HomeMy WebLinkAboutOpening of Proposals - Olive St. Pavement Reconstruction, Phase II Proj No. 114-064 - DLZ Indiana, LLCCITY OF SOUTH BEND
Olive Street Phase 2
Road Improvements
Construction Inspection Services
September 14, 2021
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 1
LOCAL EXPERIENCE, AVAILABILITY, COMMUNICATION, COMMITMENT, AND SAFETY – You and your team along
with the local elected officials and the public can expect these essential elements for the Olive Street Phase 2 Road
Improvement project. We understand that this is Phase 2 of the overall Olive Street roadway improvement, with Phase 1
currently under construction. You deserve the addition of a Construction Inspection Team who appreciates your efforts
and brings to you these elements for success.
A PROJECT APPROACH THAT WORKS – DLZ has developed a proven approach that helps deliver successful projects.
A well-managed project can be completed efficiently, on-time, safely, without accidents, incidents, or excessive
disruption to traffic, with quality construction and regular communication to the local community.
LOCAL PROJECT FAMILIARITY – Our entire project team is locally based, ready to respond at a moments notice, 24/7,
to help meet your goals. DLZ Field Services personnel and our subconsultant live and work in the South Bend area.
THE RIGHT PROJECT TEAM – With a proven track record of successful project delivery, Steve Menis will be the Project
Engineer. Steve has completed several roadway and path projects in the area. You will be in the best technical hands
with Steve and the rest of the project team.
A FIRM WITH SEASONED CONSTRUCTION INSPECTION EXPERIENCE – DLZ is a recognized leader in the construction
field with one of the largest INDOT approved construction inspection teams in the State. Brad Dailey, Project Manager,
and Steve Menis, our proposed Project Engineer, have a combined 44 years of construction experience delivering similar
projects like the Olive Street project. Providing a highly experienced project team for the City is our highest priority and
is critical to producing quality and long lasting transportation projects.
COMMUNICATION AND COORDINATION – DLZ will coordinate with you and your team on this project to keep you
informed of the work schedule and critical deadlines. A successful project relies on prioritizing these key elements. As
local officials, you must be informed and aware as issues are identified and resolved.
COMMITMENT TO SAFETY – Safety is a fundamental part of the DLZ culture. It is of utmost importance that project
personnel arrive home safely to their families at the end of each day. A complete understanding of the contractor’s
planned work and safety plan is a cornerstone of the DLZ philosophy. All of DLZ’s field services team is a minimum of
10-hour OSHA Construction Safety trained.
The City of South Bend can place its trust in DLZ as your partner. Thank you for this opportunity and your consideration
for this project.
Respectfully submitted,
DLZ INDIANA, LLC
Andrew C. Lemberis, PE | Vice President
CITY OF SOUTH BEND | Olive Street Phase 2 Road
Improvements
DLZ Indiana, LLC
2211 East Jefferson Boulevard
South Bend, IN 46615
574.236.4400 | www.dlz.com
Authorized Negotiator
Andrew C. Lemberis, PE | Vice President
574.514.3713 | alemberis@dlz.com
DLZ Indiana, LLC | 95%
McCormick Engineering, LLC (DBE) | 3%
TEAM
PARTICIPATION
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 2
WHY SELECT
OUR TEAM?
We believe that it’s not just what we
do, it’s how we do it. That’s why we
proactively manage our relationships
with clients. As a rule, clients don’t
simply want to be notified when the
job is done—they want to be kept up
to date. So we listen, we communicate,
and we deliver. For us, the ultimate
reward is a happy client. We believe
every job is different, and that we owe
it to you to never make assumptions.
Sure, we have plenty of experience, but
we realize your needs are unique—so
we won’t take anything for granted.
We believe working hard for our clients
is its own reward. That’s why we’re
proud to stand behind the projects we
work on. Besides, the majority of our
business is from repeat customers.
That’s a testament not only to the
quality of our work, but also to
the quality of our client service.
Identification
DLZ Indiana, LLC
We focus on meeting and exceeding our
clients’ expectations and are known for
our expertise, integrity, and contributions
to the people and communities we serve.
A family-and minority-owned, full-service
firm, DLZ’s multidisciplinary, collaborative
approach to professional services allows us to
build and lead successful project teams that
provide solutions that save money, improve
operations, and solve problems.
