Municipality Set-Aside Program
SEA 169 (P.L. 145-2013), to be codified at IC-27-2-15, created the Municipality Set-Aside Program. The purpose of this form is to allow Municipalities to join the Set-Aside Program, modify their information, or be removed from the Program. Municipalities opting to join the program must return a copy of the adopting ordinance and $100 statutory fee to:
Indiana Department of Insurance
Attn: Office Operations 311 West Washington St,
Suite 103
Indianapolis, IN 46204-2787
Enrolled Municipalities
City of Angola
enrolled: 8/23/13
Building Commissioner
City Hall
210 North Public Square
Angola, IN 46703
(260) 665-6846City of Bluffton
enrolled: 8/16/13
Ted Ellis, Mayor
128 East Market Street
Bluffton, IN 46714
(260) 824-1520Brookston Town Council
enrolled: 10/27/14
Max Eldridge, Building Inspector
205 E. Third Street
Brookston, IN 47923
(765) 563-3171City of Butler
enrolled: 8/22/13
Angela M. Eck, Clerk-Treasurer
215 South Broadway
Butler, IN 46721
(260) 868-5200City of Crawfordsville
enrolled: 10/20/15
Board of Works
300 E. Pike Street
Crawfordsville, IN 47933
(765) 364-5193Town of Eaton
enrolled: 3/31/14
Vicki Hargis, Clerk-Treasurer
600 E. Harris
P.O. Box 218
Eaton, IN 47338
(765) 396-3980City of Elkhart
enrolled: 11/11/15
Building & Code Enforcement
229 S. Second Street
Elkhart, IN 46516City of Gary
enrolled: 2/25/16
Steven Marcus, Building Commissioner
401 Broadway, Room 307
Gary, IN 46402
(219) 881-1377Town of Gaston
enrolled: 5/22/14
Clerk-Treasurer Krista Harris
Gaston Town Hall
107 North Sycamore Street
PO Box 186
Gaston, IN 47342
(765) 358-4005City of Goshen
enrolled: 8/16/13
Danny Sink, Fire Chief
Goshen Fire Department
209 North Third Street
Goshen, IN 46526
(574) 533-7878Town of Hudson
enrolled: 11/21/13
Kathy Knope, Town Board President
115 Parsonage Street
PO Box 97
Hudson, IN 47647
(260) 587-9500City of Huntingburg
enrolled: 7/31/13
Richard Hazlewood, Planning Director
Huntingburg City Office
508 East Fourth Street
PO Box 10
Huntingburg, IN 47542City of Huntington
enrolled: 7/31/13
Fire Marshal of the City of Huntington
c/o Clerk-Treasurer
300 Cherry Street
Huntington, IN 46750
(260) 356-1400Town of LaGrange
enrolled: 12/6/13
Mark Eagleson, Town Board President
1201 North Townline Road
LaGrange, IN 46761
(260) 463-7154City of Monticello
enrolled: 9/25/14
Cathy Gross
City of Monticello
227 N. Main Street
Monticello, IN 47960
(574) 583-9889City of Montpelier
enrolled: 12/21/15
Clerk-Treasurer Kelli Schriver
Montpelier City Hall
300 W. Huntington Street
Montpelier, IN 47359
(765) 728-5642Town of Mt. Etna
enrolled: 8/27/14
Erica Dorsett, Clerk-Treasurer
5900 W - 582 S
Huntington, IN 46750
(260) 468-2703City of New Castle
enrolled: 9/19/14
Kenneth Melton, Building Inspector
227 North Main Street
New Castle, IN 47362
(765) 521-6823City of Petersburg
enrolled: 8/24/13
Tammy Selby, Clerk-Treasurer
Petersburg City Hall
704 Main Street
Petersburg, IN 47567
(812) 354-8511City of Plymouth
enrolled: 8/14/13
Toni L. Hutchings, Clerk-Treasurer
Plymouth City Office
124 North Michigan Street
Plymouth, IN 46563
(574) 936-2124Randolph County
enrolled: 12/3/13
Mary Ann Lenkensdofer, County Auditor
100 South Main Street
Winchester, IN 47394
(765) 584-6700City of Sellersburg
enrolled: 8/29/13
Greg Dietz
Sellersburg, IN 47172
(812) 246-3821City of Seymour
enrolled: 10/21/13
Fred D. Lewis, Clerk-Treasurer
Seymour City Hall
301-309 North Chestnut Street
Seymour, IN 47274
(812) 523-5881City of Shelbyville
enrolled: 8/5/13
Daniel D. Bird, Director
Building and Plan Commission
44 West Washington Street
Shelbyville, IN 46176
(317) 392-5102Town of Topeka
enrolled: 12/19/13
Town Manager
124 East Lake Street
PO Box 127
Topeka, IN 46571City of Wabash
enrolled: 12/23/14
Wendy Frazier
202 S. Wabash Street
Wabash, IN 46992
(260) 563-4171City of Washington
enrolled: 12/2/14
David Rhoads, Fire Chief
Washington Fire Department
200 Harned Avenue
Washington, IN 47501
(812) 254-1172White County
enrolled: 9/17/14
White County Commissioners
P.O. Box 260
Monticello, IN 47960
(574) 583-4879City of Whiting
enrolled: 12/19/14
Mike Hrinyo, Building Commissioner
1443 -- 119th Street
Whiting, IN 46394
(219) 473-4452City of Winchester
enrolled: 11/21/13
City of Winchester Mayor
113 East Washington Street
PO Box 408
Winchester, IN 47394
(765) 584-1351