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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 <br />is the bidder's sole responsibility to verify whether any listed woman -owned business meets the WBE qualifications. <br />Project Number: 122-032 Project Name: 2022 Contractor Paving Round 2 <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $2,526,000.00 <br />Name & Address of WBE <br />State Barricading, Inc. <br />24963 US 20 W. <br />South Bend, IN <br />Shosone Trucking, LLC <br />3115 W. 300 S. <br />Peru, IN 46970 <br />Primary Contact Person <br />(Name/Telephone) <br />James Michalski <br />574-287-2078 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Traffic Control Devices <br />Rochelle Bowyer Hauling <br />765-689-8900 <br />Submitted by: Dustin P. Hilary, Director of Estim_atin <br />Print Name gnature <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />WBE Goal: 5.84% <br />Page 2 of 2 <br />Dollar Amount of WBE Percentage <br />Component of Total <br />$14,000.00 1 0.55% <br />$15,000.00 I 0.59% <br />6/28/2022 <br />Date <br />