OUR VISION IS SIMPLE: Create successful
partnerships with our clients that facilitate
trust, commitment, and communication.
Construction Services
DLZ is a recognized leader in the construction
inspection field with one of the largest
INDOT prequalified construction inspection
(13.1) teams in the State. Through our
work experience over the years with local
governments and INDOT, our DLZ team
has developed excellent relationships and
a great understanding of the needs of each
type of organization and specifically INDOT-
LPA projects. We have developed strong
professional partnerships with the INDOT Area
Engineers and many of the INDOT Project
Managers. These overall capabilities, our
established working relationships, and our
ability to work efficiently, demonstrates our
high level of commitment and qualifications
to perform the required services on this
contract.
McCormick Engineering, LLC
McCormick Engineering, LLC (McCormick) is
a local consulting firm providing professional
services for both the public and private sector
for more than 35 years. McCormick is an
Indiana Certified DBE/WBE firm. McCormick
has provided engineering services to the public
sector since 2008.
CIty of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 3
Inspection Team
Michael Cunningham (DLZ)
Tracy McCormick, PE
(McCormick)
Project Manager
Brad A. Dailey, PE
Principal in
Charge
Andrew C.
Lemberis, PE
City of South Bend
INDOT
PROJECT ENGINEER
Steve Menis
PROJECT
TEAM
Project Engineer
Steve Menis
Steve has 21 years of experience performing
construction supervision, administration,
inspection, testing and final records
documentation for various construction projects.
He has performed construction inspection
and testing services on four of INDOT’s largest
projects. Steve has been the project engineer
for a variety of INDOT projects, which include
road resurfacing, road reconstruction, bridge
rehabilitation and bridge replacement. He also
has design experience in both highway and
public works projects. Steve has performed
topographical surveys as well as material testing
on several private developer projects. He is
proficient in all the construction administration,
inspection and testing procedures of INDOT.
Relevant Experience
• Four Winds South Bend - Offsite Road
Improvements, Road Reconstruction and
Widening on SR 23 in South Bend, St.
Joseph County, Indiana
• INDOT Contract R-39089, Stellar Trail,
North Liberty, Indiana
• INDOT Contract R-37503, 12th Street
Reconstruction (Campbell Street to
Downey Avenue), Mishawaka, Indiana
• Douglas Road and Grape Road Eastbound
Right Turn Lane, PCCP Patching, Road
Reconstruction and Widening, Mishawaka,
Indiana
12TH STREET • Mishawaka, Indiana
STELLAR TRAIL • North Liberty, Indiana
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 4
TRACY MCCORMICK, PE | Inspector
Tracy is experienced in the planning, design and construction observation of
civil engineering projects. She is Co-founder of McCormick Engineering, LLC,
a firm recognized by the State of Indiana as a Women’s Business Enterprise
(WBE) and Disadvantaged Business Enterprise (DBE).
• Cleveland Road and Ash Road Roundabout, St. Joseph County, Indiana
• Gumwood Road Reconstruction, Phase I and II, St. Joseph County, Indiana
• Landscaping and Beautification of Michigan Street, New Carlisle, Indiana
• Olive and Sample Roadway Reconstruction, South Bend, Indiana
• Edison Road Auxiliary Lane, South Bend, Indiana
• Michigan Boulevard Reconstruction, Michigan City, Indiana
• 169th Street Reconstruction, Hammond, Indiana
• 45th Avenue Reconstruction, Lake County, Indiana
• Old US 30 Improvement and Streetscape, Kosciusko County, Indiana
MICHAEL CUNNINGHAM | Inspector
Mr. Cunningham has four years of construction inspection experience. His
responsibilities as a construction inspector is overseeing the day to day
operations, collecting material tickets, log daily material quantities, pay for
designated work items, and log daily tasks completed.
• INDOT Contract R-39089, Stellar Trail, North Liberty, Indiana
• SR 23 Widening, Mishawaka, Indiana
• 2020 Community Crossroads Paving, Mishawaka, Indiana
• 2019 Community Crossing Projects, Mishawaka, Indiana
• INDOT Contract R-37503, 12th Street Reconstruction (Campbell Street to Downey Avenue),
Mishawaka, Indiana
• INDOT On-Call (RFP 191007b), Indiana Department of Transportation District, LaPorte, Indiana
A TEAM BUILT FOR PROJECT SUCCESS!
