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ti <br />CITY OF SOUTH BEND <br />lass <br />f4� <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM MWBE-1.0 <br />MWBE 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 minority or woman business meets the WBE qualifications. <br />Project Number: <br />Bidder: <br />120-059 <br />Ruben Alvarado <br />Project Name: 2020 Community Crossings Round 2 <br />Total Bid Amount: $282, 343.20 WBE Goal: 5.9% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />(Name/Telephone) <br />Scope of Work to be Performed <br />(Attach scope/schedule if you need additional space) <br />Dollar Amount of WBE <br />Component <br />Percentage <br />of Total <br />Bid/Proposal <br />V&R Trucking, Inc. <br />Veda L. Godette <br />Trucking / Hauling <br />$13,334.00 <br />4.72% <br />State Barricading, Inc. <br />Mary Michalski <br />Maintenance of Traffic / Signs <br />$3,378.00 <br />1.19% <br />Submitted by: <br />Ruben Alvarado <br />Print Name <br />Ira <br />Signature <br />Version 01/13/2021 Contractor's Bid for Public Works - 11 <br />April 13, 2021 <br />Date <br />