b1b52927-8585-4d09-95e7-3bad6e2fddddtkhZv1sy0saXKzAqft4LFWxE02vNmpOOslnLvShScls=0.0.0.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{{DescriptionIDESCRL}} {{DescriptionPISUPDES}}5FULLtrue5truetrueTime NumberTime TypeCost Per DayTime DaysExtension CostTime Totaldemo.bidx.combiddownload.xps
Indiana Department of Transportation
PROPOSAL FOR
Letting ID: {{EBSX.Letting.LettingId}}{{EBSX.Letting.LettingDateTime}}
Contract ID: {{EBSX.Letting.Proposal.ContractId}}
Call: {{EBSX.Letting.CallOrder}}
BID TYPE: {{TYPEBID}}
(Enter a Bid Type, otherwise bid will be considered Regular)
Submitted by{{EBSX.BidderInfo.BusinessName}}{{EBSX.BidderInfo.Address1}}{{EBSX.BidderInfo.Address2}}{{EBSX.BidderInfo.City}}, {{EBSX.BidderInfo.State}}{{EBSX.BidderInfo.Zip}}
___________________________________________________
***PRE-AWARD CHECKS***
RevA/DPlan/PBond/POA/AgentLic _______ PreqL/SoS/DBESubPreq _______
VBBnd/PBndSrty/SAM _______ DBE _______ UBR _______ Top Check _______
***PRE-NTP CHECKS***
DWD/DOR _______ CoC/CLiab/OCPL _______ RR _______ Ext Funds _______
Indiana Department of Transportation
PROPOSAL FOR
Letting ID: {{EBSX.Letting.LettingId}}{{EBSX.Letting.LettingDateTime}}
Contract ID: {{EBSX.Letting.Proposal.ContractId}}
Call: {{EBSX.Letting.CallOrder}}
BID TYPE: {{TYPEBID}}
(Enter a Bid Type, otherwise bid will be considered Regular)
Submitted by{{EBSX.BidderInfo.BusinessName}}{{EBSX.BidderInfo.Address1}}{{EBSX.BidderInfo.Address2}}{{EBSX.BidderInfo.City}}, {{EBSX.BidderInfo.State}}{{EBSX.BidderInfo.Zip}}
___________________________________________________
***PRE-AWARD CHECKS***
RevA/DPlan/PBond/POA/AgentLic _______ PreqL/SoS/DBESubPreq _______
VBBnd/PBndSrty/SAM _______ DBE _______ UBR _______ Top Check _______
***PRE-NTP CHECKS***
DWD/DOR _______ CoC/CLiab/OCPL _______ RR _______ Ext Funds _______
INDIANA DEPARTMENT OF TRANSPORTATION
FORM 100-C-002 - Rev. 2-1-99
BID BOND
Bond ID: Surety Registry Co.:
Surety2000SuretyWave
Bond Pct:
Surety Company:
State of Incorporation:
Local Resident Agent:
Execution Date:
KNOW ALL PERSONS BY THESE PRESENTS THAT we, the PRINCIPAL and SURETY
above named, are firmly bound unto the State of Indiana in the full and
just sum of an amount equal to 5 percent of the amount of the principal's
bid, to the payment of which, well and truly to be made, we bind ourselves
jointly and severally, and our joint and several heirs, executors,
administrators and assigns, firmly by these presents.
THE CONDITIONS OF THE ABOVE OBLIGATIONS ARE SUCH That, Whereas, the
principal is herewith submitting a bid and proposal for construction of
this contract in accordance with plans and specifications, which are made
a part of this bond;
NOW, THEREFORE, if the Indiana Department of Transportation shall award
the principal the contract and the principal shall promptly enter into a
contract with the Indiana Department of Transportation in the name of the
State of Indiana, then this obligation shall be void; otherwise to remain
in full force, virtue, and effect.
NOTE: Surety must be satisfactory to the Department. Refer to 105 IAC 11-3-8.
INDIANA DEPARTMENT OF TRANSPORTATION
FORM 100-C-002 - Rev. 2-1-99
BID BOND
Bond ID: Surety Registry Co.:
Surety2000SuretyWave
Bond Pct:
Surety Company:
State of Incorporation:
Local Resident Agent:
Execution Date:
KNOW ALL PERSONS BY THESE PRESENTS THAT we, the PRINCIPAL and SURETY
above named, are firmly bound unto the State of Indiana in the full and
just sum of an amount equal to 5 percent of the amount of the principal's
bid, to the payment of which, well and truly to be made, we bind ourselves
jointly and severally, and our joint and several heirs, executors,
administrators and assigns, firmly by these presents.
THE CONDITIONS OF THE ABOVE OBLIGATIONS ARE SUCH That, Whereas, the
principal is herewith submitting a bid and proposal for construction of
this contract in accordance with plans and specifications, which are made
a part of this bond;
NOW, THEREFORE, if the Indiana Department of Transportation shall award
the principal the contract and the principal shall promptly enter into a
contract with the Indiana Department of Transportation in the name of the
State of Indiana, then this obligation shall be void; otherwise to remain
in full force, virtue, and effect.
NOTE: Surety must be satisfactory to the Department. Refer to 105 IAC 11-3-8.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
DBE Goal {{Letting.Proposal.DbeMbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified DBEs to participate in this contract as subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the Disadvantaged Business Enterprise (DBE) Program. The applicable requirements are included in the Standard Specifications and the Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this contract.
I understand and agree that the submission of a blank certification shall cause my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this certification, and that I have confirmed that these firms are certified by the State of Indiana as DBEs. (For a listing of DBE certified firms, refer to the DBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed have tentatively agreed to perform the corresponding services as part of this contract's DBE goal ("race/gender conscious" DBE participation). If a portion of a line item is used to satisfy the goal, the full dollar amount of the item will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform the corresponding services listed beyond what is necessary to meet the contract’s DBE goal ("race/gender neutral" DBE participation). I understand that neither my company nor I will be penalized for failure to achieve the dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior approval by INDOT’s Economic Opportunity Section, Central Office.
Please Note: Credit for utilization of a DBE material supplier depends on whether the supplier is a manufacturer, regular dealer or broker. The following credit will be counted toward the goal: Supplier Manufacturer receives 100% credit, Supplier Regular Dealer receives 60% credit, and Supplier Broker receives fees and commissions only.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
MBE Goal {{Letting.Proposal.DbeMbeGoal}}%
WBE Goal {{Letting.Proposal.WbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women's Business Enterprises Participation Plan in accordance with IC 4-13-16.5 and 25 IAC 5. The Plan must show that there are, participating in the proposed contract, Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD) directory of certified firms. Respondents must indicate the name of the MBE and WBE with which it will work, the contact name and phone number at the firm(s), the service supplied by the firm(s), the specific dollar amount from this contract that will be directed toward each firm, and the approximate date these products and/or services will be utilized. If participation is met through use of vendors who supply products and/or services, the Respondent must also indicate the vendor’s tax ID number as well as provide a description of products and/or services provided to the Respondent that are directly related to this proposal and the cost of direct supplies for this proposal. All prime contractors, including MBE and WBE prime contractors, must meet the contract goals through use of subcontractors. MBE and WBE prime contractors will get no credit toward the contract goal for the use of its own workforce.
The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.
The Department reserves the right to verify all information included in the Plan.
Respondents are encouraged to contact and work with MWBD to design a plan to meet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/index.htm and contains a complete list of all the Department’s certified MBE’s and WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must be submitted within 24 hours of bid opening. This letter(s) shall state and will serve as acknowledgement from the MBE and/or WBE of its amount of participation, the scope of products and/or services, and approximate date these products and/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors under this contract to IDOA as reasonably requested and in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to be bound by the regulatory processes involving the State’s M/WBE Program. Questions involving the regulations governing the Plan should be directed to MWBD’s Compliance Unit at 317-232-3061.
