To view this form, please enable JavaScript in your browser. Organization Information (to be displayed online) Organization Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information City Required Please enter a valid number Please enter a valid date Please enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information Phone Required Please enter a valid number Please enter a valid date Please enter valid credit card information Fax Required Please enter a valid number Please enter a valid date Please enter valid credit card information Website Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address Main Contact First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information City Required Please enter a valid number Please enter a valid date Please enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Phone Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Required Please enter a valid number Please enter a valid date Please enter valid credit card information Must be a valid email address Additional Contacts Contact 1 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 2 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 3 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 4 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 5 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 6 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 7 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 8 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 9 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Contact 10 First Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Last Name Required Please enter a valid number Please enter a valid date Please enter valid credit card information Title Required Please enter a valid number Please enter a valid date Please enter valid credit card information Email Address Required Please enter a valid number Please enter a valid date Please enter valid credit card information Billing Address (if different) Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information City Required Please enter a valid number Please enter a valid date Please enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information Mailing Address (if different) Address 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information Address 2 Required Please enter a valid number Please enter a valid date Please enter valid credit card information City Required Please enter a valid number Please enter a valid date Please enter valid credit card information State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Information How did you hear about us? Required Please enter a valid number Please enter a valid date Please enter valid credit card information In Business Since: Required Please enter a valid number Please enter a valid date Please enter valid credit card information Please provide a brief company description: Required Please enter a valid number Please enter a valid date Please enter valid credit card information What percentage of your work is Highway Heavy? Required Please enter a valid number Please enter a valid date Please enter valid credit card information What percentage of your work is Utility? Required Please enter a valid number Please enter a valid date Please enter valid credit card information Officers, Partners or Owners (List three): Required Please enter a valid number Please enter a valid date Please enter valid credit card information Banker Reference/address: Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Reference/address: Required Please enter a valid number Please enter a valid date Please enter valid credit card information Membership Investment Membership Type Select one... Contractor Subcontractor Associate Directory Categories (See attached) None A - Z Accountants Attorneys Auctions Construction Services Construction Suppliers Consultants Contractor Developer Engineers Finance Fleet Heavy Equipment INDOT Prequalified Contractors as of 03/01/2024 Insurance Manufacturing Occupational Medicine Technology Workforce Additional Directory Categories Select additional directory categories below by holding the "CTRL" key Choose up to three additional categories. none ICI Contractor Dues - First year members pay a flat fee of $1,000. Subsequent years include the public works assessments. ICI invoices all member contractors monthly for assessments on public works contracts awarded based on the following formula: The first $2,000,000 of fiscal year contract volume = .20 of 1%; the second $3,000,000 of fiscal year contract volume = .10 of 1%; fiscal year contract volume in excess of $5,000,000 = .05 of 1%. ICI currently applies a 30% discount to amounts it invoices for assessments on public works contracts. The Board of Directors reserves the right to review this discount. Indiana Constructors, Inc. is a 501(c)(6) corporation (IN). TIN/EIN # is 20-5329171. 20 percent of the ICI portion of the dues and assessments is not deductible in accordance with IRC Sec 6033.. AGC of America Dues - First-year members will pay the minimum amount ($500) for AGC of America dues. Subsequent years are based on volume; see the chart below. ICI is a chapter of Associated General Contractors (AGC) of America. Membership in the national association is a requirement for all members. AGC of America is an organization of qualified construction contractors and industry-related companies dedicated to skill, integrity and responsibility. The full range of services offered to members helps to improve the quality of construction and protect public interest. AGC works to educate the industry to employ the finest skills, promote the use of the latest technology and advocate building the best quality projects for public and private owners. 10 percent of the required AGC of America dues is not deductible in accordance with IRC Sec 6033. 2017 Annual Volume 2019 Dues Amount Under $2,000,000 $500 $2,000,000 – $4,999,999 $625 $5,000,000 – $9,999,999 $1,000 $10,000,000 – $19,999,999 $1,600 $20,000,000 – $44,999,999 $3,000 $45,000,000 or more $4,200 The American Road & Transportation Builders Association (ARTBA) is a national federation of private firms, public agencies and associations that aggressively and progressively promotes market development of safe and efficient transportation systems on behalf of its members. Established in 1902, the Washington, D.C. based association’s primary goal is advocating strong federal investment in transportation infrastructure. Complementing its vital leadership roles in this area, the association also provides advocacy, programs and services designed to help its member firms and agencies operate more efficiently and profitably. ARTBA dues are optional, and are $1,350 for ICI Contractor Members. Associated General Contractors (AGC) of America Dues Do you want to pay optional ARTBA dues? ARTBA Dues ICI Subcontractor Dues $850 - Indiana Constructors, Inc. is a 501(c)(6) corporation (IN). TIN/EIN # is 20-5329171. 