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PageT34 ot154
BRACKNEY, INC.
DECEMBER 31, 2016 AND 2015
ATTACHMENT TO CONTRACTORS REPORT - LONG-TERM NOTES PAYABLE
2016 2015
Interest Monthly Principal Principal
Rate Payment Balance Balance
John Deere Industrial Equipment Co.
Excavator - due November 2017 -
Excavator - due June 2018 -
Excavator - due March 2019 -
Loader - due September 2019 -
Ally Auto Finance
3,447 $ 37,917 $ 79,281
5,360 91,121 155,442
6,513 175,844 -
5,874 187,958
Truck - due June 2020
3.79 666 25,664
518,404
Less current maturities
257,996
260,408
Current maturities of long-term liabilities over the subsequent four years are as follows:
2017
$ 257,996
2018
182,832
2019
74,208
2020
3,368
32,442
267,165
112,541
$ 154.624
EXHIBIT'A' - Page 135 of 154
BRACKNEY, INC.
FINANCIAL STATEMENTS
AND SUPPLEMENTARY INFORMATION
Years Ended December 31, 2016 and 2016
EXHIBIT'A' - Page 136 of 154
TABLE OF CONTENTS
Page
INDEPENDENT AUDITORS' REPORT
1-2
FINANCIAL STATEMENTS
Balance Sheets
3
Statements of Operations and Retained Earnings
4
Statements of Cash Flows
5
Notes to the Financial Statements
6 -11
SUPPLEMENTARY INFORMATION
Schedules of Cost of Revenue Earned
12
Schedule of Revenue - Completed Contracts
13
Schedule of Revenue - Uncompleted Contracts
14
Schedules of General And Administrative Expenses
15
Schedules of Other Income (Expense)
16
EXHIBIT'A' - Page 137 of 154
B RADY WARE
SLSCHOENFIELD
INDEPENDENT AUDITORS' REPORT
Board of Directors
Brackney, Inc.
Brookville, Indiana
We have audited the accompanying financial statements of Brackney, Inc. (an Indiana S Corporation),
which comprise the balance sheets as of December 31, 2016 and 2015, and the related statements of
operations and retained earnings and cash flows for the years then ended, and the related notes to the
financial statements.
Management's Responsibility for the Financial Statements
Management is responsible for the preparation and fair presentation of these financial statements in
accordance with accounting principles generally accepted in the United States of America; this includes
the design, implementation, and maintenance of internal control relevant to the preparation and fair
presentation of financial statements that are free from material misstatement, whether due to fraud or
error.
Auditors' Responsibility
Our responsibility is to express an opinion on these financial statements based on our audits. We
conducted our audits in accordance with auditing standards generally accepted in the United States of
America. Those standards require that we plan and perform the audits to obtain reasonable assurance
about whether the financial statements are free from material misstatement.
An audit involves performing procedures to obtain audit evidence about the amounts and disclosures in
the financial statements. The procedures selected depend on the auditors' judgment, including the
assessment of the risks of material misstatement of the financial statements, whether due to fraud or
error. In making those risk assessments, the auditor considers internal control relevant to the entity's
preparation and fair presentation of the financial statements in order to design audit procedures that are
appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of
the entity's internal control. Accordingly, we express no such opinion. An audit also includes evaluating
the appropriateness of accounting policies used and the reasonableness of significant accounting
estimates made by management, as well as evaluating the overall presentation of the financial
statements.
We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for
our audit opinion.
3601 Rigby Road • Suite 400 • Dayton, Ohio • 45342-4981
1 Woodside Drive • Richmond, Indiana • 47374-2630
4249 Easton Way • Suite 100 . Columbus, Ohio . 43219-6170
2340 Perimeter Park Drive • Suite 100 • Atlanta, Georgia • 30341-1318
10375 Old Alabama Road Connector • Suite 300 • Alpharetta, Georgia • 30022-1122
* 16ndjagmvi .afdw
' BRADY WARE
_-EtSCIfOLN FLAP
INDEPENDENT AUDITORS' REPORT
Opinion
in our opinion, the financial statements referred to above present fairly, in all material respects, the
financial position of Brackney, Inc. as of December 31, 2016 and 2015, and the results of its operations
and its cash flows for the years then ended in accordance with accounting principles generally accepted
in the United States of America.
Report on Supplementary Information
Our audit was conducted for the purpose of forming an opinion on the financial statements as a whole.
The supplementary information on pages 12 -16 is presented for the purpose of additional analysis and
Is not a required part of the financial statements. Such information is the responsibility of management
and was derived from and relates directly to the underlying accounting and other records used to prepare
the financial statements. The information has been subjected to the auditing procedures applied in the
audit of the financial statements and certain additional procedures, including comparing and reconciling
such information directly to the underlying accounting and other records used to prepare the financial
statements, or to the financial statements themselves, and other additional procedures in accordance
with auditing standards generally accepted in the United States of America. In our opinion, such
information is fairly stated in all material respects in relation to the financial statements as a whole.
Richmond, Indiana
March 23, 2017
EXHIBIT'A' - Page 139 of 154
, R'
BRACKNEY, INC.
BALANCE SHEETS
December 31, 2016 and 2016
2016
2015
ASSETS
CURRENT ASSETS
Cash
$ 5,848,352
$
1,206,589
Certificate of deposit
72,130
-
Accounts receivable, net
3,326,981
4,573,843
Accounts receivable - stockholders
6,126
-
Costs and estimated earnings in excess of billings
45,822
1,211,044
Stock inventory - at cost
1,200
1,200
Total current assets
9,299,611
6,992,676
PROPERTY AND EQUIPMENT, NET
2,317,003
2,065,701
RESTRICTED CASH
36,000
35,000
CERTIFICATE OF DEPOSIT
72,130
$ 11,661 614
$
9165,507,
LIABILITIES AND STOCKHOLDERS' EQUITY
CURRENT LIABILITIES
Current maturities of long-term notes payable
$ 267,996
$
112,641
Accounts payable -trade
377,432
1,175,130
Billings in excess of costs and estimated earnings
2,190,842
1,258,910
Distributions payable
2,627
783
Accrued expenses and payroll withholdings
306,294
249,863
Total current liabilities
3,134,191
2,797,227
LONG-TERM NOTES PAYABLE, NET OF CURRENT
MATURITIES
260,408
154,624
Total liabilities
3,394,699
2,951,851
STOCKHOLDERS' EQUITY
Common stock
550,988
550,988
Retained earnings
7,706,027
5,662,668
Total stockholders' equity
8,267,015
6,213,656
$ 11,651,614
$
9,165,507
See notes to financial statements. 3
EXHIBIT'A' - Page 140 of 154
BRACKNEY, INC.
