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5TH �p <br />CITY OF SOUTH BEND F . <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0�r <br />ial k5 <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: <br />Bidder: <br />122-064R <br />Project Name: Central Services Parking Lot Repairs <br />Milestone Contractors North, Inc. Total Bid Amount: $214,042.00 <br />WBE Goal: 3.1% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed Dollar Amount of WBE <br />(Attach scope/schedule if you need additional space) Component <br />Percentage <br />of Total <br />Bid/Proposal <br />V & R Trucking,Inc. <br />1845 North Eler Street <br />South Bend, IN 46628 <br />Veda Godette <br />574-234-1268 <br />Hauiing <br />$6,700.00 <br />3.13% <br />zz <br />Submitted by: Dustin P. Hilary, Director of Estimatir <br />Print Name <br />7/11 /2023 <br />Date <br />Version 03/15/2023 Page - 27 Public Works Quote <br />