide by the terms of the statement; and (2) notify the employer of criminal drug statute conviction for a violation occurring in the workplace no later than 5 days after such conviction.

(d) Notifying in writing to the contracting State agency and the Indiana Department of Administration within 10 days after receiving notice from an employee under (c) (2) above, or otherwise receiving actual notice of such conviction.

(e) Within 30 days after receiving notice under (c) (2) above of a conviction, imposing the following sanctions or remedial measures on an employee who is convicted of drug abuse violations occurring in the workplace by (1) taking appropriate personnel action against the employee, up to and including termination; or (2) requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency.

(f) Making a good faith effort to maintain a drug free workplace through the implementation of (a) through (e) above.

THE BIDDER AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE ISAUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATEDORGANIZATION.

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ETHICS COMPLIANCE

The Contractor and its agents shall abide by all ethical requirements thatapply to persons who have a business relationship with the State, as set forthin Indiana code § 4-2-6 et seq., the regulations promulgated thereunder, andExecutive Order 04-08, dated April 27, 2004. If the Contractor is notfamiliar with these ethical requirements, the Contractor should refer anyquestions to the Indiana State Ethics Commission, or visit the Indiana StateEthics Commission website at <<<http://www.in.gov/ethics/>>>. If the Contractoror its agents violate any applicable ethical standards, the State may, in itssole discretion, terminate this contract immediately upon notice to theContractor. In addition, the contractor may be subject to penalties underIndiana Code § 4-2-6-12.

THE BIDDER AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE ISAUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATEDORGANIZATION.

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AFFIDAVIT

The signer of this bid, being duly sworn, on his or her oath says that he orshe is the bidder for the construction or the improvements of a State highwaydescribed in this bid of which this affidavit is a part; that said bid issubmitted in good faith and not as a speculation or to be assigned orrelinquished and will be executed and fulfilled by said bidder, according toits terms, if accepted, and according to the plans, profiles and specificationsfor said improvement; that this bid is made without reference to any other bid;that this bidder has not offered to or received from a person, firm, board,commission, trustee or corporation a sum of money or consideration for themaking of said bid. That no inducement of a form or character other than thatwhich appears upon the face of the bid will be suggested, offered, paid, ordelivered to a person whomsoever to influence the acceptance of the said bid orawarding of the contract, nor has this bidder an agreement or understandingwhatsoever, with a person whomsoever to pay, deliver to, or share with anotherperson, the proceeds of the contract sought by this bid; that said bidder hasnot directly or indirectly made an arrangement, contract, or understandingwith another bidder or bidders concerning the amount of said bid, nor hassuch bidder colluded, conspired, connived, or agreed with a person whomsoeverto influence a bid for said contract, directly or indirectly.

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CURRENT CONTRACTUAL OBLIGATIONS

Entries on this sheet shall include all construction work under contract orverbal performance agreement or pending award to the contractor signing,whether as principal or as subcontractor. See 105 IAC 11-3-4 of the Rulesfor Prequalification of Contractors and Bidding.

TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR,OR OTHER PARTY: $ 9,127,532.00

TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANADEPARTMENT OF TRANSPORTATION CONTRACTS: $ 2,628,039.00

TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR,OR OTHER PARTY IN THE PREQUALIFICATON WORK TYPE(S) ASSIGNED TO THIS CONTRACTAND USED FOR BIDDING CAPACITY BY THE BIDDER: $ 6,401,370.00

TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANADEPARTMENT OF TRANSPORTATION CONTRACTS IN THE PREQUALIFICATON WORK TYPE(S)ASSIGNED TO THIS CONTRACT AND USED FOR BIDDING CAPACITY BY THE BIDDER: $ 1,162,648.00

The bidder shall submit a complete list of all unearned work when requested bythe Prequalification Engineer, on the form provided. The information on thelist shall incluce the contract number, the name of the owner, contractor,subcontractor or other party, the type of Work yet to be Performed, and thevalue of unearned work.

I hereby certify that to the best of my knowledge and belief, the aboveamounts of unearned work are true and complete and that my latest financialstatement on file with the Indiana Department of Transportation continues torepresent fairly and substantially my financial position as of this date.

