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CITY OF SOUTH BEND �� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN t <br />rFORM 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: 121-006B Project Name: SOUTH BEND 2021 DRAINGE IMPROVEMENTS — BID B DIVISION II CHAPIN ST <br />Bidder: Milestone Contractors North_ Inc. Total Bid Amount: $194 000.00 WBE Goal: 4.8% <br />Page 1 of 1 <br />Primary Contact Person Scope of Work to be Performed Dollar Amount of WBE Percentage <br />Name & Address of WBE (Name/Telephone) (Attach scope/schedule if you need additional space) Component of Total <br />Bid/Proposal <br />Slusser's Green Thumb, Inc. Nelson Slusser <br />125 Montgomery Street Sod &Trees $8,005.50 4.12% <br />Logansport, IN 46947 574-722-3102 <br />State Barricading, Inc. James Michalski Maintaining of Traffic <br />24963 US Hwy 20 W. 574-287-2078 $9,086.00 $4.68 <br />South Bend, IN 46628 <br />Submitted by: Dustin P. Hilary, Director of Estimating 5/9/2023 <br />Print Name Aftature Date <br />Version 09/29/2021 Contractor's Bid for Public Works -13 <br />