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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 verify whether any listed woman -owned business meets the WBE qualifications. <br />Project Number: 121-0068 Project Name: <br />Bidder: HRP Construction Inc. <br />SOUTH BEND 2021 DRAINGE IMPROVEMENTS — BID B DIVISION 1l CHAPIN ST <br />Total Bid Amount: <br />WBE Goal: 4.8% <br />Paae t of <br />Marne &Address of WBE <br />Prima Contact P <br />�' Person <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 />574-287-2078 <br />Traffic Control <br />$7,850.00 <br />4 80�0 <br />Submitted by: Matthew D. Cain, President May 9, 2023 <br />Print Name Signature Date <br />Version 09i2g=21 Contractor's Bid for Public Works -13 <br />