STATEMENTS OF OPERATIONS AND RETAINED EARNINGS
Years Ended December 31, 2016 and 2016
2016
2015
Amount
Percent
Amount
Percent
CONTRACT REVENUE EARNED
$ 14,334,438
100.0
$ 16,407,444
100.0
COST OF REVENUE EARNED
11,621,136
81.1
13,987,732
85.3
GROSS PROFIT
2,713,302
18.9
2,419,712
14.7
GENERAL AND ADMINISTRATIVE EXPENSES
651,566
3.8
470,415
2.9
INCOME FROM OPERATIONS
2,161,736
15.1
1,949,297
11.8
OTHER INCOME (EXPENSE)
14,496
0.1
68,227
0.4
NET INCOME
2,176,232
16.2
2,017,524
12.2
RETAINED EARNINGS
Beginning of year 6,662,668
Distributions (132,873)
End of year $ 7,706,027
See notes to financial statements.
4,023,879
(378,735)
$ -5� 662,668
4
EXHIBIT'A' - Page 141 of 154
BRACKNEY, INC.
STATEMENTS OF CASH FLOWS
Years Ended December 31, 2016 and 2016
2016 2015
OPERATING ACTIVITIES
Net income $ 2,176,232 $ 2,017,524
Adjustments to reconcile net income to net cash provided
by operating activities:
Depreciation 462,674 416,799
Gain on sale of equipment (3,645) (64,5661
2,635,361 2,369,757
Changes in operating assets and liabilities:
Accounts receivable, net
1,246,863
(2,084,277)
Costs and estimated earnings in excess of billings
1,166,222
(996,253)
Accounts payable - trade
(797,699)
355,250
Billings in excess of costs and estimated earnings
931,932
819,073
Accrued expenses and payroll withholdings
56,432
70,935
Net cash provided by operating activities
5,237,111
534,485
INVESTING ACTIVITIES
Purchases of property and equipment
(270,621)
(407,206)
Proceeds from sale of equipment
6,000
64,566
Change in amount due from stockholders
(6,126)
-
Net cash used by investing activities
(269,647)
(342,640)
FINANCING ACTIVITIES
Principal payments on long-term notes payable
(194,672)
(82,778)
Distributions
(131,029)
(378,721)
Net cash used by financing activities
(326,701)
(461,499)
NET INCREASE (DECREASE) IN CASH
4,641,763
(269,654)
CASH
Beginning of year
1,206,689
1,476,243
End of year
$ 5,8_52
$ 1,206,589
See notes to financial statements. 5
EXHIBIT'A' - Page 142 of 154
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES
Nature of Operations - Brackney, Inc. (the "Company") is an Indiana corporation operating as an
excavation contractor. The Company is engaged in water and sewage line installation, drainage control,
roadways, and general excavation primarily in Indiana and Ohio, and derives its revenue from these
activities.
Financial Estimates - The preparation of financial statements in conformity with accounting principles
generally accepted in the United States of America requires the Company's management to make
estimates and assumptions that affect the reported amounts of assets and liabilities, and disclosure of
contingent assets and liabilities at the date of the financial statements, and the reported amounts of
revenue and expenses during the reporting period. Actual results could differ from those estimates.
Significant Estimates - The Company recognizes revenue using the percentage of completion method,
which involves significant estimates. Significant estimates used in preparing these financial statements
include those used in determining estimated profit under the percentage of completion method of
accounting. It is at least reasonably possible that the estimates used will change within the next year.
Concentrations - Financial instruments that potentially subject the Company to credit risk consist
principally of trade account receivables. A material portion of the Company's net sales is dependent
upon a few customers, the loss of whom may have a materially adverse effect on the Company. Net
sales to these customers accounted for approximately 75% and 80% of total sales for 2016 and 2015.
These customers accounted for 47% and 87% of accounts receivable at December 31, 2016 and 2015.
Additionally, the Company's cash as of December 31, 2016 and 2015 was on deposit in one financial
institution in excess of FDIC insurance limits.
The Company had one major supplier who accounted for approximately 14% and 28% of the Company's
total material purchases for 2016 and 2015. Further, one major subcontractor accounted for
approximately for 71 % of the Company's subcontractor expense for 2015. There were no major
subcontractors in 2016.
Restricted Cash - The Company is required to maintain $36,000 in the checking account as a
requirement of the line of credit.
Inventories - Inventories are valued at the lower of cost (first -in, first -out method) or market with
estimates of quantities and prices used in some cases.
Accounts Receivable - An allowance for doubtful accounts has been established for possible losses on
the collection of accounts based upon a periodic review of credit risks. Customers not making payments
in accordance with terms offered, or historical practices, are determined to be past due. Standard terms
are 30 days, but may vary based on specific contract terms negotiated, and the accounts are aged based
on invoice date. Accounts are written off against the allowance when management determines that
probability of collection is remote and all collection efforts have failed.
The balance of the allowance was $10,000 at December 31, 2016 and 2015.
EXHIBIT'A' - Page 143 of 154
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 1 - SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - CONTINUED
Property and Equipment Property and equipment are stated at cost and depreciated over their
estimated useful lives using the straight-line method. Routine repairs and maintenance are charged to
expense when incurred. When property and equipment are retired or sold, the related cost and
accumulated depreciation are removed from the respective accounts, and the resulting gains and losses
are included in income.
The Company reviews for impairment of long-lived assets in accordance with accounting standards.
These standards require companies to determine if changes in circumstances indicate that the carrying
amount of its long-lived assets may not be recoverable. If a change in circumstances warrants such an
evaluation, undiscounted future cash flows from the use and ultimate disposition of the asset, as well as
respective market values, are estimated to determine if an impairment exists. Management believes that
there has been no impairment of the carrying value of its long-lived assets at December 31, 2016 and
2015.
Construction Revenue and Contracts in Process - Revenue from fixed -price and modified fixed -price
construction contracts are recognized on the percentage -of -completion method, measured by the
percentage of costs incurred to date to estimated total costs for each contract. This method is used as
management considers the cost -to -cost method to be the best available measure of progress on these
contracts. Contracts generally do not exceed one year.
Income Taxes - The Company, with the consent of its stockholders, has elected to have its income taxed
directly to its stockholders under the provisions of Subchapter S of the Internal Revenue Code, the effect
of which is to eliminate federal and state income taxes at the corporate level. It is the intention of
management to distribute funds to the stockholders in amounts at least sufficient to pay the increased
personal taxes, which result from the election.
The income tax provision represents state and municipal income tax expense for those states and
municipalities not allowing pass -through of taxable income to stockholders.
Accounting for Uncertainty in Income Taxes - Accounting standards require the evaluation of tax
positions taken, or expected to be taken, in the course of preparing the Company's tax returns, to
determine whether the tax positions are "more -likely than -not" of being sustained by the applicable tax
authority. This statement provides that a tax benefit from an uncertain tax position may be recognized in
the financial statements only when it is "more -likely -than -not" the position will be sustained upon
examination, including resolution of any related appeals or litigation processes, based upon the technical
merits and consideration of all available information. Once the recognition threshold is met, the portion of
the tax benefit that is recorded represents the largest amount of tax benefit that is greater than 50 percent
likely to be realized upon settlement with a taxing authority. No significant uncertain tax positions exist as
of December 31, 2016.
Advertising - Advertising costs are expensed as incurred. Advertising expense was $12,168 and $8,272
in 2016 and 2015.
Subsequent Events - In preparing these financial statements, the Company has evaluated events and
transactions for potential recognition or disclosure through March 23, 2017, the date the financial
statements were available to be issued.
EXHIBIT'A' - Page 144 of 154
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 2 - ACCOUNTS RECEIVABLE
Accounts receivable
Retainage
Interest receivable
Less allowance for doubtful accounts
2016 2015
$ 1,866,527 $ 3,580,246
1,469,622 1,002,665
932 932
3,336,981 4,583,843
10,000 10,000
$ 3,326,981 $ 4,573,843
Trade receivables are pledged as collateral on the Company's line of credit. Retainages at December 31,
2016 are expected to be collected in 2017.
NOTE 3 - PROPERTY AND EQUIPMENT
Machinery and equipment
Vehicles
Buildings
Office equipment
Total cost
Less accumulated depreciation
Depreciation expense was $462,674 and $416,799 for 2016 and 2016.
NOTE 4 - LINE OF CREDIT
2016 2015
$ 6,110,110 $ 5,674,672
1,898,866 1,824,578
136,008 136,008
83,062 83,062
0,228,046 7,618,320
6,911,043 5,552,619
$ 2,31 7,003 $ 2� 06,71
The Company has a $3,000,000 line of credit available with a bank. The maximum amount loaned may
not exceed a borrowing base calculation. Interest is payable at the prime rate (3.75% at December 31,
2016) plus 0.25%, but under no circumstances will the interest rate be less than 3.75%. The line of credit
is secured by all assets of the Company and matures in May 2017. There were no outstanding
borrowings on the line of credit at December 31, 2016.
The Company had a $1,500,000 line of credit available with a bank. The maximum amount loaned could
not exceed a borrowing base calculation. Interest was payable at the prime rate (3.50% at December 31,
2015) plus 0.50%, but under no circumstances could the interest rate be less than 3.75%. The line of
credit was secured by all assets of the Company and matured in May 2016. There were no outstanding
borrowings on the line of credit at December 31, 2015.
The line of credit contains certain restrictive covenants. The Company was in compliance with these
covenants at December 31, 2016 and 2015.
EXHIBIT'A' - Page 145 of 154
mi
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 6 - NOTES PAYABLE
2016 2015
Vendor note, payable in monthly installments of $3,447 including
interest at 0.00%, collateralized by an excavator, maturing in
November 2017. $ 37,917 $ 79,281
Vendor note, payable in monthly installments of $5,360 including
interest at 0.00%, collateralized by an excavator, maturing in June
2018. 91,121 155,442
Vendor note, payable in monthly installments of $666 including
interest at 3.79%, collateralized by a truck, maturing in June 2020. 26,664 32,442
Vendor note, payable in monthly installments of $6,513 including
interest at 0.00%, collateralized by an excavator, maturing in March
2019. 176,844 -
Vendor note, payable in monthly installments of $5,874 including
interest at 0.00%, collateralized by a loader, maturing in September
2019. 187,968 -
618,404 267,165
Less current maturities of long-term notes payable 267,996 112,541
$ 260,408 $ 154,624
Current maturities of long-term liabilities over the subsequent four years are as follows:
2017
$ 257,996
2018
182,832
2019
74,208
2020
3,368
$ 518,404
Interest expense on notes payable was $1,185 and $767 for 2016 and 2015.
NOTE 6 - COMMON STOCK
The Company has 9,900 non -voting and 100 voting shares of no-par common stock authorized, issued
and outstanding at December 31, 2016 and 2015. The stated value of the shares is $55.
E
EXHIBIT'A' - Page 146 of 154
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 7 - COSTS AND ESTIMATED EARNINGS ON UNCOMPLETED CONTRACTS
The summary of contracts in progress is as follows:
Costs incurred on uncompleted contracts
Estimated gross profit
Less billings to date
2016 2015
$ 16,189,190 $ 17,324,258
3,939,364 3,285,787
20,128,664 20,610,045
22,273,574 20,657,911
$ (2,1^ 46,020) $ 47,866
Excess billings over revenue earned to date and excess revenue earned over billings to date are included
in the accompanying balance sheets as follows:
Costs and estimated earnings in excess of billings
on uncompleted contracts
Billings in excess of costs and estimated earnings
on uncompleted contracts
NOTE 8 - BACKLOG OF CONTRACTS - UNAUDITED
Beginning of year balance
New contracts and adjustments
Less contract revenue earned during the period
End of year balance
NOTE 9 - MONEY PURCHASE PENSION PLAN
2016 2015
46,822 $ 1,211,044
(2,190,842) 1,258,910
$ 2,145,0201 $ 47,866
2016 2015
$ 14,732,199 $ 13,465,242
6,830,823 17,674,401
14,334,438 16,407,444
$$ 7�684$14�99
The Company has a defined contribution money purchase plan covering substantially all employees.
