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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN <br />This completed 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 woman -owned business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />121-036 _ Project Name: -2021 Demolitions \J A 0iQL11 <br />INC. <br />HRP CONSTRUCTION <br />UUHLa ... / -�U,uo WBE Goal: 4.7% <br />Paae <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />Slusser's Green Thumb <br />P.O. Box 33 <br />John Williamson <br />Landscaping <br />Logansport, IN 46947 <br />(800) 762-7442 <br />State Barricading, Inc. <br />24963 US 20 W <br />James Michalski <br />Traffic Maintenance <br />South Bend, IN 46628 <br />(574) 287-2078 <br />2 <br />t Ork"N-- <br />f p" t 0, Cc) <br />Submitted by: Matthew D. Cain, President a acA �)- November 23, 2021 <br />Print Name Wg n-.afu—re Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />