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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN - <br />FORM WBE-1.0 <br />WBE CONTACTED <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: 122-008 <br />Project Name: 2022 Contractor Paving Round 1 <br />Bidder: Milestone Contractors North, Inc. <br />BASE BID WBE GOAL: 5.58% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of <br />Percentage of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />WBE Component <br />Base Bid <br />State Barricading, Inc. <br />Mary Michalski <br />Traffic Control Devices <br />$9,850.00 <br />0.92% <br />24963 US 20 W, South Bend, IN 466 <br />28 <br />Traffic Control Specialists, Inc. Tracey Triska <br />Pavement Markings <br />$24,088.00 <br />1805 W. Pacific Ave, Knox, IN 46534 <br />2.26% <br />Hawk Enterprises, Inc. JoAnn Plank <br />Traffic Loop <br />$3,300.00 <br />1805 E. North St, Crown Point, IN 4 307 <br />0.31 <br />C.E. Hughes Milling, Inc. Caroline Hughes Milling Asphalt <br />$28,088.00 <br />2.63% <br />3113 Holmans Ln. Jeffersonville, IN 1171130 <br />BASE BID WBE TOTALS <br />$65,326.00 <br />6.12% <br />ALTERNATE #1 WBE GOAL: 5.48% <br />Name & Address of WBE <br />State Barricading, Inc. <br />24963 US 20 W, South Bend, IN <br />Primary Contact Person <br />(Name/Telephone) <br />Mary Michalski <br />C.E. Hughes Milling, Inc. Caroline Hughes <br />3113 Holmans Ln, Jeffersonville, IN .7130 <br />Scope of Work to be Performed Dollar Amount of Percentage of Total <br />(Attach scope/schedule if you need additional space) WBE Component Alternate #1 Bid <br />Traffic Control Devices $2,752.00 0.50% <br />Milling Asphalt $31,888.00 5.85% <br />I <br />ALTERNATE #1 WBE TOTALS <br />l $34,640.00 6.35% <br />Version 10/28/21 Contractor's Bid for Public Works - 13 <br />