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CITY OF SOUTH BEND ° v <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 />121-052 Project Name: 2021 Community Crossings Round 2 <br />Milestone Contractors North, Inc. Total Bid Amount: $1,332,000.00 <br />Name & Address of WBE Primary Contact Person <br />(Name/Telephone) <br />WBE Goal: 6.04% <br />Page 1 of 1 <br />Percentage <br />Scope of Work to be Performed Dollar Amount of WBE of Total <br />(Attach scope/schedule if you need additional space) Component Bid/Proposal <br />State Barricading, Inc. Mary Michalski ; <br />24963 US Highway 20 W. 574-287-2078 Traffic Control Devices <br />South Bend, IN 46628 <br />V & R Trucking, Inc. <br />1845 North Elmer Street <br />South Bend, IN 46628 <br />Traffic Control Specialists, Inc. <br />Veda Godette <br />Veda 4-1268 <br />Tracey Triska <br /># <br />Hauling <br />1810 W. Pacific Avenue <br />574-772-7001 <br />Pavement Markings <br />Knox, IN 46534 <br />BUC Construction Supply, Inc. <br />Teresa Butler <br />ADA Tiles <br />P.O. Box 4153 <br />765-412-3484 <br />Lafayette, IN 47903 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works -19 <br />I <br />16,792.00 1 1.26% <br />15,000.00 I 1.12% <br />$33,751.38 I 2.53% <br />$15,200.00 1 1.14% <br />1/25/2022 <br />Date <br />