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ELECTRONIC BID SUBMISSION CERTIFICATION

BY SUBMITTING THIS BID ELECTRONICALLY, I HEREBY ACKNOWLEDGE THAT ALL REQUIREMENTINCLUDED IN THE HARD COPY PROPOSAL, AMENDMENTS, PLANS, STANDARD SPECIFICATIONS,AND SUPPLEMENTAL SPECIFICATIONS ARE A PART OF THIS BID AND CONTRACT.

THE PRINCIPAL SHALL FILE AN ELECTRONIC BID BOND WHEN BIDDING ELECTRONICALLY.BY FILLING IN THE BOXES BELOW THE PRINCIPAL IS ENSURING THE IDENTIFIED ELECTRONIBOND HAS BEEN EXECUTED AND THE PRINCIPAL AND SURETY ARE FIRMLY BOUND UNTO THESTATE OF INDIANA.

ELECTRONIC BID BOND ID: UXFV-9BKD-AN3P-HTJ1 COMPANY / BIDDER NAME: Phend & Brown, Inc. / Daniel F. Brown TITLE: President EMAIL ADDRESS: [email protected]

*** AN ELECTRONIC PROPOSAL SUBMITTED AND SIGNED WITH A DIGITAL ID, UNDER THEPROVISIONS OF THE INDIANA DEPARTMENT OF TRANSPORTATION, WILL BE CONSIDEREDVALID AND BINDING. ***

USE OF ANOTHER PERSON'S DIGITAL ID IN THIS BIDDING PROCESS VIOLATES THE LAWS OFINDIANA. BY INDICATING YES HERE: --Yes--, I ACKNOWLEDGE THAT IHAVE READ AND UNDERSTOOD THE ABOVE ELECTRONIC BID SUBMISSION CERTIFICATION.

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This Bid contains 3 amendment files

00001 11-30-16 [F] REVISE PAY ITEMS AND PLANS 00002 12-06-16 [F] REVISE PAY ITEMS, SPECIAL PROVISIONS AND PLANS 00003 12-09-16 [F] REVISE SPECIAL PROVISIONS (Q AND A)











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 4611049-55,62,63,150 Guardrail 151,267.00

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-------------------------------------------------------------------------------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 46307102-107,108-113p Painting 453,620.00

DBEW LAURA KOPETSKY TRI AX INC Lease Race Conscious5320 S BELMONT , INDIANAPOLIS, IN 4621733-40,65-66 Hauling 200,000.00

DBEM EASTSIDE TRUCKING COMPANY INC Lease Race Conscious1545 E 35TH STREET , INDIANAPOLIS, IN 4621812-22,27-40 Hauling 185,500.00





NAME OF COMPANY: SUPERIOR CONSTRUCTION CO., INC.

BID DATE: 12-14-16

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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-------------------------------------------------------------------------------DMW N I SPANOS PAINTING INC Subcontractor Race Conscious1310 WEST 99TH AVE. , CROWN POINT, IN 4630726-28 all partials 25,000.00

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TOTAL DOLLAR AMOUNT OF VOLUNTARY DBE WORK ANTICIPATED OVER DBE GOAL(RACE/GENDER NEUTRAL): $ 5,605.49


NAME OF COMPANY: PRIMCO, INC.

BID DATE: 12-14-16

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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 & Fence 44,012.40

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-------------------------------------------------------------------------------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 46307Painting 143,315.80





NAME OF COMPANY: Dunnet Bay Construction Company

BID DATE: 12-14-16

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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 JAVIER STEEL CORPORATION Subcontractor Race Conscious8017 CATHERINE LANE SUITE 1 , LOUISVILLE, KY 4020768 - Furnish/Install SIP Forms 26,000.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 4625469p - Furnish Epoxy Resteel 61,543.13

DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611035-37, 39, 40, 72, 85-87 Guardrail, ROW Marker, Monument, Railin 55,098.65

DBEM KINGDOM STEEL LLC Subcontractor Race Conscious6122 REDCOACH COURT , INDIANAPOLIS, IN 4625069p - Install Epoxy Resteel 32,562.50

DBE CBD FABRICATION AND SUPPLY INC DBE Supplier Manufacturer Race Conscious3480 MILLIKIN COURT , COLUMBUS, OH 4322861p & 63p Furnish Piling 86,811.00






BID DATE: 12-14-16

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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 4611030-31, 36-37, 53-54, Guardrail Items, ROW Markers, Monuments, PS 128,900.00

-------------------------------------------------------------------------------- Check: F3408B54 Page 14





NAME OF COMPANY: Milestone Contractors, L. P.