The benefits of the Plan are based on the number of hours of service on jobs contracted with the
government under which there is a prevailing wage rate requirement. There are no eligibility exclusions,
and participants are fully vested at all times under provisions of the Plan. The Company contributed
$365.111 and $262,143 to the Plan for 2016 and 2015.
10
EXHIBIT'A' - Page 147 of 154
BRACKNEY, INC.
NOTES TO THE FINANCIAL STATEMENTS
NOTE 10 - SUPPLEMENTAL CASH FLOW INFORMATION
2016 2015
Cash paid during the year for:
Interest $ 1,18:
Noncash transactions:
Equipment acquisitions financed by long-term notes payable $, 445,9_ $,_;2_
11
EXHIBIT'N - Page 148 of 154
BRACKNEY, INC.
SCHEDULES OF COST OF REVENUE EARNED
Years Ended December 31, 2016 and 2015
2016
2015
Amount
Percent
Amount
Percent
Depreciation
$ 462,674
3.2
$ 416,799
2.5
Material
3,324,747
23.2
4,215,315
25.7
Rental
72,536
0.5
37,781
0.2
Repairs and maintenance
479,248
2,999,621
3.3
20.9
565,533
5,249,019
3.4
32.0
Subcontractors
Other direct costs
217,012
3,639,790
1.6
26.5
110,976
2,879,459
0.7
17.6
Labor and benefits
242,907
1.7
254,843
1.6
Delivery expense
Bonding insurance
52,643
0.4
132,617
0.8
Travel and entertainment
24,879
105,079
0.2
0.7
47,098
78,292
0.3
0.6
Small tools
_
See independent auditors' report.
$ 11� 621,E 136 81.1 $ 13� 987,732 85.3
12
EXHIBIT'A' - Page 149 of 154
BRACKNEY, INC.
SCHEDULE OF REVENUE - COMPLETED CONTRACTS
Year Ended December 31, 2016
Revenue
2016
Job
Contract
Total
Gross
Recognized
Revenue
No.
Job Name
Amount
Cost
Profit
in Prior Years
(Loss)
1420-A
Phillipsburg, OH
$ 1,647,964
$ 1,470,244 $
177,720
$ 1,726,550 $
(78,586)
1420-B
Phillipsburg, OH
2,047,713
1,668,109
379,604
2,146,428
(98,715)
1420-C
Phillipsburg, OH
613,810
522,955
90,855
555,061
58,749
1440
N. Vernon, IN
785,593
598,483
187,110
779,030
6,563
1450
Whitestown, IN
8,061,563
6,708,557
1,353,006
7,323,994
737,569
1510
Greenfield, IN
892,015
703,977
188,038
885,691
6,324
1520
Connersville, IN
419,980
377,594
42,386
398,225
21,755
1525
Colfax, IN
347,292
303,942
43,350
281,651
65,641
$ 14,816,930
$ 12,353.861 $
2,462,069
$ 14,096.630 $
719,300
See independent auditors' report.
13
EXHIBIT'A' - Page 150 of 154
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EXHIBIT'A'
- Page 151
of 154
BRACKNEY, INC.
SCHEDULES OF GENERAL AND ADMINISTRATIVE EXPENSES
Years Ended December 31, 2016 and 2016
2016
2015
Amount
Percent
Amount
Percent
Advertising
$ 12,168
0.1
$ 8,272
0.1
Bank fees and service charges
4,833
-
2,645
-
Dues and subscriptions
26,764
0.2
17,051
0.1
Insurance
63,091
0.4
57,106
0.4
Miscellaneous
41,868
0.3
43,496
0.3
Office supplies and postage
16,603
0.1
21,316
0.1
Officers' salaries
260,302
1.8
198,977
1.2
Professional services
42,237
0.3
40,475
0.2
Real estate taxes
10,069
0.1
8,857
0.1
Rent
6,000
-
5,000
-
Repairs and maintenance
4,896
-
3,649
-
Taxes - other
60,907
0.4
45,244
0.3
Telephone
2,783
-
3,656
-
Travel and entertainment
-
-
4,096
-
Utilities
10,066
0.1
10.575
0.1
$ 661,566
3.8
$ 470,416
2.9
See independent auditors' report. 15
EXHIBIT'A' - Page 152 of 154
BRACKNEY, INC.
SCHEDULES OF OTHER INCOME (EXPENSE)
Years Ended December 31, 2016 and 2016
2016 2015
Amount Percent Amount Percent
Gain on sale of equipment $ 3,646 - $ 64,566 0.4
Interest expense (1,185) (767) -
Interest income 1,449 - 1,210 -
Other Income 10,687 0.1 3,218 -
$�14,496 . .1 $I � 227 �_4
See independent auditors' report. 16
EXHIBIT'A' - Page 153 of 154
AFFIDAVIT FOR CORPORATION
By virtue of the original Articles of Incorporation or some
subsequent official action of the Stockholders or Board of
The following officers and others are authorized to execute ,
contracts binding the corporation:
Directors, the following are the current officers of the corporation:
Chairman of the Board MARK E. BRACKNEY
1. MARK E .BRACKNEY
President KEVIN BRACKNEY
2. NINA M. BRACKNEY
Vice President CHRISTA WILSON
3. DOUG BRUNS
4. KEVIN BRACKNEY
6.
6.
7.
Secretary CHRISTA WILSON
8•
Treasurer
9•
10.
capital paid in cash
when incorporated?
JANUARY 1,1993
In DIAN ate?
INIANA
if a foreign corporation, give date admitted to do business to Indiana (mmil
er of anno t rapgg o standing Ath the Secretary or Slate of Indiana in the
STATE OF INDIANA
SS.
