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CITY OF SOUTH BEND W a; <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN ' <br />FORM WBE-1.0 • 'l <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 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 />121-010 <br />Project Name: Solid Waste Parking Lot Drainage Improvements <br />Milestone Contractors North, Inc. Total Bid Amount: $191,400.00 WBE Goal: 4.4% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/Proposal <br />Plina, Inc. <br />87 E. 250 S. <br />Charles Kilgore <br />Hauling <br />$7,300.00 <br />3.8% <br />Valparaiso, IN 46383 <br />219-746-9217 <br />State Barricading, Inc. <br />James Michalski <br />Traffic Control Devices <br />24963 US 20 W <br />574-287-2078 <br />$1,200.00 <br />0.63% <br />South Bend, IN 46228 <br />Submitted by: Dustin P. Hilary, Director of Estimatin_ <br />Print Name <br />12/14/2021 <br />Date <br />Version 09/29/2021 Page - 27 Public Works Quote <br />