BID DATE: 12-14-16

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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 CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 46254#55, 56 REINFORCING STEEL (FURNISH ONLY) 71,732.35

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEM KINGDOM STEEL LLC Subcontractor Race Conscious6122 REDCOACH COURT , INDIANAPOLIS, IN 46250#55, 56 REINFORCING STEEL (INSTALL ONLY) 40,048.25





NAME OF COMPANY: DUNCAN ROBERTSON INC.

BID DATE: 12-14-16

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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 PIONEER ASSOCIATES INC Subcontractor Race Conscious728 E 400 N , ALBION, IN 4670170,80,100,110,120,130,140,150 25,004.85

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NAME OF COMPANY: RAM Construction Services of Michigan,

BID DATE: 12-14-16

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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 B & B CONTRACTING AND SUPPLY LL Subcontractor Race Conscious750 S. KEYSTONE AVE , INDIANAPOLIS, IN 4620323,24,25,26,27,28,29,30,31,35 15,720.60

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NAME OF COMPANY: RAM Construction Services of Michigan,

BID DATE: 12-14-16

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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-------------------------------------------------------------------------------DMW N I SPANOS PAINTING INC Subcontractor Race Conscious1310 WEST 99TH AVE. , CROWN POINT, IN 4630793-94 Clean and Paint Bridge 30,000.00

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-------------------------------------------------------------------------------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 4711223, 58-60 Erosion Control 13,450.38

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 46071Item 108 - Snowplowable Raised Pavement Markers 4,600.00

DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 4716748-50,52 GR 95,98,99 Const. Signs 96-97 Temp Pvmt Mkrs 101,103- 99,779.30

DBE NASH & SON TRUCKING COMPANY INC Lease Race Conscious1608 S JEFFERSON , MUNCIE, IN 4730232 - Haul HMA, Type C 12,002.67

DBEW HOOSIER COMPANY INC Supplier DBE Reg. Dealer Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268109 - Roadway Weather Information System - Sensor 9,000.00

DBEM CIRCLE CITY REBAR LLC DBE Supplier Manufacturer Race Conscious4002 INDUSTRIAL BLVD , INDIANAPOLIS, IN 46254Item 71 - Furnish Reinforcing Steel 46,010.80





NAME OF COMPANY: E & B Paving, Inc

BID DATE: 12-14-16

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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. No DBEs needto be identified at the time of bid submittal.




I hereby certify that I will commit to utilization of firms certified by theState of Indiana as DBEs for a minimum of the percent specified by the DBEGoal of the total dollar value of the contract. (For a listing of DBEcertified firms, refer to the DBE Public Search Directory found on the INDOTwebsite.) I hereby certify that I will commit to submission of a separateAffirmative Action Certification form for each on-call job order which liststhe DBE’s to be utilized for each job order, the type of work to be performedby the DBE, and the actual dollar amount to be paid to the DBE prior to workcommencing and issuance of the notice to proceed.

After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW BASELINE SUPPLY LLC Supplier DBE Reg. Dealer Race Conscious65 TURNBERRY DRIVE , MONROE TOWNSHIP, NJ 088311, 2, Both Partials, Material Supplier 147,000.00

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NAME OF COMPANY: R.L. McCoy, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 45FA9FD7 Page 8








After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------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 46110Item 1 & 2 - Guardrail 18,550.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 47112Item 1 & 2 - Erosion Control 18,550.00

-------------------------------------------------------------------------------- Check: 4C7DCDBE Page 7



-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE L L BROWN CONSTRUCTION INC Subcontractor Race Conscious1549 NORTH SR 203 P O BOX 680 , SCOTTSBURG, IN 47170Item 1 & 2 - Demolition 18,550.00

DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 47167Item 1 & 2 - Traffic Control 18,100.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 4C7DCDBE Page 8








After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------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 46110Item 1 & 2 - Guardrail 25,140.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 47112Item 1 & 2 - Erosion Control 25,140.00

-------------------------------------------------------------------------------- Check: B1CEB1AB Page 7



-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 47167Item 1 & 2 - Traffic Control Items 28,100.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: B1CEB1AB Page 8











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 3D COMPANY INC Subcontractor Race Conscious3200 E CR 350N , MUNCIE, IN 47303#13-19,22-25,28,31-34,36,76Removal, Excavation, Eros. Control, B 572,274.26

-------------------------------------------------------------------------------- Check: C640F810 Page 25