PROPOSAL
TO THE
INDIANA DEPARTMENT OF TRANSPORTATION
------------------------------------------------------------------
CONTRACT NUMBER: {{Letting.Proposal.ContractId}}
PROJECT NUMBER: {{Letting.Proposal.Projects[0].ProjectNumber}}
ROUTE:
LOCATION: {{Letting.CallOrder}}
DESCRIPTION: {{Letting.Proposal.Description}}
COUNTY: {{Letting.Proposal.Counties[0].Name}}
THE FOLLOWING DOCUMENTS ARE INCLUDED IN THE CONTRACT:
2018 STANDARD SPECIFICATIONS EFFECTIVE
LIST OF APPROVED OR PREQUALIFIED MATERIALS
STANDARD DRAWINGS LISTED ON STANDARD DRAWING INDEX EFFECTIVE DATE 9-1-18
PRE-BID QUESTIONS AND ANSWERS AVAILABLE ON THE INDOT WEBSITE
------------------------------------------------------------------
ADDITIONAL REFERENCE MATERIAL MAY BE AVAILABLE ON THE WEBSITE. THE REFERENCE MATERIAL MAY INCLUDE, BUT IS NOT LIMITED TO PERMITS, ASBESTOS REPORTS, GEOTECHNICAL REPORTS AND UTILITIES INFORMATION. THE CONTRACTOR SHALL CONSIDER THE AVAILABLE ADDITIONAL REFERENCE MATERIAL IN PREPARATION OF THE PROPOSAL BID.
PG ASPHALT BINDER MATERIAL COST ADJUSTMENTS
The bidder hereby certifies that it
electsdoes not elect
to enact PG asphalt binder material cost adjustments. A blank field is considered as "does not elect".
INDIANA DEPARTMENT OF TRANSPORTATION
The bidder acknowledges receipt of the following revisions and/or addenda to the proposal and/or
plans for the above designated project which were issued under cover letter(s) of the date(s)
shown hereon. Revisions are found on the "Posted Documents for View and Download" web page at this link: http://erms.indot.in.gov/viewdocs
Revision Number and Cover Letter of (Put a date in blank, as applicable):
If the bidder acknowledges there are no revisions for the above designated project, use the checkbox below to mark this tab as non-applicable.
N/A: 1. (MM/DD/YYYY)
2. (MM/DD/YYYY)
3. (MM/DD/YYYY)
4. (MM/DD/YYYY)
5. (MM/DD/YYYY)
6. (MM/DD/YYYY)
7. (MM/DD/YYYY)
8. (MM/DD/YYYY)
9. (MM/DD/YYYY)
10. (MM/DD/YYYY)
11. (MM/DD/YYYY)
12. (MM/DD/YYYY)
The number of amendment files (.00Nx) applied to this bid: {{AmendmentCount}}
Revisions included with this bid:
PROPOSAL
TO THE INDIANA DEPARTMENT OF TRANSPORTATION
Pursuant to the legal notice that sealed proposals for this contract will be received by the Indiana Department of Transportation at the location of deposit until the time and date of the letting, the undersigned hereby tenders a bid to furnish all materials, machinery, equipment, tools, labor, etc. to construct the work in accordance with the plans, profiles, drawings, Standard Specifications, Supplemental Specifications effective as of the date specified, special provisions, additional contract requirements, Rules for Prequalification of Contractors and Bidding (105 IAC 11) in effect on the date of letting, and all authorized revisions for this contract which are on file with the Indiana Department of Transportation.
The undersigned has:
A) Filled the Schedule of Pay Items with a unit price for each pay item listed, based upon the unique characteristics of this contract;
B) Filled the Schedule of Pay Items with a lump sum price in the extended column for each pay item listed as a lump sum item, based upon the unique characteristics of this contract;
C) Filed a properly executed bid bond and a properly executed power of attorney letter herewith in an amount greater than or equal to 5 percent of the amount of this proposal;
D) Either filed a properly executed performance bond and a properly executed power of attorney letter herewith or submitted a properly executed performance bond and properly executed power of attorney letter as an electronic file to the email box defined in the Special Provisions of this contract in an amount greater than or equal to 100 percent of the amount of this proposal (Bid Express does not support submittal of the performance bond);
E) Executed the non collusion affidavit filed herewith;
F) A valid certificate of qualification;
G) Not exceeded its bidding capacity;
H) Not added a provision reserving the right to accept or reject award of this contract;
I) Not modified or altered a provision in this contract;
J) If it is a trust, identified each of the following:
1) beneficiary of the trust; and
2) settlor empowered to revoke or modify the trust;
K) Either included a written drug testing plan herein, submitted its drug testing plan as an electronic file to the email box defined in the Special Provisions of this contract, or certifies by signing this document that it submitted its current employee drug testing plan to the Indiana Department of Transportation's Prequalification Engineer. The plan is hereby incorporated by reference and made a part of this bid. Bidder's attention is directed to the statutory requirement at IC 4-13-18. Bidder further certifies that its drug testing plan complies with the requirements of IC 4-13-18 and reflects bidder's current employee drug testing practice. The current drug testing plan is dated
(MM/DD/YYYY);
L) Completed this item designating the predetermined minimum wage determination,
Davis-Bacon Act, for this contract (not required when wage stipulation is
specified). I affirm that Modification No. of General Decision
No. with a publication date of
(MM/DD/YYYY) shall apply to this contract;
M) Checked the Bid Express website for all amendment files prior to the deadline for bid submittal. This includes amendment files that may be generated as a result of administrative changes to the bidding form, which may not be communicated in a revision letter;
N) Checked the INDOT website for additional reference material that may include but is not limited to permits, asbestos reports, geotechnical reports, utilities information and pre-bid questions and answers.
O) Completed the item regarding election of PG asphalt binder material cost adjustments.
A Proposal book which is opened and read will subsequently be rejected if the bidder fails to comply with the above items A through M.
The undersigned has submitted the above items on forms furnished by the Indiana Department of Transportation.
If awarded the contract, the undersigned promises to prosecute the work so as to complete the contract within the time specified.
INDIANA DEPARTMENT OF TRANSPORTATION
REGULAR OR CONDITIONAL
Choose the one that applies, otherwise this bid is considered Regular.
This bid is
REGULARCONDITIONAL
INDIANA DEPARTMENT OF TRANSPORTATION
ATTACHMENT CM 32-34
CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS
CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY
CLAUSE AND THE FILING OF REQUIRED REPORTS
The bidder hereby certifies that it
HasHas Not
participated in a previous contract or subcontract subject to the Equal Opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that it
HasHas Not
filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or Administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements.
The above certification is required by the Equal Employment Opportunity Regulations to the Secretary of Labor (41 CFR 601.7(b)(1)). This certification shall be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 601.5. Generally only contracts or subcontracts of $10,000 or under are exempt.
Currently,Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Pursuant to 41 CFR 601.7(b)(1), proposed contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders listed above and have not filed the required reports, shall not be awarded contracts and subcontracts unless such contractor or subcontractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director's Office of Federal Contract Compliance. U.S. Department of Labor.
------------------------------------------------------------------DRUG FREE WORKPLACE CERTIFICATION
Pursuant to Executive Order No. 90-5, April 12, 1990, issued by Governor Evan Bayh, the Indiana Department of Administration requires the inclusion of this certification in all contracts with and grants from the State in excess of $25,000. No award of a contract or grant shall be made, and no contract, purchase order or agreement, the total amount of which exceeds $25,000, shall be valid unless and until this certification has been fully executed by the Contractor or Grantee and attached to the contract or agreement as part of the contract documents. False certification or violation of the certification may result in sanctions including, but not limited to, suspension of contract payments, termination of the contract or agreement and or debarment of contracting opportunities with the State for up to 3 years.
The Contractor or Grantee certifies and agrees that it will provide a drug free workplace by the means as follows:
(a) Publishing and providing to all its employees a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition.
(b) Establishing a drug free awareness program to inform employees about (1) the dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining a drug free workplace; (3) available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon an employee for drug abuse violations occurring in the workplace.
(c) Notifying all employees in the statement required by (a) above that as a condition of continued employment the employee will (1) abide by the terms of the statement; and (2) notify the employer of criminal drug statute conviction for a violation occurring in the workplace no later than 5 days after such conviction.
(d) Notifying in writing to the contracting State agency and the Indiana Department of Administration within 10 days after receiving notice from an employee under (c) (2) above, or otherwise receiving actual notice of such conviction.
(e) Within 30 days after receiving notice under (c) (2) above of a conviction, imposing the following sanctions or remedial measures on an employee who is convicted of drug abuse violations occurring in the workplace by (1) taking appropriate personnel action against the employee, up to and including termination; or (2) requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency.
