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Page 1 of 1 <br /> Request for Proposals Bulletin: City of South Bend, Indiana <br /> Coal Line Trail (Phase II) from <br /> Riverside Drive to S.R. 933 <br /> (Des. No. 1401811) LaPorte District <br /> <br />AFFIRMATIVE ACTION CERTIFICATION <br /> <br />I do 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 that this <br />certifications to be made an integral part of this proposal. I understand and agree that the submission of a blank <br />certification may cause the proposal to be rejected. I certify that I have consulted the following DBE website to <br />confirm that the firms listed below are currently certified DBEs: <br />https://financial.gmis.in.gov/psc/guest/EMPLOYEE/ERP/c/SOL_APPS_MWBE.SOI_DBE-CERT.GLD?& <br />I certified that I have contacted the certified DBEs listed below, and if my company becomes the CONSULTANT, <br />these DBEs have tentatively agreed to perform the services as indicated. <br />I understand 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 DBE goal must <br />have prior approval by INDOT’s Economic Opportunity Division. <br /> <br />SUBCONSULTANTS <br /> <br />DBE SUBCONSULTANTS TO BE APPLIED TOWARD GOAL <br /> <br />Certified DBE Name Service Planned Estimated Percentage to be Paid to <br />DBE* <br /> <br />McCormick Engineering, LLC 13.1 3% <br /> <br /> <br />DBE SUBCONSULTANTS TO BE USED BEYOND GOAL <br /> <br />Certified DBE Name Service Planned Estimated Percentage to be Paid to <br />DBE* <br /> <br /> <br /> <br /> <br />Total Percentage Credited toward DBE Goal: 3 % <br /> <br />DBE Total Percentage of Voluntary DBE Work Anticipated over DBE Goal: 0 % <br /> <br />Name of Company: Lawson-Fisher Associates P.C. <br /> <br />By: Date: October 26, 2021 <br /> Paul A. Hummel, P.E., President/Senior Civil Engineer <br /> <br />*It is understood that these individual firm percentages and dollar amounts are estimates only and that amounts paid <br />may be greater or less as a result of negotiation of the contract scope of work. My firm will use good fa ith efforts <br />to meet the overall DBE goal through the use of these or other certified and approved DBE firms.