NAME OF COMPANY: E & B Paving, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: C640F810 Page 26

Contract Number R -31816-B Contract Bid Amount $3,775,962.00 DBE Goal 12.00%










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 EROSION RESOURCES AND SUPPLY IN Supplier DBE Reg. Dealer Race Conscious900 NORTH BAKER ROAD , BOONVILLE, IN 4761025P,26P,54P,76P Supply Gabions, Geo grid & Geotextiles 23,812.21

-------------------------------------------------------------------------------- Check: 9E869EDA Page 19



-------------------------------------------------------------------------------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 4611035,36P,53 Fence and R/W Markers 154,026.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 462189P,100-107,110-120 Construction Signs & Pavement Markings 40,213.67

DBE L L BROWN CONSTRUCTION INC Subcontractor Race Conscious1549 NORTH SR 203 P O BOX 680 , SCOTTSBURG, IN 4717011 Structure remove 245,000.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 9E869EDA Page 20











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 462181 Signs 4,682.00

-------------------------------------------------------------------------------- Check: 702225C7 Page 8





NAME OF COMPANY: T&T Pipe Renovations LLC

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 702225C7 Page 9











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 4755843 - box culvert and wingwall manufacturer 34,512.00

-------------------------------------------------------------------------------- Check: 9A9773AA Page 12





NAME OF COMPANY: Blankenberger Brothers, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 9A9773AA Page 13











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 HOOSIER COMPANY INC Subcontractor Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 4626811P,67P,72-106 SIGNS AND ELECTRICAL 295,000.00

-------------------------------------------------------------------------------- Check: 08A6C2EC Page 19





NAME OF COMPANY: Milestone Contractors, L.P.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 08A6C2EC Page 20











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 KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 4680465-67, Partial 68, 69 8,556.00

-------------------------------------------------------------------------------- Check: F773E42A Page 14



-------------------------------------------------------------------------------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 47130Partial of 27 & 28 7,539.84

DBE APEX CONSULTING & SURVEYING Subcontractor Race Conscious12010 S ANTHONY BLVD , FORT WAYNE, IN 468191 and Partial of 20 8,810.00

DBEW LCK TRUCKING LLC Lease Race Conscious1171 E 400N , HARTFORD CITY, IN 47348All Partial of 13-16, 21-31, 46-47 49,680.00

DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611017, 36-44 33,443.20





NAME OF COMPANY: Brooks Construction Company, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: F773E42A Page 15











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 KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 4680448-50, partial 51, 52-53 6,092.00

-------------------------------------------------------------------------------- Check: 6190E0D5 Page 12



-------------------------------------------------------------------------------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 4611029-34 21,371.00

DBEW LCK TRUCKING LLC Lease Race Conscious1171 E 400N , HARTFORD CITY, IN 47348partial hall 11-13, 16-24, 36 12,954.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 6190E0D5 Page 13











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 K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 4607110p, 111 Furnish & Install SRPM 11,924.00

-------------------------------------------------------------------------------- Check: AFDA02E6 Page 20



-------------------------------------------------------------------------------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 4621810p, 70-74, 75p, 76, 96-109 Construction Sign, TPM, PM, Line, TM 108,390.39

DBEW BUSCH LANDSCAPING LLC Subcontractor Race Conscious5703 N US 421 , OSGOOD, IN 4703753, 54, 56 Sod 6,680.30

DBEW CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 4713027-32 Milling (all partials) 47,639.15

DBE ENGEL MAN TRUCKING INC Lease Race Conscious7408 N TREE FARM ROAD , SOLSBERRY, IN 4745912, 14, 19, 24, 25, 33, 34, 38, 41, 115-118 Trucking (all partia 155,000.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: AFDA02E6 Page 21











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 NASH & SON TRUCKING COMPANY INC Lease Race Conscious1608 S JEFFERSON , MUNCIE, IN 47302#25 Hauling 230,969.20

-------------------------------------------------------------------------------- Check: 41BA5B16 Page 13






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 41BA5B16 Page 14











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 NATURAL CONSTRUCTION INC Subcontractor Race Conscious3793 US 40 , GREENFIELD, IN 461409 (partial),30,31,32 Misc concrete/Surface Masonry 90,975.00

-------------------------------------------------------------------------------- Check: 6E77C9FF Page 15



-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBE SHOSHONE TRUCKING LLC Lease Race Conscious1525 WEST HOOSIER BOULEVARD , PERU, IN 4697015,22,23,24 Haul (partial) 59,881.46