(f) Making a good faith effort to maintain a drug free workplace through the implementation of (a) through (e) above.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------ETHICS COMPLIANCE
The Contractor and its agents shall abide by all ethical requirements that apply to persons who have a business relationship with the State, as set forth in Indiana code § 4-2-6 et seq., the regulations promulgated thereunder, and Executive Order 04-08, dated April 27, 2004. If the Contractor is not familiar with these ethical requirements, the Contractor should refer any questions to the Indiana State Ethics Commission, or visit the Indiana State Ethics Commission website at [http://www.in.gov/ethics/]. If the Contractor or its agents violate any applicable ethical standards, the State may, in its sole discretion, terminate this contract immediately upon notice to the Contractor. In addition, the contractor may be subject to penalties under Indiana Code § 4-2-6-12.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------AFFIDAVIT
The signer of this bid, being duly sworn, on his or her oath says that he or she is the bidder for the construction or the improvements of a State highway described in this bid of which this affidavit is a part; that said bid is submitted in good faith and not as a speculation or to be assigned or relinquished and will be executed and fulfilled by said bidder, according to its terms, if accepted, and according to the plans, profiles and specifications for said improvement; that this bid is made without reference to any other bid; that this bidder has not offered to or received from a person, firm, board, commission, trustee or corporation a sum of money or consideration for the making of said bid. That no inducement of a form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to a person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder an agreement or understanding whatsoever, with a person whomsoever to pay, deliver to, or share with another person, the proceeds of the contract sought by this bid; that said bidder has not directly or indirectly made an arrangement, contract, or understanding with another bidder or bidders concerning the amount of said bid, nor has such bidder colluded, conspired, connived, or agreed with a person whomsoever to influence a bid for said contract, directly or indirectly.
------------------------------------------------------------------
INDIANA DEPARTMENT OF TRANSPORTATION
IVOSB PARTICIPATION PLAN
IVOSB GOAL: 3.00%
Indiana Veteran Owned Small Business Program Compliance: Award of this Contract is based, in part, on the Indiana Veteran Owned Small Business Program ("IVOSB") Participation Plan. The following IVOSB subcontractors will be participating in this Contract:
IVOSB SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Total Dollar Amount Credited toward IVOSB Goal:$
Total Percentage:%
Please Note: Only 60% of the participation of an IVOSB supplier will be counted toward the contract goal.
Company / Bidder Name
Title
Email Address
At the request of IDOA, a copy of each subcontractor agreement shall be submitted to IDOA, mwbecompliance@idoa.in.gov, within thirty (30) days of the request. Failure to provide any subcontractor agreement may also be considered a material breach of this Contract. The Contractor must obtain approval from IDOA before changing the IVOSB participation plan submitted in connection with this Contract.
The Contractor shall report payments made to IVOSB subcontractors under this Contract to IDOA as reasonably requested and in a format to be determined by IDOA.
An Excel file of State of Indiana Veteran Owned Small Businesses is found at:http://www.in.gov/idoa/3067.htm
Information concerning the details of the IVOSB program is available at:http://www.in.gov/idoa/2862.htm
Email questions to:Indianaveteranspreference@idoa.in.gov------------------------------------------------------------------ATTACHMENT CM 32-34
CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS
CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY
CLAUSE AND THE FILING OF REQUIRED REPORTS
The bidder hereby certifies that it
HasHas Not
participated in a previous contract or subcontract subject to the Equal Opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that it
HasHas Not
filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or Administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements.
The above certification is required by the Equal Employment Opportunity Regulations to the Secretary of Labor (41 CFR 601.7(b)(1)). This certification shall be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 601.5. Generally only contracts or subcontracts of $10,000 or under are exempt.
Currently,Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Pursuant to 41 CFR 601.7(b)(1), proposed contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders listed above and have not filed the required reports, shall not be awarded contracts and subcontracts unless such contractor or subcontractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director's Office of Federal Contract Compliance. U.S. Department of Labor.
------------------------------------------------------------------DRUG FREE WORKPLACE CERTIFICATION
Pursuant to Executive Order No. 90-5, April 12, 1990, issued by Governor Evan Bayh, the Indiana Department of Administration requires the inclusion of this certification in all contracts with and grants from the State in excess of $25,000. No award of a contract or grant shall be made, and no contract, purchase order or agreement, the total amount of which exceeds $25,000, shall be valid unless and until this certification has been fully executed by the Contractor or Grantee and attached to the contract or agreement as part of the contract documents. False certification or violation of the certification may result in sanctions including, but not limited to, suspension of contract payments, termination of the contract or agreement and or debarment of contracting opportunities with the State for up to 3 years.
The Contractor or Grantee certifies and agrees that it will provide a drug free workplace by the means as follows:
(a) Publishing and providing to all its employees a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition.
(b) Establishing a drug free awareness program to inform employees about (1) the dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining a drug free workplace; (3) available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon an employee for drug abuse violations occurring in the workplace.
(c) Notifying all employees in the statement required by (a) above that as a condition of continued employment the employee will (1) abide by the terms of the statement; and (2) notify the employer of criminal drug statute conviction for a violation occurring in the workplace no later than 5 days after such conviction.
(d) Notifying in writing to the contracting State agency and the Indiana Department of Administration within 10 days after receiving notice from an employee under (c) (2) above, or otherwise receiving actual notice of such conviction.
(e) Within 30 days after receiving notice under (c) (2) above of a conviction, imposing the following sanctions or remedial measures on an employee who is convicted of drug abuse violations occurring in the workplace by (1) taking appropriate personnel action against the employee, up to and including termination; or (2) requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency.
(f) Making a good faith effort to maintain a drug free workplace through the implementation of (a) through (e) above.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------ETHICS COMPLIANCE
The Contractor and its agents shall abide by all ethical requirements that apply to persons who have a business relationship with the State, as set forth in Indiana code § 4-2-6 et seq., the regulations promulgated thereunder, and Executive Order 04-08, dated April 27, 2004. If the Contractor is not familiar with these ethical requirements, the Contractor should refer any questions to the Indiana State Ethics Commission, or visit the Indiana State Ethics Commission website at [http://www.in.gov/ethics/]. If the Contractor or its agents violate any applicable ethical standards, the State may, in its sole discretion, terminate this contract immediately upon notice to the Contractor. In addition, the contractor may be subject to penalties under Indiana Code § 4-2-6-12.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------AFFIDAVIT
The signer of this bid, being duly sworn, on his or her oath says that he or she is the bidder for the construction or the improvements of a State highway described in this bid of which this affidavit is a part; that said bid is submitted in good faith and not as a speculation or to be assigned or relinquished and will be executed and fulfilled by said bidder, according to its terms, if accepted, and according to the plans, profiles and specifications for said improvement; that this bid is made without reference to any other bid; that this bidder has not offered to or received from a person, firm, board, commission, trustee or corporation a sum of money or consideration for the making of said bid. That no inducement of a form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to a person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder an agreement or understanding whatsoever, with a person whomsoever to pay, deliver to, or share with another person, the proceeds of the contract sought by this bid; that said bidder has not directly or indirectly made an arrangement, contract, or understanding with another bidder or bidders concerning the amount of said bid, nor has such bidder colluded, conspired, connived, or agreed with a person whomsoever to influence a bid for said contract, directly or indirectly.
------------------------------------------------------------------
INDIANA DEPARTMENT OF TRANSPORTATION
CURRENT CONTRACTUAL OBLIGATIONS
Entries on this sheet shall include all construction work under contract or verbal performance agreement or pending award to the contractor signing, whether as principal or as subcontractor. See 105 IAC 11-3-4 of the Rules for Prequalification of Contractors and Bidding.
TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR, OR OTHER PARTY:
$
TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANA DEPARTMENT OF TRANSPORTATION CONTRACTS:
$
TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR, OR OTHER PARTY IN THE PREQUALIFICATON WORK TYPE(S) ASSIGNED TO THIS CONTRACT AND USED FOR BIDDING CAPACITY BY THE BIDDER:
$
TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANA DEPARTMENT OF TRANSPORTATION CONTRACTS IN THE PREQUALIFICATON WORK TYPE(S) ASSIGNED TO THIS CONTRACT AND USED FOR BIDDING CAPACITY BY THE BIDDER:
$
The bidder shall submit a complete list of all unearned work when requested by the Prequalification Engineer, on the form provided. The information on the list shall include the contract number, the name of the owner, contractor, subcontractor or other party, the type of work yet to be performed, and the value of unearned work.
I hereby certify that to the best of my knowledge and belief, the above amounts of unearned work are true and complete and that my latest financial statement on file with the Indiana Department of Transportation continues to represent fairly and substantially my financial position as of this date.
