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CITY OF SOUTH BEND <br />MiINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />_ WBE UTILIZATION PLAN <br />Th"s completed forma should be supp-Iled with Reds that pertain to '°i=r of South 36ild, PEEHC Works Projects involving WBE participation. It is <br />the bidder's sole responsibility to verify whether any listed minority or woman business meets the WBE qualifications. <br />Project Number: 124-041 Project Name: 2024 Brick Pavement Spot Re airs <br />Bidder: Sel a Construction Co., Inc. Total Bid Amount: $ 226.523.00 WBE Goal: N/A <br />Page 1 of 1 <br />T��(NamelTetlec� <br />t Person Scope of Work to be Performed Dollar Amount of WBE P of Tota9e <br />Name &Address of WBE hone) (Attach scope/schedule if you need additional space) Component <br />Bid/Proposal <br />State Barricading, Inc. <br />24963 US 20 West <br />South Bend, IN 46628 <br />Submitted by: <br />Esther Michalski Maintenance of Traffic <br />574-287-2078 <br />Robert Kuhns, Project Engineer <br />Print Name Signature <br />Version 06/01/2022 <br />Page - 22 <br />$1,500.00 1 0.66% <br />5.28.24 <br />Date <br />Public Works Quote <br />