HomeMy WebLinkAboutOpening of Proposals - Bendix Phase 2 Improvements - AbonmarcheBOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date 8/12/2026
Name Leslie Biek, PE Department PW
BPW Date 8/25/2026 Phone Extension 9323
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach
Required Information
Company or Vendor Name
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name Bendix Ph 2 Improvements from Lathrop to Voorde
Project Number 121-047: Des # 2100022; PROJ 338
Funding Source River West Development Area (Airport)
Account No.
Amount
Terms of Contract
Purpose/Description Opening proposals for Construction Inspection for the Bendix Ph 2 project.
For Change Orders Only
Amount of Increase Decrease
$
($ ) Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %)
Time Extension Amount: New Completion Date:
Standard RFP Form Ver. 9/2025
6
(Rev. 06/27/18) Des. #: 2100022
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.
None N/A 0
None N/A 0
0%
0%
Abonmarche Consultants, Inc.
August 25, 2026