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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. U 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 />122-029 <br />Project Name., <br />Milestone Contractors North, Inc. <br />2022 Asphalt Materials Bid <br />Total Bid Amount: $3,644,930.00 WBE Goal. 0.18 % <br />Page 1 of 1 <br />Primary Contact Person <br />Name & Address of WBE (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 />V & R Trucking, Inc. Veda Godette <br />1845 N. Elmer Street <br />South Bend, IN 46628 574-514-9418 <br />Hauling <br />$6,600.00 <br />0.18% <br />Submitted by. Dustin P. Hilary, Director of Estimating <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />3/22/2022 <br />Date <br />