Opening of Proposal - INDOT School Zone Flashing Beacon Assemblies - VS Engineering

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(Rev.06/27/2018) Request for Proposal Number: Des 1801240 RFP Item Descrlptlom'. School Zone Flashing Beacons at a9 Schools Safety Improvements within the City of South Bend, Indiana 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: NDOT: ItttDs://eritaDDs.indot.'in.ao�v/DBELocator KYTC: !1LUPS.11trarsjoirttion.y, v Cvil-Rs-aggi6�ves-DeveloentPa -DBE-Director .as�ia,A I certify that I have contacted the certified DBEs 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. II. DBE Subconsultants to be utilized beyond the advertised DBE goal for the RFP item: Estimated Total Percentage Credited toward DBE Goal:00, Estimated Percentage of Voluntary DBE Work Anticipated over DBE Goal: Company Name: VS Engineering, Inc. Signature �� ' Date: November 13 2018 *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 the contract scope of work. My company will use good faith efforts to meet the overall DBE goal through the use of these or other certified and approved DBE firms.