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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN w <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN 4 <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 />***Goals should be calculated based on the Base Bid only. <br />Project Number: 122-016C _ Project Name: Bercliff Estates Sewer Separation Project <br />Bidder: Milestone Contractors North, Inc. Total Bid Amount: $662,940.00 <br />Name & Address of WBE Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />V & R Trucking, Inc. Veda Godette I Hauling <br />1845 North Elmer Street (574) 234-1268 <br />South Bend, IN 46628 <br />C.E. Hughes Milling, Inc. d/b/a <br />The Airmarking Company <br />3113 Holmans Lane <br />Jeffersonville, IN 47130 <br />Caroline Hughes I Striping <br />(812) 725-8665 <br />Submitted by: Dustin P. Hilary, Director of Estimating <br />Print Name <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works -10 <br />WBE Goal: 4.7% <br />Page 1 of-_ <br />Dollar Amount of WBE Percentage <br />Com onent of Total <br />Pc:aio....,. --I <br />$27,160.00 1 4.1 % <br />$4,000.00 1 .60% <br />12/12/2023 <br />Date <br />