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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE4.0 <br />WISE 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 />South Well Field Water Treatment Plant and Distribution System Improvements <br />Project Number: 117-0698 Project Name: Contract IS — Watermain <br />Bidder: HRP Construction Inc. Total Bid Amount: $ 2,271,000.00 0 <br />WBE Goal: 4.0 to <br />Page 1 nf 1 <br />Name 8 Address of WBE <br />Prima Contact Person <br />N me/Tele hone <br />( p ) <br />Scope of Work to be Performed <br />p <br />(Attach scopelsrhedulerf 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 />James Michalski <br />Traffic Control <br />$ 20,756.00 <br />0.91 % <br />South Bend, IN 46628 <br />574-287-2078 <br />Slusser's Green Thumb <br />125 Montogomery <br />John Williamson <br />Sodding/Trees <br />$ 23,905.00 <br />o <br />1.05 /o <br />Logansport, IN 46947 <br />800-762-7442 <br />Airmarking Company <br />1544 N. State Road 25 <br />Nick Relias <br />574-223-5817 <br />Pavement Markings <br />g <br />$ 3,000.00 <br />° <br />0.13 /o <br />Rochester, IN 46975 <br />Jack Gray Transport, Inc <br />4600 East 15th Ave. <br />Matt Coduti <br />Aggregates <br />$ 43,180.00 <br />1.90% <br />Gary, IN 46403 <br />219-938-7020 <br />Submitted by: Matthew D. Cain, President (12ffJ44 <br />Print Name Signature <br />Version OWM2021 Contractor's Bid for Public Works -11 <br />August 22, 2023 <br />Date <br />