Brad has 23 years experience in the
construction industry. He is currently involved
in numerous construction projects including
all types of road, bridge, traffic and building
projects. As the Division Manager for DLZ’s
Construction operations, Brad is a hands-on
leader and is responsible for quality control,
scheduling, and financial management of field
services professional services contracts. His
responsibilities also include administrative
management of the division and project
coordination of its professional staff, as well as
a project technical resource for negotiating
with contractors and resolving project issues
during construction.
Relevant Experience
• INDOT Contract R-37372, Calumet Avenue
Reconstruction and Shared-use Path,
Valparaiso, Indiana
• INDOT Contract R-37503, 12th Street
Reconstruction (Campbell Street to
Downey Avenue), Mishawaka, Indiana
• Pennsy Greenway Trail Phases II and III,
Schererville, Indiana
• LaSalle Trail Phase III, St. Joseph County,
Indiana
• INDOT Contract R-39089, Stellar Trail,
North Liberty, Indiana
PROJECT MANAGERBrad A. Dailey, PE
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 5
PROJECT UNDERSTANDING
DLZ understands, per the Request for Proposal, that
Construction Inspection services are needed for the
Olive Street Phase 2 Road Improvements Project. The
project, INDOT Contract R-43125, is currently set for a
March 2022 letting, but may move up to January 2022.
The project involves construction of a three-lane road
and an 8’ multi-use path between Tucker Drive and
Indiana Court. A Norfolk Southern Railroad Crossing
is located within the project limits. Per the plans,
a paving exception will exist at the crossing. From
discussions with Leslie Biek, Norfolk Southern will be
redoing the crossing during the project, which includes
new crossing gates.
We understand that this is Phase 2 of a multi-phase
project. The existing pavement on Olive Street is an
asphalt roadway. The proposed pavement section
included in the project is 10-inches of PCCP, on
6-inches of compacted aggregate. A new concrete
center curb will be constructed at the Norfolk
Southern crossing. New storm inlets will be installed
to help with drainage, along with integral concrete
curb. The proposed multi-use path will be an 8-foot-
wide, but will transition to 5-foot and tie into the
existing sidewalk at the north end of the project.
There is currently no sidewalk crossing the tracks.
During construction, Olive Street will be closed to
traffic within the project limits. Due to the closure, the
proposed detour truck route will be lengthy.
Looking South on Olive Street at tie-in with
Phase 1 Construction
TUCKER DRIVE
INDIANA COURT OLIVE STREETN
Existing Norfolk Southern Crossing
PHASE I
(Currently Under Construction)
INDIANA AVENUE
PHASE 2
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 6
SITE CONSIDERATIONS
View Looking Southeast at Businesses Along Olive Street
Challenge
Phase 2 includes businesses on Olive Street within the project limits that will be impacted by the
construction operations. DLZ expects there to be questions and concerns from the businesses as
well as the traveling public and residents during construction of this project.
Solution
DLZ knows that the City of South Bend is our most important stakeholder on this project, and we
will coordinate with you and other stakeholders based on a plan that includes and is approved by
the City. However, our overall goal is to be your least concern and work directly with the contractor
and stakeholders to communicate the important messages seamlessly. Steve Menis has excellent
communication skills as demonstrated on previous difficult projects. He will use these skills to build
a solid line of communication between the contractor, inspection team and the City. Steve
will hold regular progress meetings with you, as your schedule allows, and will keep you up to date
and informed as the project progresses.
WE KNOW
THE AREA
After a recent site visit, combined with
our past experience on INDOT-LPA
projects, we thoroughly understand
the requirements of this project
and the City’s expectations. Our
experience on projects like this tells
us that the “best laid plans often go
awry.” Even with the most thorough
project planning and scrutinized
design, existing conditions can create
issues that need to be properly
addressed by an experienced project
team in a proactive manner. The
following are some key elements
that we have identified.
COMMUNICATION WITH STAKEHOLDERS
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 7
Challenge
The existing railroad crossing is to be reconstructed
by Norfolk Southern during the Olive Street closure.