NAME OF COMPANY: E&B Paving, Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 6E77C9FF Page 16











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 Conscious2817 W 100 S , FRANKLIN, IN 4613112,23,24,26,131-146,159 275,738.50

-------------------------------------------------------------------------------- Check: 057E0326 Page 22





NAME OF COMPANY: Weddle Bros. Highway Group, LLC.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 057E0326 Page 23











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 CMG TRUCKING INC Lease Race Conscious7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 4733421,27-32,45 PARTIAL HAUL BORROW,MILLING,ASPHALT 167,000.00

-------------------------------------------------------------------------------- Check: D0E81D5B Page 19



-------------------------------------------------------------------------------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 4713027,28,29,125 PARTIAL MILLING 88,000.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 4621810P, 75,79-82,83P,84,85,113-121 CONST SIGNS & PVMT MARKING 103,000.00

DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 4611040, 47, 49 HAND RAIL, MONUMENTS 39,000.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 46071122,123 RAISED PVMT MARKERS 20,000.00





NAME OF COMPANY: Milestone Contractors, L.P.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: D0E81D5B Page 20











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 KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 4680419-22,23 (Partial) Constructions Sign 10,571.00

-------------------------------------------------------------------------------- Check: EF555FC9 Page 9



-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 465347 (Partial) ,26 Pavement Markings 2,750.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: EF555FC9 Page 10











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 462187P, 31-33. 34P TRAFFIC CONTROL 9,240.00

-------------------------------------------------------------------------------- Check: D196CFF7 Page 10



-------------------------------------------------------------------------------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 4611021,24,25,35,37 39,708.00

DBEW CMG TRUCKING INC Lease Race Conscious7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 4733417p HAULING 5,973.50






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: D196CFF7 Page 11








After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 471671P, 2P - CONSTRUCTION SIGNS AND STRIPING 10,000.00

DBEW C-TECH CORPORATION INC Subcontractor Race Conscious5300 W 100 N , BOGGSTOWN, IN 461101P, 2P- GUARDRAIL AND MONUMENTS 10,000.00

-------------------------------------------------------------------------------- Check: 80C597A5 Page 7



-------------------------------------------------------------------------------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 473021P, 2P-HAULING 10,770.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 462181P, 2P-CONSTRUCTION SIGNS AND STRIPING 10,000.00

DBE INDIANA TRAFFIC SERVICES LLC Subcontractor Race Conscious3867 NORTH COMMERCIAL PARKWAY , GREENFIELD, IN 461401P, 2P- CONSTRUCTION SIGNS AND STRIPING 10,000.00

DBEW M A S MARKERS INC Subcontractor Race Conscious1625 S 400 E , LEBANON, IN 460521P, 1P- RAISED PAVEMENT MARKER INSTALL AND REMOVE 7,000.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 460711P, 2P-RAISED PAVEMENT MARKER INSTALL AND REMOVE 7,000.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 471121P, 2P- EROSION CONTROL AND SEEDING 7,000.00






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 80C597A5 Page 8








After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW C L S INDUSTRIES INC Subcontractor Race Conscious3960 W STATE ROAD 60 P O BOX 138 , SALEM, IN 471671P, 2P - CONSTRUCTION SIGNS AND STRIPING 7,000.00

DBEW INDIANA SIGN & BARRICADE INC Subcontractor Race Conscious5240 E 25TH ST , INDIANAPOLIS, IN 462181P, 2P- CONSTRUCTION SIGNS AND STRIPING 7,000.00

-------------------------------------------------------------------------------- Check: 6FA95D54 Page 7



-------------------------------------------------------------------------------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 461401P, 2P-CONSTRUCTION SIGNS AND STRIPING 7,000.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 460711P, 2P- PAVEMENT MARKER INSTALLATION AND REMOVAL 7,000.00

DBEW M A S MARKERS INC Subcontractor Race Conscious1625 S 400 E , LEBANON, IN 460521P, 2P- PAVEMENT MARKER INSTALLATION AND REMOVAL 7,000.00

DBEW C A FULKERSON LLC Subcontractor Race Conscious1650 QUARRY ROAD , CORYDON, IN 471121P. 2P - SEEDING AND EROSION CONTOROL 7,000.00

DBE NASH & SON TRUCKING COMPANY INC Lease Race Conscious1608 S JEFFERSON , MUNCIE, IN 473021P, 2P- HAULING 7,000.00