20 percent of the ICI portion of the dues is not deductible in accordance with IRC Sec 6033. AGC of America Dues - ICI is a chapter of Associated General Contractors (AGC) of America. Membership in the national association is a requirement for all members. Subcontractor AGC of America dues are a flat $160 per year. AGC of America is an organization of qualified construction contractors and industry-related companies dedicated to skill, integrity and responsibility. The full range of services offered to members helps to improve the quality of construction and protect public interest. AGC works to educate the industry to employ the finest skills, promote the use of the latest technology and advocate building the best quality projects for public and private owners. 10 percent of the required AGC of America dues is not deductible in accordance with IRC Sec 6033. The American Road & Transportation Builders Association (ARTBA) is a national federation of private firms, public agencies and associations that aggressively and progressively promotes market development of safe and efficient transportation systems on behalf of its members. Established in 1902, the Washington, D.C. based association’s primary goal is advocating strong federal investment in transportation infrastructure. Complementing its vital leadership roles in this area, the association also provides advocacy, programs and services designed to help its member firms and agencies operate more efficiently and profitably. ARTBA dues are optional, and are $1,350 for ICI Subcontractor Members. Associated General Contractors (AGC) of America Dues Do you want to pay optional ARTBA dues? ARTBA Dues ICI Associate Dues $1,175 - Indiana Constructors, Inc. is a 501(c)(6) corporation (IN). TIN/EIN # is 20-5329171. 20 percent of the ICI portion of the dues is not deductible in accordance with IRC Sec 6033. AGC of America Dues - ICI is a chapter of Associated General Contractors (AGC) of America. Membership in the national association is a requirement for all members. Associate AGC of America dues are a flat $135 per year. AGC of America is an organization of qualified construction contractors and industry-related companies dedicated to skill, integrity and responsibility. The full range of services offered to members helps to improve the quality of construction and protect public interest. AGC works to educate the industry to employ the finest skills, promote the use of the latest technology and advocate building the best quality projects for public and private owners. 10 percent of the required AGC of America dues is not deductible in accordance with IRC Sec 6033. The American Road & Transportation Builders Association (ARTBA) is a national federation of private firms, public agencies and associations that aggressively and progressively promotes market development of safe and efficient transportation systems on behalf of its members. Established in 1902, the Washington, D.C. based association’s primary goal is advocating strong federal investment in transportation infrastructure. Complementing its vital leadership roles in this area, the association also provides advocacy, programs and services designed to help its member firms and agencies operate more efficiently and profitably. ARTBA dues are optional, and are $485 for ICI Associate Members. Do you want to pay optional ARTBA dues? Associated General Contractors (AGC) of America Dues ARTBA Dues Annual Membership Investment Total The contents of this box are for testing purposes. This box will be removed when the form goes live. Additional Categories Cost One-Time Application Fee Tax Number of Full Time Employees Number of Part Time Employees Number of Rooms Number of Seats Number of Associates Number of Locations Millions in Assets Full-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information Part-Time Employees Required Please enter a valid number Please enter a valid date Please enter valid credit card information Hotel/Motel Rooms Required Please enter a valid number Please enter a valid date Please enter valid credit card information Restaurant Seats Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Associates Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Associates Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Locations Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Locations Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Assets Required Please enter a valid number Please enter a valid date Please enter valid credit card information Assets Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information Number Of Additional Categories Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Categories Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 1 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 2 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 3 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 4 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 5 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 6 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 7 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 8 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 9 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 10 Cost Required Please enter a valid number Please enter a valid date Please enter valid credit card information Annual Dues (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information Revenue Item Required Please enter a valid number Please enter a valid date Please enter valid credit card information Tax (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information Fee (charged to card) Required Please enter a valid number Please enter a valid date Please enter valid credit card information Temp Value For DropDown 1 Required Please enter a valid number Please enter a valid date Please enter valid credit card information MembershipType Required Please enter a valid number Please enter a valid date Please enter valid credit card information Additional Item 4 Additional Item 5 Additional Item 6 Additional Item 7 Additional Item 8 Additional Item 9 Additional Item 10 Payment Type Credit Card Check NOTE: If selecting to pay by Check, please do not fill out the Credit Card Information section at the bottom of the form. Thanks. Credit Card Information Credit Card Type MastercardVisaAmex Credit Card Number Required Please enter a valid number Please enter a valid date Please enter valid credit card information Name on Card Required Security Code Required Valid Through 01 02 03 04 05 06 07 08 09 10 11 12 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 Address Required City Required State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY AB BC MB NB NL NS NT NU ON PE QC SK YT AG BN BS CH CL CM CP DF DU GR GT JA MC MR MX NA OA PU QE QR SI SL SO TB TL TM VE YU ZA Outside US Outside Canada Outside Mexico Zip Required Phone Required Credit Card Email Address Please click submit only one time. The transaction may take several seconds. Please select a membership type before submitting your application.