Delays in work to the crossing will delay opening
Olive Street.
Solution
Close coordination will be needed with Norfolk
Southern during construction to avoid any potential
delays in work to the crossing.
Existing Norfolk Southern Railroad
Crossing Looking West
NORFOLK SOUTHERN RAILROAD CROSSING
RAILROAD EXPERIENCE
Working with railroads presents unique challenges to a project. Establishing and maintaining a
strong line of communication with a railroad is essential to a successful project. Our prior experience
with railroads, including the Norfolk Southern, has demonstrated our ability to work proactively with
the projects’ winning contractor and railroad to keep all moving forward in unison. Our involvement
with the Main Street Underpass in Mishawaka and the South Link Road Overpass project in Goshen,
involved continual railroad coordination and helped both projects be completed on time.
Main Street Underpass at Grand Trunk Western South Link Road over Norfolk Southern Railroad
INDOT PROJECTS WITH
RAILROAD INVOLVEMENT
• Contract B-36229 | 45th Street Grade
Separation | Munster, Indiana
• Contract R-37320 | Ryan/Bruick Road
Reconstruction | Allen County, Indiana
• Contract B-33568 | I-94 Bridge Deck
Replacement on 6 Bridges | Lake County,
Indiana
• Contract R-34132 | South Link Road and
New Bridge Overpass | Goshen, Indiana
• Contract B-38613 | Bridge Deck Overlay/
Replacement on 10 Bridges | Elkhart
County, Indiana
• Contract R-40277 | Asphalt and Bridge
Deck Overlay on US 31 | Marshall County,
Indiana
45th Street Grade Separation
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 8
Challenge
Based on our recent site visit, it is apparent
that there are a considerable number of
existing utilities within the project limits.
Potential conflicts with existing utilities
could occur during construction.
Solution
Regular coordination with all affected
utilities will be needed to help prevent
project delays or added costs due to
utilities. We will communicate regularly
with the utilities, including encouraging
them to attend all construction progress
meetings, to help keep them active and
involved in the project.
EXISTING UTILITIES
Location of Utilities will be Monitored for Potential Conflicts
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 9
QUALITY: Using best practices and
guidance from the City, our team will
develop standards for the bidirectional
flow of information between the field and
the office. On a project with direct impacts
to so many stakeholders, it is critical that
standard processes and procedures be
followed by all team members to ensure
the integrity of the information.
TEAMWORK: The DLZ team will function as
an extension of your staff, working toward
the common goal of a successful project.
DLZ will be the central component of the
overall project team consisting of the City,
INDOT, and DLZ.
COMMUNICATION: There are various
audiences and types of communications on
a project of this type. The highest priority
communications are those related to the
safety of the public and workforce on site. A
detailed communication plan for the project
will be developed for both inter and intra
project communications, including a robust
plan for needs related to public outreach.
SCHEDULE: We understand that delivery
dates are crucial on this project as delays
can affect when the unrestrictive use of
the trail will be available. The contractor’s
schedule will be monitored regularly, and
any deviations will immediately be brought
to the contractor’s attention for resolution.
COST CONTROL: The DLZ team will
be constantly vigilant for cost saving
opportunities on the project. This can be
accomplished through various avenues
including value added opportunities,
change order management, identifying
potential issues prior to causing a delay,
and managing inspection staffing levels.
SAFETY AND WORK SITE MANAGEMENT:
Safety of the worker and public are of
utmost importance. For this project,
eliminating pedestrian and worker
interactions that could create unsafe
conditions will be critical. The team will
scrutinize the staging, proposed work
plan and address deficiencies. We will
communicate with the City to inform you of
changes to site access in order to notify the
public and monitor safety and mobility.
PROJECT MANAGEMENT APPROACH
DLZ’s Commitment
to COVID 19–related
Safety Protocols
As an essential business, DLZ’s
continuity of services is integral to our
clients’ maintenance of our country’s
public infrastructure. In support of the
nationwide effort to stop the spread
of COVID 19, DLZ and its employees
follow all coronavirus protocols and
guidelines, updates, and revisions
issued by the States in which DLZ
provides services and the U.S. Centers
for Disease Control and Prevention.
We are all in this fight together.