COUNTY OF FRANKLIN
KEVIN BRACKNEY - , being duly sworn, deposes and says: That he Is PRESIDENT
of BRACKNEY, INC ; the corporation
submitting the foregoing statement of experience and financial position; that he has read the same and that the same is true
knowledge; that the statement Is for the purpose of Inducing the Indiana Department of Transportation to award the submiif
any depository, vendor, or other agency therein named or with whom they have had business relations is hereby authorize
Department with any information necessary to verify the statement.
Signature of
Sworn before me this ° day of
1 , Resident of FRANKLIN County, State of IN
Notary Public
My Commission expires {mm/dd/yy}"
NOTE: The Indiana Department of Transportation will not accept any documentthat is notarized by a notarywho Is an officer, stockholder of
the corporation, or by any relative of the signatory.
Page 22
EXHIBIT'A' - Page 154 of 154
Attachment to Contract No. 197-2017 - Indiana State- Required Provisions
City of Richmond, Indiana, by and through its Board of Sanitary Commissioner and
Brackney, Inc., Project: Northwest 13th Street Interceptor Replacement Proiect - Phase I
A. COMPLIANCE WITH INDIANA E-VERIFY PROGRAM REOUIREMENTS
Pursuant to Indiana Code 22-5-1.7, Contractor is required to enroll in and verify the work eligibility
status of all newly hired employees of the contractor through the Indiana E-Verify program Contractor
is not required to verify the work eligibility status of all newly hired employees of the contractor
through the Indiana E-Verify program if the Indiana E-Verify program no longer exists Prior to the
performance of this Agreement Contractor shall provide to the City its signed Affidavit affirming that
Contractor does not knowingly employ an unauthorized alien in accordance with IC 22-5-1 7-11 (a)
(2). In the event Contractor violates IC 22-5-1.7 the Contractor shall be required to remedy the
violation not later than thirty (30) days after the City notifies the Contractor of the violation If
Contractor fails to remedy the violation within the thirty (30) day period provided above the City shall
consider the Contractor to be in breach of this Agreement and this Agreement will be terminated If
the City determines that terminating this Agreement would be detrimental to the public interest or
public property, the City may allow this Agreement to remain in effect until the City procures a new
contractor. If this Agreement is terminated under this section then pursuant to IC 22-5-1 7-13 (c) the
Contractor will remain liable to the City for actual damages
B. IRAN INVESTMENT ACTIVITIES
Pursuant to Indiana Code (IC) 5-22-16.5, Contractor certifies that Contractor is not engaged in
investment activities in Iran. In the event City determines during the course of this Agreement that
this certification is no longer valid City shall notify Contractor in writing of said determination and
shall give contractor ninety (90) days within which to respond to the written notice In the event
Contractor fails to demonstrate to the City that the Contractor has ceased investment activities in Iran
within ninety (90) days after the written notice is given to the Contractor, the City may proceed with
any remedies it may have pursuant to IC 5-22-16.5. In the event the City determines during the course
of this Agreement that this certification is no longer valid and said determination is not refuted by
Contractor in the manner set forth in IC 5-22-16 5 the City reserves the right to consider the Contractor
to be in breach of this Agreement and terminate the agreement upon the expiration of the ninety (90)
day period set forth above.
C. PROHIBITION AGAINST DISCRIMINATION
1. Pursuant to Indiana Code 22-9-1-10, Contractor, any sub -contractor, or any person acting on behalf of
Contractor or any sub -contractor shall not discriminate against an�employee or applicant for emplo ent
to be employed in the performance of this Agreement with respect to hire tenure terms conditions or
privileges of employment or any matter directly or indirectly related to employment because of race
religion, color, sex, disability, national origin or ancestry_
2. Pursuant to Indiana Code 5-16-6-1 the Contractor agrees:
a. That in the hiring of employees for the performance of work under this Agreement of any subcontract
hereunder, Contractor, any subcontractor, or any person acting on behalf of Contractor or any sub-
contractor, shall not discriminate by reason of race religion color, sex national origin or ancestry against
Page 1 of 2 EXHIBIT PAGE -OF �-
Contract No. 197-2017
any citizen of the State of Indiana who is qualified and available to perform the work to which the
employment relates;
b. That Contractor, any sub -contractor, or any person action on behalf of Contractor or any sub -contractor
shall in no manner discriminate against or intimidate any employee hired for the performance of work under
this Agreement on account of race, religion, color, sex national origin or ancestry
c. That there may be deducted from the amount payable to Contractor by the City under this Agreement a
penalty of five dollars ($5.00) for each person for each calendar day during which such person was
discriminated against or intimidated in violation of the provisions of the Agreement; and
d. That this Agreement may be canceled or terminated by the City and all money due or to become due
hereunder may be forfeited, for a second or any subsequent violation of the terms or conditions of this
section of the Agreement.
3. Violation of the terms or conditions of this Agreement relating to discrimination or
intimidation shall be considered a material breach of this Agreement.
D. WITHHOLDING RETAINAGE AND CLAIMS FOR PAYMENTS
Contractor understands, acknowledges and agrees that pursuant to Indiana Code 36-1-12-
13 the City must provide for the payment of subcontractors laborers material suppliers
and those performing services under a'public works contractor and further agrees that in
the event Contractor fails to timely pay any subcontractor, laborer, or material supplier for
the performance of services or delivery of materials under this Agreement that the Board
of Sanitary Commissioners for the City shall withhold payments in an amount sufficient to
pay the subcontractors, laborers, material suppliers or those providing services. Contractor
further understands, acknowledges, and agrees that the Board shall proceed with the proper
administrative procedures initiated as the result of any claims timely filed by any
subcontractor, laborer, or material supplier under Indiana Code 36-1-12-12.
Page 2 of 2 EXHIBIT - PAGE
Contract No. 197-2017
INDIANA STATE REVOLVING FUND LOAN PROGRAM
DBE PACKET
This packet lists required contract conditions that apply to all Clean Water and Drinking
Water State Revolving Fund projects and contains forms that must be used in the
procurement process. This packet must be physically included in all bidding and contract
documents.
This project is being financed in whole or in part by the Indiana State Revolving Fund Loan
Programs. The loan recipient is required to comply with the following federal and state laws,
rules and regulations and must ensure that their contractor(s) also comply with these
regulations, laws and rules.
