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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 .` <br />YWOC IIM 17A"^&I ni r <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: 123-011 Project Name. - <br />Bidder: HRP Construction Inc. <br />YSS/South Bend Thrive Subdivision Infrastructure Improvements <br />Total Bid Amount: .SP73, Sy% Oo WBE Goal: 4.65 <br />2 „: 2 <br />Name & Address of WBE <br />V & R Trucking, Inc. <br />1845 N. Elmer Street <br />South Bend, IN 46628 <br />Primary Contact Person <br />(Namefrelephone) <br />Vetta Godetta <br />574-234-1268 <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Hourly Trucking <br />Dollar Amount of WBE <br />Component <br />$20,000.00 <br />Percentage <br />t l <br />of Total <br />Bid/Proposal <br />44 <br />Submitted by: Matthew D. Cain, President 0September 12, 2023 <br />Print Name Signature Date <br />Version 09/29/2021 Contractor's Bid for Public Works -12 <br />