INDIANA DEPARTMENT OF TRANSPORTATION
ELECTRONIC BID SUBMISSION CERTIFICATION
BY SUBMITTING THIS BID ELECTRONICALLY, I HEREBY ACKNOWLEDGE THAT ALL REQUIREMENTS INCLUDED IN THE HARD COPY PROPOSAL, AMENDMENTS, PLANS, STANDARD SPECIFICATIONS, AND SUPPLEMENTAL SPECIFICATIONS ARE A PART OF THIS BID AND CONTRACT.
THE PRINCIPAL SHALL FILE AN ELECTRONIC BID BOND WHEN BIDDING ELECTRONICALLY. BY FILLING IN THE BOXES BELOW THE PRINCIPAL IS ENSURING THE IDENTIFIED ELECTRONIC BID BOND HAS BEEN EXECUTED AND THE PRINCIPAL AND SURETY ARE FIRMLY BOUND UNTO THE STATE OF INDIANA.
Electronic Bid Bond ID
Company / Bidder Name
Title
Email Address
*** AN ELECTRONIC PROPOSAL SUBMITTED AND SIGNED WITH A DIGITAL ID, UNDER THE PROVISIONS OF THE INDIANA DEPARTMENT OF TRANSPORTATION, WILL BE CONSIDERED VALID AND BINDING. ***
USE OF ANOTHER PERSON'S DIGITAL ID IN THIS BIDDING PROCESS VIOLATES THE LAWS OF INDIANA.
BY INDICATING YES IN THE BOX
-- Yes --No
, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THE ABOVE ELECTRONIC BID SUBMISSION CERTIFICATION.
INDIANA DEPARTMENT OF TRANSPORTATIONPERFORMANCE BOND ATTACHMENT
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Contractor submitting bid contact name:
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Contractor submitting bid email:
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Will you be attaching a Performance Bond?
Yes No
Performance Bond Attachment Description:
Performance Bond Additional Attachment 1 Description:
Performance Bond Additional Attachment 2 Description:
Performance Bond Additional Attachment 3 Description:INDIANA DEPARTMENT OF TRANSPORTATIONFILE ATTACHMENTS
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Note: There is a 5MB file size limit per attached file. If the attachment file size is over 5MB, then the file will need to be split into multiple files. The additional files can be attached in the additional attachment fields below. Please include a detailed description with your attachments.
Will you be attaching any additional attachments?
Yes No
Additional Attachment 1 Description:
Additional Attachment 2 Description:
Additional Attachment 3 Description:
Additional Attachment 4 Description:
Additional Attachment 5 Description:
Additional Attachment 6 Description:
Additional Attachment 7 Description:
Additional Attachment 8 Description:
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
DBE {{Letting.Proposal.DbeMbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
IDIQ CONTRACT
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified Disadvantaged Business Enterprise (DBE) to participate in this contact as subcontractors, lessors, or suppliers of materials or services. No DBEs need to be identified at the time of bid submittal.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the DBE program. The applicable requirements are included in the Standard Specifications, Recurring Special Provisions and the Unique Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me.
I understand that utilization of certified DBE is in addition to all other equal employment opportunity requirements of this contract. I acknowledge that this certification is to be made an integral part of this contract.
I hereby certify that I will commit to utilization of firms certified by the State of Indiana or the Kentucky Transportation Cabinet as DBEs for a minimum of 7.00% of the total dollar value of the contract. (For a listing of DBE certified firms, refer to the DBE Public Search Directory found on the INDOT website or on the Kentucky Transportation Cabinet's DBE directory.) I hereby certify that I will commit to submission of a separate Affirmative Action Certification form for each work order which lists the DBEs to be utilized for each work order, the type of work to be performed by the DBE, and the actual dollar amount to be paid to the DBE prior to issuance of the notice to proceed.
Following the completion of each work order the Contractor shall submit to the Project Engineer/Supervisor, the Project Manager and to INDOT’s Economic Opportunity Division, Central Office a report reconciling the actual utilization of the DBE for the work order.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
MBE Goal {{Letting.Proposal.DbeMbeGoal}}%
WBE Goal {{Letting.Proposal.WbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
IDIQ CONTRACT
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified Minority Business Enterprises (MBE), Women’s Business Enterprises (WBE) and Indiana Veteran Owned Small Business (IVOSB) to participate in this contract as subcontractors, lessors, or suppliers of materials or services. No MBE, WBE or IVOSB needs to be identified at the time of bid submittal. However, the electronic Participation Plan forms herein may be used for work order submittals.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the MBE and WBE program and the IVOSB program. The applicable requirements are included in the Standard Specifications and the Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me. I understand that utilization of certified MBE, WBE and IVOSB is in addition to all other equal employment opportunity requirements of this contract. I acknowledge that this certification is to be made an integral part of this contract.
I hereby certify that I will commit to utilization of firms certified by the State of Indiana as MBE, WBE and IVOSB for a minimum of 7% of the total dollar value of the contract for MBE, for a minimum of 5% of the total contract dollar value for WBE and for a minimum of 3% of the total contract dollar value for IVOSB. (For a listing of MBE, WBE and IVOSB certified firms, refer to the MBE and WBE and IVOSB Public Search Directory found on the IDOA website.) I hereby certify that, prior to issuance of the notice to proceed, I will commit to submission of separate MBE, WBE and IVOSB Participation Plan forms for each work order which list the MBE, WBE and IVOSB to be utilized for each work order, the type of work to be performed, and the actual dollar amount to be paid to the MBE, WBE and IVOSB.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
DBE Goal {{Letting.Proposal.DbeMbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified DBEs to participate in this contract as subcontractors, lessors, or suppliers of materials or services.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the Disadvantaged Business Enterprise (DBE) Program. The applicable requirements are included in the Standard Specifications and the Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me.
I understand that utilization of certified DBEs is in addition to all other equal employment opportunity requirements of this contract.
I acknowledge that this certification is to be made an integral part of this contract.
I understand and agree that the submission of a blank certification shall cause my bid to be rejected.
I hereby certify that contact has been made with the firms listed in this certification, and that I have confirmed that these firms are certified by the State of Indiana as DBEs. (For a listing of DBE certified firms, refer to the DBE Public Search Directory found on the INDOT website.)
If my company becomes the Contractor, the certified DBEs listed have tentatively agreed to perform the corresponding services as part of this contract's DBE goal ("race/gender conscious" DBE participation). If a portion of a line item is used to satisfy the goal, the full dollar amount of the item will be considered as race conscious.
I have also listed the certified DBEs that have tentatively agreed to perform the corresponding services listed beyond what is necessary to meet the contract’s DBE goal ("race/gender neutral" DBE participation). I understand that neither my company nor I will be penalized for failure to achieve the dollar amounts listed beyond the contract goal.
After contract award, any change to the firms listed as DBE SUBCONTRACTORS AND LESSORS TO BE APPLIED TOWARD GOAL or DBE MATERIAL SUPPLIERS TO BE APPLIED TOWARD GOAL in this Affirmative Action Certification must have prior approval by INDOT’s Economic Opportunity Section, Central Office.
Please Note: Credit for utilization of a DBE material supplier depends on whether the supplier is a manufacturer, regular dealer or broker. The following credit will be counted toward the goal: Supplier Manufacturer receives 100% credit, Supplier Regular Dealer receives 60% credit, and Supplier Broker receives fees and commissions only.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
MBE Goal {{Letting.Proposal.DbeMbeGoal}}%
WBE Goal {{Letting.Proposal.WbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
A Respondent is expected to submit in each response a Minority and Women's Business Enterprises Participation Plan in accordance with IC 4-13-16.5 and 25 IAC 5. The Plan must show that there are, participating in the proposed contract, Minority Business Enterprises (MBE) and Women Business Enterprises (WBE) listed in the Minority and Women’s Business Enterprises Division (MWBD) directory of certified firms. Respondents must indicate the name of the MBE and WBE with which it will work, the contact name and phone number at the firm(s), the service supplied by the firm(s), the specific dollar amount from this contract that will be directed toward each firm, and the approximate date these products and/or services will be utilized. If participation is met through use of vendors who supply products and/or services, the Respondent must also indicate the vendor’s tax ID number as well as provide a description of products and/or services provided to the Respondent that are directly related to this proposal and the cost of direct supplies for this proposal. All prime contractors, including MBE and WBE prime contractors, must meet the contract goals through use of subcontractors. MBE and WBE prime contractors will get no credit toward the contract goal for the use of its own workforce.
The State does not accept national plans.
Failure to meet these requirements will affect the evaluation of your Proposal.