We will continue our commitment
to serving our clients, in a safe
manner, and quickly updating our
procedures as new developments
occur. Elements of this Proposal have
taken current circumstances and our
precautions into account. However,
please understand that how we
operate in this environment is subject
to change. Many of our clients have
their own safety-related agreements
and protocols, and we are open to
your own requirements as part of our
proposed project partnership with you.
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 10
PROJECT
EXPERIENCE
DLZ professionals strive to provide
unmatched client service while
meeting all of a project’s objectives.
The firm’s engineers, architects,
planners, and technical support
staff are innovative and understand
that every project is different.
The professionals at DLZ have the
experience and expertise to realize
that each client’s needs and wants
are unique. We approach each
project with this in mind and we
stand behind the work that we do.
LASALLE TRAIL, PHASE III
St. Joseph County, Indiana
DLZ provided construction inspection services
for the extension of the LaSalle Trail shared use
path from Auten Road to the Indiana/Michigan
State Line. Work included construction of ADA
compliant infrastructure with trail being 10 feet
wide and hard-surfaced concrete pavement
with 2-foot shoulders. The length of the path is
5,700 feet.
The path follows the alignment on the existing
former railroad bed and aligns with the trail
from the previous phase, LaSalle Trail Phase
II. Coordination was required to align the path
from the south side of State Line Road to the
north side with the existing IN-MI River Valley
Trail.
TAMARACK TRAIL
North Liberty, Indiana
Construction inspection services were
provided for the construction of a new
4,600-foot asphalt trail from Quinn Road
to Wabash Avenue. The trail connects
the North Liberty Community Center to
the North Liberty Youth League Ballpark
along the abandoned railroad corridor
(formerly Indiana, Illinois, and Iowa
Railroad). Approximately 2,200 feet of
woods were cleared as part of the project.
Construction of the project also included
subgrade treatment, compacted aggregate,
and seeding. Coordination for the project
included maintenance of traffic, staging of
construction, construction schedule, and
material testing.
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 11
INDOT CONTRACT B-36229,
45TH STREET GRADE SEPARATION
Munster, Indiana
DLZ provided project management,
construction administration and inspection
services for a new grade-separated crossing
with the Canadian National Railroad. The
project involved a temporary railroad
shoofly, earth retaining system, 45th Street
realignment, Calumet Avenue reconstruction,
1,250 feet of HMA multi-use trail, a new steel
pedestrian bridge, and new lift station and
permanent dewatering system.
INDOT CONTRACT R-37320,
RYAN/BRUICK ROAD RECONSTRUCTION
Allen County, Indiana
DLZ provided construction inspection
services for new roadway. The new road
provided 12 foot travel lanes (one per
direction) with 10 foot wide shoulders.
However, the County requested that the profile
and alignment be designed so that when
additional capacity was needed, the roadway
could easily be converted to a four-lane curbed
and gutter facility. The project included the
analysis of existing ditches and the design of
new roadside ditches to provide the capacity
necessary to transport the stormwater runoff
from the proposed improvements and the
anticipated development along the corridor.
The intricate drainage design utilizes new
culverts and an enclosed storm sewer system
to collect and convey the drainage to the outfall
location, located north of Bremer Road to the
Bandalier Ditch. Also, relocation of 2,300 feet
of the Bandalier ditch along Ryan Road from
Harper Road south to the northern set of the
Norfolk Southern Railroad tracks.
GARY/CHICAGO INTERNATIONAL
AIRPORT RUNWAY 12/30 EXTENSION
Gary, Indiana
DLZ provided program construction
management services for railroad relocation
and highway bridge construction. The project
included the following:
• Coordination with CD, NS, CSX Railroads
and various utility relocations.
• Construction Contract Administration
• Construction Coordination
• Quality Assurance
• Field Coordination and Inspection
• Construction Progress Documentation and
Reporting
• Construction Claims Prevention
• Maintenance of Record Drawings and
Associated Information
• Construction Closeout Support
• Safety Reviews
City of South Bend | Olive Street Phase 2 Road Improvements | Construction Inspection Services | 12
WRENWOOD TRAIL
North Liberty, Indiana
DLZ provided construction inspection services
for the construction of a new asphalt trail
from North Liberty School to the Potato Creek
Crossing Subdivision. A new 70’-2”
Pre-Engineered Steel Truss Bridge was
constructed over Potato Creek. The bridge
consisted of steel piling, concrete end bents
and reinforced concrete bridge approaches.
