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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 verity whether any listed woman -owned business meets the WBE qualifications. <br />Project !Number: 121-0088 Project Name: SOUTH BEND 2021 DRAINGE IMPROVEMENTS — BID B DIVISION I BEALE ST <br />Bidder: HRP Construction Inc. Total Bid Amount: $ 171,378.50 MBE Goal: 4.7% <br />Paae 1 of 1 <br />Name &Address of WBE <br />Primary Person <br />Contact P <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 />State Barricading Inc. <br />24963 US Highway 20 <br />South Bend, IN 46628 <br />James Michalsk <br />574_287_Z078 <br />Traffic Control <br />$ g 100 00 <br />4.7% <br />Submitted by: Matthew D. Cain, President aZc���� <br />Print Name Signs ure <br />Version OW9=21 Contractor's Bid for Public Works -11 <br />May 9, 2023 <br />Date <br />