The Department reserves the right to verify all information included in the Plan.
Respondents are encouraged to contact and work with MWBD to design a plan to meet established goals. MWBD’s website address is www.IN.gov/idoa/mwbe/index.htm and contains a complete list of all the Department’s certified MBE’s and WBE's.
Minority & Women’s Business Enterprises Participation Letter of Commitment
A signed letter(s), on company letterhead, from the MBE and/or WBE must be submitted within 24 hours of bid opening. This letter(s) shall state and will serve as acknowledgement from the MBE and/or WBE of its amount of participation, the scope of products and/or services, and approximate date these products and/or services will be utilized.
The contractor shall report payments made to MBE and WBE subcontractors under this contract to IDOA as reasonably requested and in a format to be determined by IDOA.
By submission of the Proposal, the Respondent acknowledges and agrees to be bound by the regulatory processes involving the State’s M/WBE Program. Questions involving the regulations governing the Plan should be directed to MWBD’s Compliance Unit at 317-232-3061.
PROPOSAL
TO THE
INDIANA DEPARTMENT OF TRANSPORTATION
------------------------------------------------------------------
CONTRACT NUMBER: {{Letting.Proposal.ContractId}}
PROJECT NUMBER: {{Letting.Proposal.Projects[0].ProjectNumber}}
ROUTE:
LOCATION: {{Letting.CallOrder}}
DESCRIPTION: {{Letting.Proposal.Description}}
COUNTY: {{Letting.Proposal.Counties[0].Name}}
THE FOLLOWING DOCUMENTS ARE INCLUDED IN THE CONTRACT:
2018 STANDARD SPECIFICATIONS EFFECTIVE
LIST OF APPROVED OR PREQUALIFIED MATERIALS
STANDARD DRAWINGS LISTED ON STANDARD DRAWING INDEX EFFECTIVE DATE 9-1-18
PRE-BID QUESTIONS AND ANSWERS AVAILABLE ON THE INDOT WEBSITE
------------------------------------------------------------------
ADDITIONAL REFERENCE MATERIAL MAY BE AVAILABLE ON THE WEBSITE. THE REFERENCE MATERIAL MAY INCLUDE, BUT IS NOT LIMITED TO PERMITS, ASBESTOS REPORTS, GEOTECHNICAL REPORTS AND UTILITIES INFORMATION. THE CONTRACTOR SHALL CONSIDER THE AVAILABLE ADDITIONAL REFERENCE MATERIAL IN PREPARATION OF THE PROPOSAL BID.
PG ASPHALT BINDER MATERIAL COST ADJUSTMENTS
The bidder hereby certifies that it
electsdoes not elect
to enact PG asphalt binder material cost adjustments. A blank field is considered as "does not elect".
INDIANA DEPARTMENT OF TRANSPORTATION
The bidder acknowledges receipt of the following revisions and/or addenda to the proposal and/or
plans for the above designated project which were issued under cover letter(s) of the date(s)
shown hereon. Revisions are found on the "Posted Documents for View and Download" web page at this link: http://erms.indot.in.gov/viewdocs
Revision Number and Cover Letter of (Put a date in blank, as applicable):
If the bidder acknowledges there are no revisions for the above designated project, use the checkbox below to mark this tab as non-applicable.
N/A: 1. (MM/DD/YYYY)
2. (MM/DD/YYYY)
3. (MM/DD/YYYY)
4. (MM/DD/YYYY)
5. (MM/DD/YYYY)
6. (MM/DD/YYYY)
7. (MM/DD/YYYY)
8. (MM/DD/YYYY)
9. (MM/DD/YYYY)
10. (MM/DD/YYYY)
11. (MM/DD/YYYY)
12. (MM/DD/YYYY)
The number of amendment files (.00Nx) applied to this bid: {{AmendmentCount}}
Revisions included with this bid:
PROPOSAL
TO THE INDIANA DEPARTMENT OF TRANSPORTATION
Pursuant to the legal notice that sealed proposals for this contract will be received by the Indiana Department of Transportation at the location of deposit until the time and date of the letting, the undersigned hereby tenders a bid to furnish all materials, machinery, equipment, tools, labor, etc. to construct the work in accordance with the plans, profiles, drawings, Standard Specifications, Supplemental Specifications effective as of the date specified, special provisions, additional contract requirements, Rules for Prequalification of Contractors and Bidding (105 IAC 11) in effect on the date of letting, and all authorized revisions for this contract which are on file with the Indiana Department of Transportation.
The undersigned has:
A) Filled the Schedule of Pay Items with a unit price for each pay item listed, based upon the unique characteristics of this contract;
B) Filled the Schedule of Pay Items with a lump sum price in the extended column for each pay item listed as a lump sum item, based upon the unique characteristics of this contract;
C) Filed a properly executed bid bond and a properly executed power of attorney letter herewith in an amount greater than or equal to 5 percent of the amount of this proposal;
D) Either filed a properly executed performance bond and a properly executed power of attorney letter herewith or submitted a properly executed performance bond and properly executed power of attorney letter as an electronic file to the email box defined in the Special Provisions of this contract in an amount greater than or equal to 100 percent of the amount of this proposal (Bid Express does not support submittal of the performance bond);
E) Executed the non collusion affidavit filed herewith;
F) A valid certificate of qualification;
G) Not exceeded its bidding capacity;
H) Not added a provision reserving the right to accept or reject award of this contract;
I) Not modified or altered a provision in this contract;
J) If it is a trust, identified each of the following:
1) beneficiary of the trust; and
2) settlor empowered to revoke or modify the trust;
K) Either included a written drug testing plan herein, submitted its drug testing plan as an electronic file to the email box defined in the Special Provisions of this contract, or certifies by signing this document that it submitted its current employee drug testing plan to the Indiana Department of Transportation's Prequalification Engineer. The plan is hereby incorporated by reference and made a part of this bid. Bidder's attention is directed to the statutory requirement at IC 4-13-18. Bidder further certifies that its drug testing plan complies with the requirements of IC 4-13-18 and reflects bidder's current employee drug testing practice. The current drug testing plan is dated
(MM/DD/YYYY);
L) Completed this item designating the predetermined minimum wage determination,
Davis-Bacon Act, for this contract (not required when wage stipulation is
specified). I affirm that Modification No. of General Decision
No. with a publication date of
(MM/DD/YYYY) shall apply to this contract;
M) Checked the Bid Express website for all amendment files prior to the deadline for bid submittal. This includes amendment files that may be generated as a result of administrative changes to the bidding form, which may not be communicated in a revision letter;
N) Checked the INDOT website for additional reference material that may include but is not limited to permits, asbestos reports, geotechnical reports, utilities information and pre-bid questions and answers.
O) Completed the item regarding election of PG asphalt binder material cost adjustments.
A Proposal book which is opened and read will subsequently be rejected if the bidder fails to comply with the above items A through M.
The undersigned has submitted the above items on forms furnished by the Indiana Department of Transportation.
If awarded the contract, the undersigned promises to prosecute the work so as to complete the contract within the time specified.
INDIANA DEPARTMENT OF TRANSPORTATION
REGULAR OR CONDITIONAL
Choose the one that applies, otherwise this bid is considered Regular.
This bid is
REGULARCONDITIONAL
INDIANA DEPARTMENT OF TRANSPORTATION
ATTACHMENT CM 32-34
CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS
CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY
CLAUSE AND THE FILING OF REQUIRED REPORTS
The bidder hereby certifies that it
HasHas Not
participated in a previous contract or subcontract subject to the Equal Opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that it
HasHas Not
filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or Administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements.
The above certification is required by the Equal Employment Opportunity Regulations to the Secretary of Labor (41 CFR 601.7(b)(1)). This certification shall be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 601.5. Generally only contracts or subcontracts of $10,000 or under are exempt.
Currently,Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Pursuant to 41 CFR 601.7(b)(1), proposed contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders listed above and have not filed the required reports, shall not be awarded contracts and subcontracts unless such contractor or subcontractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director's Office of Federal Contract Compliance. U.S. Department of Labor.
------------------------------------------------------------------DRUG FREE WORKPLACE CERTIFICATION
Pursuant to Executive Order No. 90-5, April 12, 1990, issued by Governor Evan Bayh, the Indiana Department of Administration requires the inclusion of this certification in all contracts with and grants from the State in excess of $25,000. No award of a contract or grant shall be made, and no contract, purchase order or agreement, the total amount of which exceeds $25,000, shall be valid unless and until this certification has been fully executed by the Contractor or Grantee and attached to the contract or agreement as part of the contract documents. False certification or violation of the certification may result in sanctions including, but not limited to, suspension of contract payments, termination of the contract or agreement and or debarment of contracting opportunities with the State for up to 3 years.