1. Title VI of the Civil Rights Act of 1964 (P.L 88-352), the Rehabilitation Act of 1973
(P.L. 93-1123, 87 Stat. 355, 29 U.S.C. Sec. 794), the Older Americans Amendments of
1975 (P.L. 94-135 Sec. 303, 89 Stat. 713, 728, 42 U.S.C. Sec. 6102), and subsequent
regulations, ensures access to facilities or programs regardless of race, color, national
origin, sex, age or handicap.
2. Executive Orders 11246, as amended by Executive Orders 11375 and 12086 and
subsequent regulations. Prohibits employment discrimination on the basis of race, color,
religion, sex or national origin. Inclusion of the seven clauses in Section 202 of E. O.
11246 as amended by E. O. 11375 and 12086 are required in all project related contracts
and subcontracts over $10,000.
3. Executive Orders 11625, 12138 and 12432; 40 CFR part 33; Section 129 of P. L. 100-590
Small Businesses Reauthorization & Amendment Act of 1988; Public Law 102-389 (42
U.S.C. 437d); a 1993 appropriations act ("EPA's 8% statute"); Public Law 101-549, Title
X of the Clean Air Acts Amendments of 1990 (42 U.S.C. 7601 note) ("EPA's 10%
statute"). Encourages recipients to award construction, supply and professional service
contracts to minority and women's business enterprises (MBE/WBE) and small
businesses and requires recipients to utilize affirmative steps in procurement.
4. 40 CFR Part 33 Participation by Disadvantaged Business Enterprises in Procurement
under Environmental Protection Agency (EPA) Financial Assistance Agreements
Executive Order 12549, 3 CFR, 189 and 40 CFR Part 32, Subparts B and C. Prohibits
entering into contracts or sub -contracts with individuals or businesses who are debarred
or suspended. Borrowers are required to check the status of all contractors (construction
and professional services) and must require contractors to check the status of
subcontractors for contracts expected to be equal to or over $25,000 via this Internet
address: http://gpls.arnet.gov/.
6. Indiana Code 36-1-12-12, Requires the board to withhold final payment to contractor until
the contractor has paid the subcontractors, material suppliers, laborers, or those furnishing
services.
EXHIBIT PAGE OF k
Contract No. 197-2017
7. Indiana Code 36-1-12-13.1, requires performance and payments bonds equal to 100% of
the contract price if the cost of the public work is estimated to be more than $200,000.
8. Indiana Code 5-16-7-1, requires that contractors of a public work, and any subcontractor of
the construction, shall pay for each class of work described in subsection (c)(1) on the project a
scale of wages that may not be less than the common construction wage.
Equal Employment
Inclusion of these seven clauses (excerpt from Executive Order No. 11246, Section 202 as
amended by Executive Order 11375 and 12086) is required in all CWSRF and DWSRF
project related contracts and subcontracts over $10,000:
During the performance of this contract, the contractor agrees as follows:
(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex or national origin. The contractor will take affirmative
action to ensure that applicants are employed, and that employees are treated during
employment, without regard to their race, color, religion, sex, or national origin. Such action
shall include, but not be limited to the following: employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other
forms of compensation; and selection for training, including apprenticeship. The contractor
agrees to post in conspicuous places, available to employees and applicants for employment,
notices to be provided by the contracting officer setting forth the provisions of this
nondiscrimination clause.
(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, or national origin.
(3) The contractor will send to each labor union or representative of workers with which he
has a collective bargaining agreement or other contract or understanding, a notice, to be
provided by the agency contracting officer, advising the labor union or worker's
representative of the contractor's commitments under Section 202 of Executive Order No.
11246 of September 24, 1965, and shall post copies of the notice in conspicuous places
available to employees and applicants for employment.
(4) The contractor will comply with all provisions of Executive Order No. 11246 of Sept. 24,
1965, and all of the rules, regulations, and relevant orders of the Secretary of Labor.
(5) The contractor will furnish all information and reports required by Executive Order No.
11246 of Sept. 24, 1965, and by the rules, regulations and orders of the Secretary of Labor, or
pursuant thereto, and will permit access to his books, records, and accounts by the
contracting agency and the Secretary of Labor for purposes of investigation to ascertain
compliance with such rules, regulations, and orders.
(6) In the event of the contractor's noncompliance with the nondiscrimination clauses of this
contract or with any of such rules, regulations, or orders, this contract may be cancelled,
terminated or suspended in whole or in part and the contractor may be declared ineligible for
2 BlT PA- _..E _._....._
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Contract No. 197=2017
further Government contracts in accordance with procedures authorized in Executive Order
No. 11246 of Sept. 24, 1965, and such other sanctions may be imposed and remedies invoked
as provided in Executive Order No. 11246 of Sept. 24, 1965, or by rule, regulation, or order
of the Secretary of Labor, or as otherwise provided by law.
(7) The contractor will include the provisions of paragraphs (1) through (7) in every
subcontract or purchase order unless exempted by rules, regulations, or orders of the
Secretary of Labor issued pursuant to Section 204 of Executive Order No. 11246 of Sept. 24,
1965, so that such provisions will be binding upon each subcontractor or vendor. The
contractor will take such action with respect to any subcontract or purchase order as may be
directed by the Secretary of Labor as a means of enforcing such provisions including
sanctions for noncompliance: Provided, however, that in the event the contractor becomes
involved in, or is threatened with, litigation with a subcontractor or vendor as a result of such
direction, the contractor may request the United States to enter into such litigation to protect
the interests of the United States.
Disadvantaged Business Enterprises (DBE)
Good Faith Efforts
Borrowers and their prime contractors must follow, document, and maintain documentation
of their good faith efforts to meet the MBW/WBE goals as listed below to ensure that
Disadvantage Business Enterprises (DBEs) have the opportunity to participate in the project
by increasing DBE awareness of procurement efforts and outreach. In order to become a
certified DBE under this rule, an eligible entity must submit an application that can be found
by visiting: www.in.gov/indot/div/le ag l/dbe.