DBEW ST JOHN TRUCKING INC Lease Race Conscious3625 WEST US HIGHWAY 50 , NORTH VERNON, IN 472651P, 2P-HAULING 7,350.00

DBEW MESSIER & ASSOCIATES INC Lease Race Conscious10412 WORTHINGTON LANE , PROSPECT, KY 400591P, 2P- HAULING 8,400.00

DBEW CMG TRUCKING INC Lease Race Conscious7050 SOUTH COUNTY ROAD 700 , DALEVILLE, IN 473341P, 2P-HAULING 7,000.00

-------------------------------------------------------------------------------- Check: 6FA95D54 Page 8






BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 6FA95D54 Page 9








After submission and approval of the Affirmative Action Certification foreach specific on-call job order, any change to the firms listed as DBESUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIALSUPPLIERS TO BE APPLIED TOWARD GOAL in each Affirmative Action Certificationmust have prior approval by INDOT’s Economic Opportunity Section, CentralOffice.-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 468041, 2 CONSTRUCTION SIGNS 43,000.00

DBEW STATEWIDE TRUCKING INC Lease Race Conscious7020 ARDMORE AVE P O BOX 9249 , FORT WAYNE, IN 468091, 2 HAULING (PARTIAL) 10,000.00

-------------------------------------------------------------------------------- Check: F81BC830 Page 7



-------------------------------------------------------------------------------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 471301, 2 ROAD PLANING (PARTIAL) 20,000.00





NAME OF COMPANY: E&B Paving, Inc

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: F81BC830 Page 8












RESPONDENT E & B Paving, Inc.ADDRESS 286 W 300 N

CITY/STATE/ZIP ANDERSON, IN 46012PHONE 765-643-5358

-------------------------------------------------------------------------------CERTIFICATION CODE AND MBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO MBE-------------------------------------------------------------------------------MBE CMG TRUCKING, INC. Lease Race ConsciousPO BOX 421245, INDIANAPOLIS, IN 46242-12459-13 HAULING (ALL PARTIAL) 17,787.00

DBEM RAMON EXCAVATING Lease Race Conscious7690 W GILLORD ROAD , BLOOMINGTON, IN 474039-13 - HAULING (ALL PARTIAL) 12,000.08


-------------------------------------------------------------------------------- Check: 38933890 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 CE HUGHES MILLING INC Subcontractor Race Conscious3113 HOLMANS LANE , JEFFERSONVILLE, IN 471308P, 11, 12 MILLING SCARIFICATION AND TRANSITION 21,926.26


-------------------------------------------------------------------------------- Check: 38933890 Page 11






Certified IVBE Name, Address and Telephone / Pay Item Number and Service Planned--------------------------------------------------------------------------------BRYAN'S HAULING & EXCAVATING, 900 S. ROBERSON RD.,ENGLISH, IN 47118,812-267-58689-13, HAULING (ALL PARTIAL) Actual Dollar Amount to be paid to IVBE: $ 8,000.00--------------------------------------------------------------------------------





Name of Company / Bidder Name: E&B PAVING, INC. / LARRY CANTERBURY Title: PRESIDENT Email Address: [email protected]




--------------------------------------------------------------------------------

Contract Number RS-38401-B Contract Bid Amount $2,639,121.10 DBE Goal 7.00%










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 TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 4653425 Partial 185,000.00

-------------------------------------------------------------------------------- Check: 20CD0FC9 Page 10





NAME OF COMPANY: Rieth-Riley Construction Co., Inc.

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 20CD0FC9 Page 11

Contract Number RS-38402-B Contract Bid Amount $6,388,925.00 DBE Goal 8.00%










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 TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 46534Items #8, 24-34 - Maintaining Traffic & Permanent Striping 540,000.00

-------------------------------------------------------------------------------- Check: 8B3A09C4 Page 10





NAME OF COMPANY: Rieth Riley Construction

BID DATE: 12-14-16

-------------------------------------------------------------------------------- Check: 8B3A09C4 Page 11











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 MONTGOMERY TRUCKING INC OF INDI Lease Race Conscious233 NW PASSAGE TRAIL , FORT WAYNE, IN 4682514-18-27,29-32,47-49,53,104 (All Partial ) Hauling 435,000.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW STATE BARRICADING INC Subcontractor Race Conscious24963 US 20 WEST , SOUTH BEND, IN 4662866,72 Construction Signs 16,305.00