The Contractor or Grantee certifies and agrees that it will provide a drug free workplace by the means as follows:
(a) Publishing and providing to all its employees a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition.
(b) Establishing a drug free awareness program to inform employees about (1) the dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining a drug free workplace; (3) available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon an employee for drug abuse violations occurring in the workplace.
(c) Notifying all employees in the statement required by (a) above that as a condition of continued employment the employee will (1) abide by the terms of the statement; and (2) notify the employer of criminal drug statute conviction for a violation occurring in the workplace no later than 5 days after such conviction.
(d) Notifying in writing to the contracting State agency and the Indiana Department of Administration within 10 days after receiving notice from an employee under (c) (2) above, or otherwise receiving actual notice of such conviction.
(e) Within 30 days after receiving notice under (c) (2) above of a conviction, imposing the following sanctions or remedial measures on an employee who is convicted of drug abuse violations occurring in the workplace by (1) taking appropriate personnel action against the employee, up to and including termination; or (2) requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency.
(f) Making a good faith effort to maintain a drug free workplace through the implementation of (a) through (e) above.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------ETHICS COMPLIANCE
The Contractor and its agents shall abide by all ethical requirements that apply to persons who have a business relationship with the State, as set forth in Indiana code § 4-2-6 et seq., the regulations promulgated thereunder, and Executive Order 04-08, dated April 27, 2004. If the Contractor is not familiar with these ethical requirements, the Contractor should refer any questions to the Indiana State Ethics Commission, or visit the Indiana State Ethics Commission website at [http://www.in.gov/ethics/]. If the Contractor or its agents violate any applicable ethical standards, the State may, in its sole discretion, terminate this contract immediately upon notice to the Contractor. In addition, the contractor may be subject to penalties under Indiana Code § 4-2-6-12.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------AFFIDAVIT
The signer of this bid, being duly sworn, on his or her oath says that he or she is the bidder for the construction or the improvements of a State highway described in this bid of which this affidavit is a part; that said bid is submitted in good faith and not as a speculation or to be assigned or relinquished and will be executed and fulfilled by said bidder, according to its terms, if accepted, and according to the plans, profiles and specifications for said improvement; that this bid is made without reference to any other bid; that this bidder has not offered to or received from a person, firm, board, commission, trustee or corporation a sum of money or consideration for the making of said bid. That no inducement of a form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to a person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder an agreement or understanding whatsoever, with a person whomsoever to pay, deliver to, or share with another person, the proceeds of the contract sought by this bid; that said bidder has not directly or indirectly made an arrangement, contract, or understanding with another bidder or bidders concerning the amount of said bid, nor has such bidder colluded, conspired, connived, or agreed with a person whomsoever to influence a bid for said contract, directly or indirectly.
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INDIANA DEPARTMENT OF TRANSPORTATION
IVOSB PARTICIPATION PLAN
IVOSB GOAL: 3.00%
Indiana Veteran Owned Small Business Program Compliance: Award of this Contract is based, in part, on the Indiana Veteran Owned Small Business Program ("IVOSB") Participation Plan. The following IVOSB subcontractors will be participating in this Contract:
IVOSB SUBCONTRACTORS TO BE APPLIED TOWARD GOAL
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Certified IVOSB Name
Address
Telephone
Pay Item Number
Service Planned:
Actual Dollar Amount to be paid to IVOSB:$------------------------------------------------------------------
Total Dollar Amount Credited toward IVOSB Goal:$
Total Percentage:%
Please Note: Only 60% of the participation of an IVOSB supplier will be counted toward the contract goal.
Company / Bidder Name
Title
Email Address
At the request of IDOA, a copy of each subcontractor agreement shall be submitted to IDOA, mwbecompliance@idoa.in.gov, within thirty (30) days of the request. Failure to provide any subcontractor agreement may also be considered a material breach of this Contract. The Contractor must obtain approval from IDOA before changing the IVOSB participation plan submitted in connection with this Contract.
The Contractor shall report payments made to IVOSB subcontractors under this Contract to IDOA as reasonably requested and in a format to be determined by IDOA.
An Excel file of State of Indiana Veteran Owned Small Businesses is found at:http://www.in.gov/idoa/3067.htm
Information concerning the details of the IVOSB program is available at:http://www.in.gov/idoa/2862.htm
Email questions to:Indianaveteranspreference@idoa.in.gov------------------------------------------------------------------ATTACHMENT CM 32-34
CERTIFICATION WITH REGARD TO THE PERFORMANCE OF PREVIOUS
CONTRACTS OR SUBCONTRACTS SUBJECT TO THE EQUAL OPPORTUNITY
CLAUSE AND THE FILING OF REQUIRED REPORTS
The bidder hereby certifies that it
HasHas Not
participated in a previous contract or subcontract subject to the Equal Opportunity clause, as required by Executive Orders 10925, 11114, or 11246, and that it
HasHas Not
filed with the Joint Reporting Committee, the Director of the Office of Federal Contract Compliance, a Federal Government contracting or Administering agency, or the former President's Committee on Equal Employment Opportunity, all reports due under the applicable filing requirements.
The above certification is required by the Equal Employment Opportunity Regulations to the Secretary of Labor (41 CFR 601.7(b)(1)). This certification shall be submitted by bidders and proposed subcontractors only in connection with contracts and subcontracts which are subject to the equal opportunity clause. Contracts and subcontracts which are exempt from the equal opportunity clause are set forth in 41 CFR 601.5. Generally only contracts or subcontracts of $10,000 or under are exempt.
Currently,Standard Form 100(EEO-1) is the only report required by the Executive Orders or their implementing regulations.
Pursuant to 41 CFR 601.7(b)(1), proposed contractors and subcontractors who have participated in a previous contract or subcontract subject to the Executive Orders listed above and have not filed the required reports, shall not be awarded contracts and subcontracts unless such contractor or subcontractor submits a report covering the delinquent period or such other period specified by the Federal Highway Administration or by the Director's Office of Federal Contract Compliance. U.S. Department of Labor.
------------------------------------------------------------------DRUG FREE WORKPLACE CERTIFICATION
Pursuant to Executive Order No. 90-5, April 12, 1990, issued by Governor Evan Bayh, the Indiana Department of Administration requires the inclusion of this certification in all contracts with and grants from the State in excess of $25,000. No award of a contract or grant shall be made, and no contract, purchase order or agreement, the total amount of which exceeds $25,000, shall be valid unless and until this certification has been fully executed by the Contractor or Grantee and attached to the contract or agreement as part of the contract documents. False certification or violation of the certification may result in sanctions including, but not limited to, suspension of contract payments, termination of the contract or agreement and or debarment of contracting opportunities with the State for up to 3 years.
The Contractor or Grantee certifies and agrees that it will provide a drug free workplace by the means as follows:
(a) Publishing and providing to all its employees a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession or use of a controlled substance is prohibited in the Contractor's workplace and specifying the actions that will be taken against employees for violations of such prohibition.
(b) Establishing a drug free awareness program to inform employees about (1) the dangers of drug abuse in the workplace; (2) the Contractor's policy of maintaining a drug free workplace; (3) available drug counseling, rehabilitation, and employee assistance programs; and (4) the penalties that may be imposed upon an employee for drug abuse violations occurring in the workplace.
(c) Notifying all employees in the statement required by (a) above that as a condition of continued employment the employee will (1) abide by the terms of the statement; and (2) notify the employer of criminal drug statute conviction for a violation occurring in the workplace no later than 5 days after such conviction.
(d) Notifying in writing to the contracting State agency and the Indiana Department of Administration within 10 days after receiving notice from an employee under (c) (2) above, or otherwise receiving actual notice of such conviction.
(e) Within 30 days after receiving notice under (c) (2) above of a conviction, imposing the following sanctions or remedial measures on an employee who is convicted of drug abuse violations occurring in the workplace by (1) taking appropriate personnel action against the employee, up to and including termination; or (2) requiring such employee to satisfactorily participate in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State or local health, law enforcement, or other appropriate agency.
