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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 <br />- MWBE UTILIZATION PLAN— <br />Thiscompleted form should be supplied with Bids that pertain to City of South Bend Public Works Projects Involving WBE participation. It is <br />the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />Project Number: 1204044R Project Name: 1-; ninon Park: EV Char ig na_Park <br />Bidder: The Robert Henry Corporation Total Bid Amount: $ 413,317.00 WBE Goal: 4.2% <br />Name 8 Address of WBE Primary Contact Person <br />(Name/Telephone) <br />M. J. Schuetz Insurance Services Jenni Waggoner <br />Circle Tower Building 317-548-3932 <br />55 Monument Circle, Ste, 600 <br />Indianapolis, IN 46204 <br />Ritschard Bros,, Inc. <br />Circle Tower Building <br />55 Monument Circle, Ste. 500 <br />Indianapolis, IN 46204 <br />State Barricading <br />24963 US Highway 20 South <br />South Bend, IN 46628 <br />Don Ritschard <br />574-288-4777 <br />Page 1 of 1 <br />Scope of Work to be Performed Dollar Amount of WBE Percentage <br />(Attach scope/schedule if you need additional space) Component of Total <br />Bld1Proal <br />Bonds $ 4,000.00 0.98% <br />Eartwork Site Utilities $ 92,910.00 22.8% <br />Mary Michalski Street Barricading <br />574-287-2078 <br />Submitted by: Brian S. Henry, President _ April 13, 2021 <br />Print Name Signature' Date <br />Version 01113/2021 Contractor's Bid for Public Works -11 <br />