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Request for Proposals Bulletin: <br />Project: School Zone Flashing Beacons at 39 Schools Safety Improvements within the City cf <br />South Bend Indiana des # 1801240 in Lal Pile District <br />AFFIRMATIVE ACTION CERTIFICATION <br />I hereby certify that my company intends to affirmatively seek out and consider Disadvantaged Business <br />Enterprises (DBEs) certified in the State of Indiana to participate as part of this proposal. I acknowledge <br />that this certification is to be made an integral part of this proposal. I understand and agree that the <br />submission of a blank certification may cause the proposal to be rejected. I certify that I have consulted <br />the following DBE website to confirm that the firms listed below are currently certified DBEs: <br />http , //finappil.b .g .1r7Wg t l p/ ttc t/lal It l t f .1 w�F,l l'lc " C , l'PS MW13 .... 01 DBE CERT GBL <br />I certify that I have contacted the certified DBEs listed below, and if my company becomes the <br />CONSULTANT, these DBEs have tentatively agreed to perform the services as indicated. I understand <br />that neither my company nor I will be penalized for DBE utilization that exceeds the goal. After contract <br />award, any change to the firms listed in this Affirmative Action Certification to be applied toward the <br />DBE goal must have prior approval by INDOT's Economic Opportunity Division. <br />SUBCONSULTANTS <br />DBE SUBCONSULTANTS TO BE APPLIED TOWARD GOAL <br />Certified DBE Name Service Planned Estimated percentage to be aid to DBE* <br />VS Engineering 6.1 3% <br />4275 N. High School Rd. <br />Indianapolis, IN 46254 <br />317.293.3542 <br />DBE SUBCONSULTANTS TO BE USED BEYOND GOAL <br />DBE Name Service Planned Estimated percentap-e to be paid to DBE* <br />Estimated Total Percentage Credited toward DBE Goal: 3% <br />Estimated Percentage of Voluntary DBE Work Anticipated over DBE Goal: 4% <br />Name of Company: The Tro er Grou , Inc. <br />B• iy *,� C . Date: <br />11/12/2018 <br />*It is understood that these individual firm percentages and dollar amounts are estimates only and that amounts paid may be <br />greater or less as a result of negotiation of the contract scope of work. My firm will use good faith efforts to meet the overall <br />DBE goal through the use of these or other certified and approved DBE firms. <br />