The fair share goal of contracts and subcontracts to be awarded to MBEs and WBEs and
their participation in the Contractor' s aggregate workforce in each trade on all
construction work for the subject project are as follows:
MBEs 7 %
WBEs 5 %
1. Ensure DBEs are made aware of contracting opportunities to the fullest extent practicable
through outreach and recruitment activities; including placing DBEs on solicitation lists
and soliciting them whenever they are potential sources.
2. Make information on forthcoming opportunities available to DBEs and arrange time
frames for contracts and establish delivery schedules, where the requirements permit, in a
way that encourages and facilitates participation by DBEs in the competitive process.
This includes, whenever possible, posting solicitation for bids or proposals for a
minimum of 30 calendar days before the bid or proposal closing date.
3, Consider in the contracting process whether firms competing for large contracts could be
subcontracted with DBEs. This will include dividing total requirements when
economically feasible into smaller tasks or quantities to permit maximum participation by
DBEs in the competitive process.
FiH—IBIT_C PP.GE ti-1
Contract No. 197-2017
4. Encourage contracting with a consortium of DBEs when a contract is too large for one of
these firms to handle individually.
5. Use the services and assistance of the Small Business Administration and the Minority
Business Development Agency of the U. S. Department of Commerce.
6. If the prime contractor awards subcontracts, require the prime contractor to take the steps
in numbers 1 through 5 above.
Required Contract Conditions
These conditions must be included in all procurement contracts entered into by the loan
recipient for all DWSRF and CWSRF projects:
1. The prime contractor must pay its subcontractor for satisfactory performance no more
than 30 days from the prime contractor's receipt of payment from the loan recipient.
2. The prime contractor must notify the loan recipient in writing prior to the termination of
any DBE subcontractor for convenience by the prime contractor.
3. If a DBE subcontractor fails to complete work under the subcontract for any reason, the
prime contractor must employ the six good faith efforts if soliciting a replacement
subcontractor.
4. The prime contractor must employ the six good faith efforts even if the prime contractor
has achieved its fair share objectives.
5. Each procurement contract signed must include the following term and condition:
"The contractor shall not discriminate on the basis of race, color, national origin
or sex in the performance of this contract. The contractor shall carry out
applicable requirements of 40 CFR Part 33 in the award and administration of
contracts awarded under EPA financial assistance agreements. Failure by the
contractor to carry out these requirements is a material breach of this contract
which may result in the termination of this contract or other legally available
remedies."
4 EXHIBIT C PAGE o J
Contract No. 197-2017
REQUIRED CONTRACT PROVISIONS
FEDERAL -AID CONSTRUCTION CONTRACTS
1. General
II. Nondiscrimination
III. Nonsegregated Facilities
IV. Davis -Bacon and Related Act Provisions
V. Contract Work Hours and Safety Standards Act
Provisions
VI. Subletting or Assigning the Contract
VII. Safety: Accident Prevention
VIII. False Statements Concerning Highway Projects
IX. Implementation of Clean Air Act and Federal Water
Pollution Control Act
X. Compliance with Govemmentwide Suspension and
Debarment Requirements
XI. Certification Regarding Use of Contract Funds for
Lobbying
ry IFTi7:ha:401r
A. Employment and Materials Preference for Appalachian
Development Highway System or Appalachian Local Access
Road Contracts (included in Appalachian contracts only)
1. GENERAL
1. Form FHWA-1273 must be physically incorporated in each
construction contract funded under Title 23 (excluding
emergency contracts solely intended for debris removal). The
contractor (or subcontractor) must insert this form in each
subcontract and further require its inclusion in all lower tier
subcontracts (excluding purchase orders, rental agreements
and other agreements for supplies or services).
The applicable requirements of Form FHWA-1273 are
incorporated by reference for work done under any purchase
order, rental agreement or agreement for other services. The
prime contractor shall be responsible for compliance by any
subcontractor, lower -tier subcontractor or service provider.
Form FHWA-1273 must be included in all Federal -aid design -
build contracts, in all subcontracts and in lower tier
subcontracts (excluding subcontracts for design services,
purchase orders, rental agreements and other agreements for
supplies or services). The design -builder shall be responsible
for compliance by any subcontractor, lower -tier subcontractor
or service provider.
Contracting agencies may reference Form FHWA-1273 in bid
proposal or request for proposal documents, however, the
Form FHWA-1273 must be physically incorporated (not
referenced) in all contracts, subcontracts and lower -tier
subcontracts (excluding purchase orders, rental agreements
and other agreements for supplies or services related to a
construction contract).
2. Subject to the applicability criteria noted in the following
sections, these contract provisions shall apply to all work
performed on the contract by the contractor's own organization
and with the assistance of workers under the contractor's
immediate superintendence and to all work performed on the
contract by piecework, station work, or by subcontract.
FHWA-1273 — Revised May 1, 2012
3. A breach of any of the stipulations contained in these
Required Contract Provisions may be sufficient grounds for
withholding of progress payments, withholding of final
payment, termination of the contract, suspension / debarment .
or any other action determined to be appropriate by the
contracting agency and FHWA.
4. Selection of Labor: During the performance of this contract,
the contractor shall not use convict labor for any purpose
within the limits of a construction project on a Federal -aid
highway unless it is labor performed by convicts who are on
parole, supervised release, or probation. The term Federal -aid
highway does not include roadways functionally classified as
local roads or rural minor collectors.
II. NONDISCRIMINATION
The provisions of this section related to 23 CFR Part 230 are
applicable to all Federal -aid construction contracts and to all
related construction subcontracts of $10,000 or more. The
provisions of 23 CFR Part 230 are not applicable to material
supply, engineering, or architectural service contracts.
In addition, the contractor and all subcontractors must comply
with the following policies: Executive Order 11246, 41 CFR 60,
29 CFR 1625-1627, Title 23 USC Section 140, the
Rehabilitation Act of 1973, as amended (29 USC 794), Title VI
of the Civil Rights Act of 1964, as amended, and related
regulations including 49 CFR Parts 21, 26 and 27; and 23 CFR
Parts 200, 230, and 633.
The contractor and all subcontractors must comply with: the
requirements of the Equal Opportunity Clause in 41 CFR 60-
1.4(b) and, for all construction contracts exceeding $10,000,
the Standard Federal Equal Employment Opportunity
Construction Contract Specifications in 41 CFR 60-4.3.
