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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN r _% <br />FORM WBE-1.0 <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 />***Goals should be calculated based on the Base Bid only.*** <br />Project Number: 124.058 Project Name: Locust Water Booster Pump Station Improvements <br />Total Bid <br />Bidder: Peerless Midwest, Inc. Amount: $141,787 WBE Goal: $6,072 <br />Page of 1_ <br />Percentage <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposa <br />I <br />Area Wide Electric, Inc. <br />Karen Stephenson <br />electrical work including wire conduit and <br />a `• <br />1501 West county Line Road <br />317-862-3780 <br />installation of a variable frequency drive <br />No response <br />Indianapolis, IN 46142 <br />Bellsom Electric, Inc. <br />Dody Russell <br />electrical work including wire conduit and <br />No response <br />6809 Columbia Ave., Suite G <br />219-554-1100 <br />installation of a variable frequency drive <br />O �' <br />Hammond, IN 46324 <br />McMann Electric, Inc. <br />Teri McMann <br />electrical work including wire conduit and <br />No <br />501 N Bristol Street <br />574674-5748 <br />installation of a variable frequency drive <br />response <br />Elkhart, IN 46514 <br />Submitted by: <br />Frank Williams <br />Print Name <br />Signature Date <br />***Goals should be calculated based on the Base Bid only.""* <br />Version 3/15l2024 Page - 23 Public Works Quote <br />