(f) Making a good faith effort to maintain a drug free workplace through the implementation of (a) through (e) above.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------ETHICS COMPLIANCE
The Contractor and its agents shall abide by all ethical requirements that apply to persons who have a business relationship with the State, as set forth in Indiana code § 4-2-6 et seq., the regulations promulgated thereunder, and Executive Order 04-08, dated April 27, 2004. If the Contractor is not familiar with these ethical requirements, the Contractor should refer any questions to the Indiana State Ethics Commission, or visit the Indiana State Ethics Commission website at [http://www.in.gov/ethics/]. If the Contractor or its agents violate any applicable ethical standards, the State may, in its sole discretion, terminate this contract immediately upon notice to the Contractor. In addition, the contractor may be subject to penalties under Indiana Code § 4-2-6-12.
THE UNDERSIGNED AFFIRMS, UNDER PENALTIES OF PERJURY, THAT HE OR SHE IS AUTHORIZED TO EXECUTE THIS CERTIFICATION ON BEHALF OF THE DESIGNATED ORGANIZATION.
------------------------------------------------------------------AFFIDAVIT
The signer of this bid, being duly sworn, on his or her oath says that he or she is the bidder for the construction or the improvements of a State highway described in this bid of which this affidavit is a part; that said bid is submitted in good faith and not as a speculation or to be assigned or relinquished and will be executed and fulfilled by said bidder, according to its terms, if accepted, and according to the plans, profiles and specifications for said improvement; that this bid is made without reference to any other bid; that this bidder has not offered to or received from a person, firm, board, commission, trustee or corporation a sum of money or consideration for the making of said bid. That no inducement of a form or character other than that which appears upon the face of the bid will be suggested, offered, paid, or delivered to a person whomsoever to influence the acceptance of the said bid or awarding of the contract, nor has this bidder an agreement or understanding whatsoever, with a person whomsoever to pay, deliver to, or share with another person, the proceeds of the contract sought by this bid; that said bidder has not directly or indirectly made an arrangement, contract, or understanding with another bidder or bidders concerning the amount of said bid, nor has such bidder colluded, conspired, connived, or agreed with a person whomsoever to influence a bid for said contract, directly or indirectly.
------------------------------------------------------------------
INDIANA DEPARTMENT OF TRANSPORTATION
CURRENT CONTRACTUAL OBLIGATIONS
Entries on this sheet shall include all construction work under contract or verbal performance agreement or pending award to the contractor signing, whether as principal or as subcontractor. See 105 IAC 11-3-4 of the Rules for Prequalification of Contractors and Bidding.
TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR, OR OTHER PARTY:
$
TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANA DEPARTMENT OF TRANSPORTATION CONTRACTS:
$
TOTAL OF ALL UNEARNED WORK NOW UNDER CONTRACT WITH ANY OWNER, CONTRACTOR, OR OTHER PARTY IN THE PREQUALIFICATON WORK TYPE(S) ASSIGNED TO THIS CONTRACT AND USED FOR BIDDING CAPACITY BY THE BIDDER:
$
TOTAL OF ALL UNEARNED WORK SUBLET AND APPROVED TO SUBCONTRACTORS ON INDIANA DEPARTMENT OF TRANSPORTATION CONTRACTS IN THE PREQUALIFICATON WORK TYPE(S) ASSIGNED TO THIS CONTRACT AND USED FOR BIDDING CAPACITY BY THE BIDDER:
$
The bidder shall submit a complete list of all unearned work when requested by the Prequalification Engineer, on the form provided. The information on the list shall include the contract number, the name of the owner, contractor, subcontractor or other party, the type of work yet to be performed, and the value of unearned work.
I hereby certify that to the best of my knowledge and belief, the above amounts of unearned work are true and complete and that my latest financial statement on file with the Indiana Department of Transportation continues to represent fairly and substantially my financial position as of this date.
INDIANA DEPARTMENT OF TRANSPORTATION
ELECTRONIC BID SUBMISSION CERTIFICATION
BY SUBMITTING THIS BID ELECTRONICALLY, I HEREBY ACKNOWLEDGE THAT ALL REQUIREMENTS INCLUDED IN THE HARD COPY PROPOSAL, AMENDMENTS, PLANS, STANDARD SPECIFICATIONS, AND SUPPLEMENTAL SPECIFICATIONS ARE A PART OF THIS BID AND CONTRACT.
THE PRINCIPAL SHALL FILE AN ELECTRONIC BID BOND WHEN BIDDING ELECTRONICALLY. BY FILLING IN THE BOXES BELOW THE PRINCIPAL IS ENSURING THE IDENTIFIED ELECTRONIC BID BOND HAS BEEN EXECUTED AND THE PRINCIPAL AND SURETY ARE FIRMLY BOUND UNTO THE STATE OF INDIANA.
Electronic Bid Bond ID
Company / Bidder Name
Title
Email Address
*** AN ELECTRONIC PROPOSAL SUBMITTED AND SIGNED WITH A DIGITAL ID, UNDER THE PROVISIONS OF THE INDIANA DEPARTMENT OF TRANSPORTATION, WILL BE CONSIDERED VALID AND BINDING. ***
USE OF ANOTHER PERSON'S DIGITAL ID IN THIS BIDDING PROCESS VIOLATES THE LAWS OF INDIANA.
BY INDICATING YES IN THE BOX
-- Yes --No
, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTOOD THE ABOVE ELECTRONIC BID SUBMISSION CERTIFICATION.
INDIANA DEPARTMENT OF TRANSPORTATIONPERFORMANCE BOND ATTACHMENT
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Will you be attaching a Performance Bond?
Yes No
Performance Bond Attachment Description:
Performance Bond Additional Attachment 1 Description:
Performance Bond Additional Attachment 2 Description:
Performance Bond Additional Attachment 3 Description:INDIANA DEPARTMENT OF TRANSPORTATIONFILE ATTACHMENTS
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Note: There is a 5MB file size limit per attached file. If the attachment file size is over 5MB, then the file will need to be split into multiple files. The additional files can be attached in the additional attachment fields below. Please include a detailed description with your attachments.
Will you be attaching any additional attachments?
Yes No
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Additional Attachment 7 Description:
Additional Attachment 8 Description:
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
DBE {{Letting.Proposal.DbeMbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
IDIQ CONTRACT
DBE AFFIRMATIVE ACTION CERTIFICATION
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified Disadvantaged Business Enterprise (DBE) to participate in this contact as subcontractors, lessors, or suppliers of materials or services. No DBEs need to be identified at the time of bid submittal.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the DBE program. The applicable requirements are included in the Standard Specifications, Recurring Special Provisions and the Unique Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me.
I understand that utilization of certified DBE is in addition to all other equal employment opportunity requirements of this contract. I acknowledge that this certification is to be made an integral part of this contract.
I hereby certify that I will commit to utilization of firms certified by the State of Indiana or the Kentucky Transportation Cabinet as DBEs for a minimum of 7.00% of the total dollar value of the contract. (For a listing of DBE certified firms, refer to the DBE Public Search Directory found on the INDOT website or on the Kentucky Transportation Cabinet's DBE directory.) I hereby certify that I will commit to submission of a separate Affirmative Action Certification form for each work order which lists the DBEs to be utilized for each work order, the type of work to be performed by the DBE, and the actual dollar amount to be paid to the DBE prior to issuance of the notice to proceed.
Following the completion of each work order the Contractor shall submit to the Project Engineer/Supervisor, the Project Manager and to INDOT’s Economic Opportunity Division, Central Office a report reconciling the actual utilization of the DBE for the work order.
Contract Number {{Letting.Proposal.ContractId}}
Contract Bid AMount ${{BidTotal}}
MBE Goal {{Letting.Proposal.DbeMbeGoal}}%
WBE Goal {{Letting.Proposal.WbeGoal}}%
INDIANA DEPARTMENT OF TRANSPORTATION
IDIQ CONTRACT
MINORITY AND WOMEN'S BUSINESS ENTERPRISES PARTICIPATION PLAN
I do hereby certify that it is the intention of my company to affirmatively seek out and consider certified Minority Business Enterprises (MBE), Women’s Business Enterprises (WBE) and Indiana Veteran Owned Small Business (IVOSB) to participate in this contract as subcontractors, lessors, or suppliers of materials or services. No MBE, WBE or IVOSB needs to be identified at the time of bid submittal. However, the electronic Participation Plan forms herein may be used for work order submittals.