Construction of the project also included
subgrade treatment, compacted aggregate,
curb ramp, and landscaping. Coordination for
the project included maintenance of traffic,
staging of construction, construction schedule,
and material testing.
OAK SAVANNAH TRAIL
Gary, Indiana
DLZ provided construction inspection
services for the Oak Savannah Trail Project
in Gary, Indiana. The project consisted of the
installation of a three-sided box culvert under
Broadway (SR 53) in order to reroute the
trail directly beneath the roadway. The grade
separation crossing was constructed rather
than utilizing city sidewalks to a signalized
intersection used previously to improve the
safety of the roadway/trail crossing.
Project elements included stormwater
management, new sidewalks, landscaping,
and tunnel lighting. DLZ provided continuous
resident construction management and
observation, review of shop drawing
submittals, preparation of change order
requests, and preparation of the construction
record.
PENNSY GREENWAY TRAIL
PHASES II AND III
Schererville, Indiana
DLZ was retained by the Town of Schererville
Parks and Recreation Department to provide
the design and construction inspection
services for the second and third phases
of the Pennsy Greenway Trail. This 3.5-mile
section of the trail received Transportation
Enhancement funding and lay within a high
priority corridor.
The project extended from Schererville Town
Hall northwesterly along the abandoned
Penn Central railroad corridor to Main Street.
This phase connects to existing trails at both
termini. The project completes a nine-mile
continuous section of the trail in Indiana.
Also included with the trail is a trailhead,
Hawk pedestrian traffic signal, retaining
wall, decorative fencing, two parking lots,
trail signage, and wetland mitigation.
DLZ performed construction engineering,
materials testing, and record keeping
in conformance with INDOT and FHWA
guidelines.
Standard RFP Form Ver. 8-22-18
6
(Rev. 06/27/18)
Des. #: Click here to enter text.
Affirmative Action Certification (AAC) for Disadvantaged Business Enterprises (DBE)
I hereby certify that my company intends to affirmatively seek out and consider Disadvantaged Business Enterprises (DBEs) certified
by the State of Indiana’s DBE Program and the Kentucky Transportation Cabinet (KYTC) DBE Program to participate as part of this
proposal. An Agreement between INDOT and KYTC established reciprocal acceptance of certification of DBE firms in their
respective states under the Unified Certification Program (UCP) pursuant to 49 CFR §26.81(e) and (f).
I acknowledge that this certification is to be made an integral part of this proposal. I understand and agree that the submission of a
blank certification may cause the proposal to be rejected. I certify that I have consulted the following DBE websites to confirm that
the firms listed below are currently certified DBEs:
INDOT: https://entapps.indot.in.gov/DBELocator/
KYTC: https://transportation.ky.gov/Civil-Rights-and-Small-Business-Development/Pages/Certified-DBE-Directory.aspx
I certify that I have contacted the certified DBE’s listed below, and if my company becomes the CONSULTANT, these DBEs have
tentatively agreed to perform the services as indicated. I understand that neither my company nor I will be penalized for DBE
utilization that exceeds the goal. After contract award, any change to the firms listed in this Affirmative Action Certification to be
applied toward the DBE goal must have prior approval by INDOT’s Economic Opportunity Division.
I. DBE Subconsultants to be applied toward DBE goal for the RFP item:
Certified DBE Name Service Planned Estimated Percentage to
be Paid*
%
%
%
%
II. DBE Subconsultants to be utilized beyond the advertised DBE goal for the RFP item:
Certified DBE Name Service Planned Estimated Percentage to
be Paid*
%
%
%
%
Estimated Total Percentage Credited toward DBE Goal:___________
Estimated Percentage of Voluntary DBE Work Anticipated over DBE Goal:__________
Company Name: ____________________________________________________________________
Signature: ___________________________________________ Date: ________________________
∗ It is understood that these individual firm percentages are estimates only and that percentages paid may be greater or less as a result
of negotiation of contract scope of work. My firm will use good faith efforts to meet the overall DBE goal through the use of these
or other certified and approved DBE firms.