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<br />1 <br />Form Ver. 7-08-16 <br /> <br />(Rev. 03/28/2016) <br /> <br />DES. #: ____2100022 ____ <br /> <br />Affirmative Action Certification (AAC) for Disadvantages Business Enterprises (DBE) <br /> <br />I hereby certify that my company intends to affirmatively seek out and consider Disadvantaged Business Enterprises <br />(DBEs) certified in the State of Indiana to participate as part of this proposal. I acknowledge that this certification is <br />to be made an integral part of this proposal. I understand and agree that the submission of a blank certification may <br />cause the proposal to be rejected. I certify that I have consulted the following DBE website to confirm that the firms <br />listed below are currently certified DBEs: http://www.in.gov/indot/2732.htm. <br /> <br />I certify that I have contacted the certified DBEs listed below, and if my company becomes the CONSULTANT, these <br />DBEs have tentatively agreed to perform the services as indicated. I understand that neither my company nor I will be <br />penalized for DBE utilization that exceeds the goal. After contract award, any change to the firms listed in this <br />Affirmative Action Certification to be applied toward the DBE goal must have prior approval by INDOT’s Economic <br />Opportunity Division. <br /> <br />I. DBE Sub consultants to be applied toward DBE goal for the RFP item: <br />Certified DBE Name to DBE Service Planned Estimated Percentage to be Paid * <br />Civil Engineering Consultants, Inc. 6.1, 11.1 4 % <br />Adv anced Engineering Services, <br />Inc. 7.1 3% <br /> <br /> <br /> <br />II. DBE Sub consultants to be utilized beyond the advertised DBE goal for the RFP item: <br />Certified DBE Name to DBE Service Planned Estimated Percentage to be Paid * <br /> <br /> <br /> <br /> <br /> <br />Estimated Total Percentage Credited toward DBE Goal: 7 % <br />Estimated Percentage of Voluntary DBE Work Anticipated over DBE Goal: 0 % <br />Name of Company: Lochmueller Group, Inc. <br /> <br />By: Date: 2/22/2022 <br /> <br />* It is understood that these individual firm percentages are estimates only and that percentages paid may be greater or <br />less as a result of negotiation of contract scope of work. My firm will use good faith efforts to meet the overall DBE <br />goal through the use of these or other certified and approved DBE firms.