I understand and agree that all subcontracting or leasing in connection with this contract, whether undertaken prior to or subsequent to award of contract, will be in accordance with the requirements for the MBE and WBE program and the IVOSB program. The applicable requirements are included in the Standard Specifications and the Special Provisions in the Contract Information Book for this contract. I understand and agree that no subcontracting will be approved or commenced until the Department has reviewed and approved the affirmative actions taken by my company or me. I understand that utilization of certified MBE, WBE and IVOSB is in addition to all other equal employment opportunity requirements of this contract. I acknowledge that this certification is to be made an integral part of this contract.
I hereby certify that I will commit to utilization of firms certified by the State of Indiana as MBE, WBE and IVOSB for a minimum of 7% of the total dollar value of the contract for MBE, for a minimum of 5% of the total contract dollar value for WBE and for a minimum of 3% of the total contract dollar value for IVOSB. (For a listing of MBE, WBE and IVOSB certified firms, refer to the MBE and WBE and IVOSB Public Search Directory found on the IDOA website.) I hereby certify that, prior to issuance of the notice to proceed, I will commit to submission of separate MBE, WBE and IVOSB Participation Plan forms for each work order which list the MBE, WBE and IVOSB to be utilized for each work order, the type of work to be performed, and the actual dollar amount to be paid to the MBE, WBE and IVOSB.
false1
INDIANA DEPARTMENT OF TRANSPORTATION
DISADVANTAGED BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
DBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorN - DBE Supplier BrokerN - DBE Supplier ManufacturerY - Supplier DBE Reg. Dealer
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved?
INDIANA DEPARTMENT OF TRANSPORTATION
DISADVANTAGED BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
DBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorN - DBE Supplier BrokerN - DBE Supplier ManufacturerY - Supplier DBE Reg. Dealer
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved?
INDIANA DEPARTMENT OF TRANSPORTATION
MINORITY BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
MBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorY - Supplier
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved?
INDIANA DEPARTMENT OF TRANSPORTATION
MINORITY BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
MBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorY - Supplier
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved?
INDIANA DEPARTMENT OF TRANSPORTATION
WOMEN'S BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
WBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorY - Supplier
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved?
INDIANA DEPARTMENT OF TRANSPORTATION
WOMEN'S BUSINESS ENTERPRISES
Name:
FEIN:
Addr1:
Certification Code:
WBE Participation: RC - Race Conscious
Used As:
N - LeaseN - SubcontractorY - Supplier
In the box below, enter the line numbers and description of the work. Designate partial line items by adding a "p" to the end of the line number, such as "72p".
Item Line Numbers and Description of Work:
Bid Quote: Calculate goal achieved? 105/20/201919060522019-06-05T16:00:00SCHDSCHEDULEDSCHDR -39915-B10640false7.005.0005/20/201905/20/2019101601849160184900ST4BOTHMBE=RC & WBE=RCN500ROADSIDE WORK, OTHERRROADN000ROADSIDE WORK99No Classification AvailableRRURALSTSTATE FUNDINGFalseNAMYT3.0005/09/201903/01/201902/28/201903/01/2019YFalseMARSHALLC050STARKEC075VARIOUSC099CONSTRUCT ADA APPROVED SIDEWALK RAMPSON SR 10, NORTH JUDSON AND ARGO AT VARIOUS LOCATIONSCOMPLETION DATE07/26/2019500DTDT000160184900ST4640N000ROADSIDE WORKRRURAL1CONSTRUCT ADA APPROVED SIDEWALK RAMPS0001105-06845100105CONS1.00000LSLS1.0000truetruefalsetruefalsefalseCONSTRUCTION ENGINEERINGCONSTRUCTION ENGINEERING1999-06-22T00:00:00false0002109-08359100109MOBL1.000001.00000DOLDOL1.0000falsefalsetruetruefalsefalseLIQUIDATED DAMAGESLIQUIDATED DAMAGES2004-11-23T00:00:00false0003109-08360100109MOBL1.000001.00000DOLDOL1.0000falsefalsetruetruefalsefalseCONTRACT LIENSCONTRACT LIENS2004-11-23T00:00:00false0004109-08443100109MOBL1.000001.00000DOLDOL1.0000falsefalsetruetruefalsefalseQUALITY ADJUSTMENTS TTCDQUALITY ADJUSTMENTS, TEMPORARY TRAFFIC CONTROL DEVICES2005-06-21T00:00:00false0005109-08444100109MOBL1.000001.00000DOLDOL1.0000falsefalsetruetruefalsefalseQUALITY ADJUSTMENTS FMQUALITY ADJUSTMENTS, FAILED MATERIALS2005-06-21T00:00:00false0006109-09489100109ASPH1.000001.00000DOLDOL1.0000falsefalsetruetruefalsefalsePAYMENT ADJUSTMENT PG ASPHALT BINDERPAYMENT ADJUSTMENT PG ASPHALT BINDER109-C-2192008-07-22T00:00:00false0007110-01001100110MOBL1.00000LSLS1.0000truetruefalsetruefalsefalseMOBILIZATION AND DEMOBILIZATIONMOBILIZATION AND DEMOBILIZATION1999-06-22T00:00:00false0008201-52370200201RMVL1.00000LSLS1.0000truetruefalsetruefalsefalseCLEARING RIGHT OF WAYCLEARING RIGHT OF WAY201-C-052false0009202-05545200202ENVI16.00000CYSCYS1.0000falsefalsefalsetruefalsefalseREGULATED MATERIALS DISPOSE CREGULATED MATERIALS, DISPOSE, TYPE C1997-08-28T00:00:00false0010202-05550200202ENVI16.00000CYSCYS1.0000falsefalsefalsetruefalsefalseREGULATED MATERIALS REMOVE CREGULATED MATERIALS, REMOVE, TYPE C1997-08-28T00:00:00false0011202-05555200202ENVI16.00000CYSCYS1.0000falsefalsefalsetruefalsefalseREGULATED MATERIALS TRANSPORT CREGULATED MATERIALS, TRANSPORT, TYPE C1997-08-28T00:00:00false0012202-07603200202RMVL5.00000EACHEACH1.0000falsefalsefalsetruefalsefalseTESTING FOR WASTES CTESTING FOR WASTES, TYPE C2010-01-12T00:00:00false0013304-07491300304ASPH16.00000TONTON1.0000falsefalsefalsetruefalsefalseHMA PATCHING TYPE CHMA PATCHING, TYPE C2002-05-28T00:00:00false0014406-05521400406ASPH97.00000SYSTON0.0008falsefalsefalsetruefalsefalseASPHALT FOR TACK COATASPHALT FOR TACK COAT406-R-6761997-07-19T00:00:00false0015604-08086600604FOUN208.00000SYSSYS1.0000falsefalsefalsetruefalsefalseCURB RAMP CONCRETECURB RAMP, CONCRETE2003-12-17T00:00:00false0016604-12083600604PVMK34.00000SYSSYS1.0000falsefalsefalsetruefalsefalseDETECTABLE WARNING SURFACESDETECTABLE WARNING SURFACES2016-02-01T00:00:00false0017604-12084600604PVMK4.00000SYSSYS1.0000falsefalsefalsetruefalsefalseDETECTABLE WARNING SURFACES, RETROFITDETECTABLE WARNING SURFACES, RETROFIT2016-02-01T00:00:00false0018621-06567600621LAND1.00000kGALkGAL1000.0000falsefalsefalsetruefalsefalseWATERWATER1999-08-27T00:00:00false0019621-06575600621LAND124.00000SYSSYS1.0000falsefalsefalsetruefalsefalseSODDING NURSERYSODDING, NURSERY1999-10-01T00:00:00false0020801-06640800801TRFT44.00000EACHEACH1.0000falsefalsefalsetruefalsefalseCONSTRUCTION SIGN ACONSTRUCTION SIGN, A801-R-5421999-11-23T00:00:00false0021801-06775800801TRFT1.00000LSLS1.0000truetruefalsetruefalsefalseMAINTAINING TRAFFICMAINTAINING TRAFFIC801-C-157, 801-T-1941999-06-22T00:00:00false0022808-06368800808PVMK15.00000LFTLFT1.0000falsefalsefalsetruefalsefalseTRANSVERSE MARKING REMOVETRANSVERSE MARKING, REMOVE1999-04-12T00:00:00false0023808-06726800808PVMK11.00000LFTLFT1.0000falsefalsefalsetruefalsefalseTRANSVERSE MKG PAINT STOP LINE WHIT 24INTRANSVERSE MARKING, PAINT, STOP LINE, WHITE, 24 IN.2000-02-07T00:00:00false2.0.9.0falsetruetruetruetruetruefalsetruetruetruefalsefalsefalsefalsefalse5.0005.00