Laserfiche WebLink
CITY OF SOUTH BEND o�tiuuTrr BfyG <br />MINORITY AND WOMEN BUSINESS ENTERPRISE DIVERSITY <br />DEVELOPMENT PROGRAM <br />FORM MWBE-1.0 J . <br />MBE/WBE PARTICIPATION <br />This completed form should be supplied with Bids that pertain to City of South Bend Public Works Projects involving MBE/MBE participation. <br />It is the bidder's sole responsibility to verify whether any listed minority orwoman business meets the qualifications of a Minority or Women's <br />owned business. <br />Project Number: <br />Bidder: <br />118-005A Project Name: North Shore Drive Bank Stabilization <br />Northern Indiana Construction Company Inc.Total Bid Amount: <br />Name & Address of MBENVBE <br />State Barricading, Inc. <br />P. O. Box 3751 <br />South Bend, IN, 46619 <br />Primary Contact Person <br />(Name/Telephone) <br />James Michalski <br />574-287-2078 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Maintenance of Traffic & Pavement Markings <br />MBE/WBE Goal: <br />Page 1 of 1 <br />Dollar Amount of Percentage <br />MBENVBE Component of Total <br />p <br />$3,725.00 1 1.472% <br />Slusser's Green Thumb Inc. John Williamson Landscaping & Seeding Items <br />P. O. Box 33 574-722-3102 ` $14,480.00 5.725% <br />Logansport, IN. 46947 <br />C Tech Corporation Dave Carew Guardrail Items <br />5300 W. 100 North 317-835-2745 $15,800.00 6.247o <br />/o <br />Boggstown, IN. 46110 <br />Submitted by: David J. Walorski, President 4 <br />Print Name Signature <br />Version 01/29/2020 Contractors Bid for Public Works - 8 <br />December 8, 2020 <br />Date <br />