Note: The U.S. Department of Labor has exclusive authority to
determine compliance with Executive Order 11246 and the
policies of the Secretary of Labor including 41 CFR 60, and 29
CFR 1625-1627. The contracting agency and the FHWA have
the authority and the responsibility to ensure compliance with
Title 23 USC Section 140, the Rehabilitation Act of 1973, as
amended (29 USC 794), and Title VI of the Civil Rights Act of
1964, as amended, and related regulations including 49 CFR
Parts 21, 26 and 27; and 23 CFR Parts 200, 230, and 633.
The following provision is adopted from 23 CFR 230, Appendix
A, with appropriate revisions to conform to the U.S.
Department of Labor (US DOL) and FHWA requirements.
1. Equal Employment Opportunity: Equal employment
opportunity (EEO) requirements not to discriminate and to take
affirmative action to assure equal opportunity as set forth
under laws, executive orders, rules, regulations (28 CFR 35,
29 CFR 1630, 29 CFR 1625-1627, 41 CFR 60 and 49 CFR 27)
and orders of the Secretary of Labor as modified by the
provisions prescribed herein, and imposed pursuant to 23
U.S.C. 140 shall constitute the EEO and specific affirmative
action standards for the contractor's project activities under
EXHIBIT C. PAGE._ S �F
Contaact No. 197-2017
this contract. The provisions of the Americans with Disabilities
Act of 1990 (42 U.S.C. 12101 et seq.) set forth under 28 CFR
35 and 29 CFR 1630 are incorporated by reference in this
contract. In the execution of this contract, the contractor
agrees to comply with the following minimum specific
requirement activities of EEO:
a. The contractor will work with the contracting agency and
the Federal Government to ensure that it has made every
good faith effort to provide equal opportunity with respect to all
of its terms and conditions of employment and in their review
of activities under the contract.
b. The contractor will accept as its operating policy the
following statement:
"It is the policy of this Company to assure that applicants
are employed, and that employees are treated during
employment, without regard to their race, religion, sex, color,
national origin, age or disability. Such action shall include:
employment, upgrading, demotion, or transfer, recruitment or
recruitment advertising; layoff or termination; rates of pay or
other forms of compensation; and selection for training,
including apprenticeship, pre -apprenticeship, and/or on-the-
job training."
2. EEO Officer. The contractor will designate and make
known to the contracting officers an EEO Officer who will have
the responsibility for and must be capable of effectively
administering and promoting an active EEO program and who
must be assigned adequate authority and responsibility to do
so.
3. Dissemination of Policy: All members of the contractor's
staff who are authorized to hire, supervise, promote, and
discharge employees, or who recommend such action, or who
are substantially involved in such action, will be made fully
cognizant of, and will implement, the contractor's EEO policy
and contractual responsibilities to provide EEO in each grade
and classification of employment. To ensure that the above
agreement will be met, the following actions will be taken as a
minimum:
a. Periodic meetings of supervisory and personnel office
employees will be conducted before the start of work and then
not less often than once every six months, at which time the
contractor's EEO policy and its implementation will be
reviewed and explained. The meetings will be conducted by
the EEO Officer.
b. All new supervisory or personnel office employees will be
given a thorough indoctrination by the EEO Officer, covering
all major aspects of the contractor's EEO obligations within
thirty days following their reporting for duty with the contractor.
c. All personnel who are engaged in direct recruitment for
the project will be instructed by the EEO Officer in the
contractor's procedures for locating and hiring minorities and
women.
d. Notices and posters setting forth the contractor's EEO
policy will be placed in areas readily accessible to employees,
applicants for employment and potential employees.
e. The contractor's EEO policy and the procedures to
implement such policy will be brought to the attention of
employees by means of meetings, employee handbooks, or
other appropriate means.
4. Recruitment: When advertising for employees, the
contractor will include in all advertisements for employees the
notation: "An Equal Opportunity Employer." All such
advertisements will be placed in publications having a large
circulation among minorities and women in the area from
which the project work force would normally be derived.
a. The contractor will, unless precluded by a valid
bargaining agreement, conduct systematic and direct
recruitment through public and private employee referral
sources likely to yield qualified minorities and women. To
meet this requirement, the contractor will identify sources of
potential minority group employees, and establish with such
identified sources procedures whereby minority and women
applicants may be referred to the contractor for employment
consideration.
b. In the event the contractor has a valid bargaining
agreement providing for exclusive hiring hall referrals, the
contractor is expected to observe the provisions of that
agreement to the extent that the system meets the contractor's
compliance with EEO contract provisions. Where
implementation of such an agreement has the effect of
discriminating against minorities or women, or obligates the
contractor to do the same, such implementation violates
Federal nondiscrimination provisions.
c. The contractor will encourage its present employees to
refer minorities and women as applicants for employment.
Information and procedures with regard to referring such
applicants will be discussed with employees.
5. Personnel Actions: Wages, working conditions, and
employee benefits shall be established and administered, and
personnel actions of every type, including hiring, upgrading,
promotion, transfer, demotion, layoff, and termination, shall be
taken without regard to race, color, religion, sex, national
origin, age or disability. The following procedures shall be
followed:
a. The contractor will conduct periodic inspections of project
sites to insure that working conditions and employee facilities
do not indicate discriminatory treatment of project site
personnel.
b. The contractor will periodically evaluate the spread of
wages paid within each classification to determine any
evidence of discriminatory wage practices.
c. The contractor will periodically review selected personnel
actions in depth to determine whether there is evidence of
discrimination. Where evidence is found, the contractor will
promptly take corrective action. If the review indicates that the
discrimination may extend beyond the actions reviewed, such
corrective action shall include all affected persons.
d. The contractor will promptly investigate all complaints of
alleged discrimination made to the contractor in connection
with its obligations under this contract, will attempt to resolve
such complaints, and will take appropriate corrective action
within a reasonable time. If the investigation indicates that the
discrimination may affect persons other than the complainant,
such corrective action shall include such other persons. Upon
completion of each investigation, the contractor will inform
every complainant of all of their avenues of appeal.
6. Training and Promotion:
a. The contractor will assist in locating, qualifying, and
increasing the skills of minorities and women who are
EXHIBIT
Contract No. 197-2017