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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 minority or woman business meets the WBE qualifications. <br />Project Number: 123-049 Project Name: SBFD Parking Lot Rehab <br />Bidder: Milestone Contractors North. Inc. Total Bid Amount: 3174.803.30 <br />Name & Address of WBE <br />State Barricading, Inc. <br />24963 US Hwy 20 <br />South Bend, IN 46628 <br />C.E. Hughes Milling, Inc. <br />3113 Holmes Lane <br />Jeffersonville, IN 47130 <br />Primary Contact Person Scope of Work to be Performed <br />(NamelTelephone) (Attach scope/schedule if you need additional space) <br />—F <br />James Michalski Traffic Control Devices <br />574-287-2078 <br />Caroline Hughes Milling <br />812-725-8665 <br />Submitted by: Dustin P. Hilary Director of Estimating <br />Print Name <br />re <br />WBE Goal: 6.1 % <br />Page 1 of 1 <br />Dollar Amount of WBE Percentage <br />Component of Total <br />Bid/Proposal . <br />$6,389.50 3.66% <br />$4,275.50 1 2.44% <br />5/9/2023 <br />Date <br />Version 03/15/2023 Page - 26 Public Works Quote <br />