DBEW K & S MARKERS INC Subcontractor Race Conscious2189 N 600 W , THORNTOWN, IN 4607110 (P) 101-102 Raised Snowplowable Pavement Markers 26,000.00






BID DATE: 12-14-16

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Contract Number RS-39589-A Contract Bid Amount $185,054.00 DBE Goal 12.00%










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 TRAFFIC CONTROL SPECIALISTS INC Subcontractor Race Conscious1810 W. PACIFIC AVE , KNOX, IN 46534partial 10, 41, 42, 44 2,924.00

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Contract Number RS-39589-A Contract Bid Amount $185,054.00 DBE Goal 12.00%


-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW KAREN HAAN INC Subcontractor Race Conscious1825 S HADLEY ROAD , FORT WAYNE, IN 4680434-37, partial 38, 43 13,285.00

DBEW LCK TRUCKING LLC Lease Race Conscious1171 E 400N , HARTFORD CITY, IN 47348partial haul 17-23 6,000.00






BID DATE: 12-14-16

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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 Neutral4201 MILLERSVILLE ROAD P O BOX 18523 , INDIANAPOLIS, IN 4621827,28,30,31,44,45,46,47,49,64.65 180,209.95

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NAME OF COMPANY: Shambaugh & Son LP

BID DATE: 12-14-16

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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 46218015 Sign Post 40,005.00

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NAME OF COMPANY: Michiana Contracting

BID DATE: 12-14-16

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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 APEX CONSULTING & SURVEYING Subcontractor Race Conscious12010 S ANTHONY BLVD , FORT WAYNE, IN 46819105-06845 6,900.00

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NAME OF COMPANY: WL Markers, Inc.

BID DATE: 12-14-16

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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 HIGHWAY SAFETY SERVICES INC Subcontractor Race Neutral3215 IMPERIAL PARKWAY , LAFAYETTE, IN 479036,14,15,16,30,31 12,790.00

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NAME OF COMPANY: Shambaugh & Son LP

BID DATE: 12-14-16

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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 APEX CONSULTING & SURVEYING Subcontractor Race Conscious12010 S ANTHONY BLVD , FORT WAYNE, IN 46819Construction Engineering 10,500.00

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NAME OF COMPANY: WL Markers, Inc.

BID DATE: 12-14-16

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Contract Number T -36153-B Contract Bid Amount $202,640.93 DBE Goal 1.00%










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 46218008-Square post hardware 4,367.80

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NAME OF COMPANY: Michiana Contracting

BID DATE: 12-14-16

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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 4621811,50-55,84-92 Signs & Pvmt Markings 36,258.86

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NAME OF COMPANY: Morphey Construction, Inc.

BID DATE: 12-14-16

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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 APEX CONSULTING & SURVEYING Subcontractor Race Conscious12010 S ANTHONY BLVD , FORT WAYNE, IN 46819Item 13: SWQCO Preparation and Implementation, Level 1 4,160.00

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-------------------------------------------------------------------------------CERTIFICATION CODE AND DBE NAME USED AS PARTICIPATIONAND ADDRESS ACTUAL DOLLAR AMOUNTPAY ITEM NUMBER AND SERVICE PLANNED TO BE PAID TO DBE-------------------------------------------------------------------------------DBEW BUSCH LANDSCAPING LLC Subcontractor Race Conscious5703 N US 421 , OSGOOD, IN 47037Item 22 & Item 23: Seeding 3,240.00

DBEW HOOSIER COMPANY INC Subcontractor Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268Items 8, 27, 28, 29, 30: Signal Installation 34,784.81

DBE B & B CONTRACTING AND SUPPLY LL Subcontractor Race Conscious750 S. KEYSTONE AVE , INDIANAPOLIS, IN 46203Item 24, 25, 26, 27: Construction Signs 17,615.36

DBEW HOOSIER COMPANY INC Supplier DBE Reg. Dealer Race Conscious5421 W 86TH STREET P O BOX 681064 , INDIANAPOLIS, IN 46268Item 18: Material Supplier 48,000.00





NAME OF COMPANY: Specialties Company, LLC & Subsidiary

BID DATE: 12-14-16

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Documents

MINORITY AND WOMEN'S BUSINESS ENTERPRISES …MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN ... Mobe and SPM 31,528.00 DBEW C A FULKERSON LLC Subcontractor Race Conscious