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L <br />A. <br />CITY OF SOUTH BEND c <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 F <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 I BEALE ST <br />Bidder: Selge Construction Co., Inc. Total Bid Amount: $ 224,899.45 _ WBE Goal: 4.7% <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 WBE <br />Percentage <br />of Total <br />(Namelrelephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Slusser's Green Thumb, Inc. <br />Carolyn Slusser <br />Sodding and Trees <br />$ 7,705.00 <br />3.43% <br />125 Montgomery Street <br />574-722-3102 <br />P.O. Box 33 <br />Logansport, IN 46947 <br />State Barricading, Inc. <br />Mary Michalski <br />Maintenance of Traffic <br />$ 10,246.00 <br />4.56% <br />24963 US 20 West <br />574-287-2078 <br />South Bend, IN 46628 <br />Submitted by: Justin Butler, Vice President May 9, 2023 <br />Print Name 'Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works -11 <br />