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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE UTILIZATION PLAN F ` <br />***Goals should be calculated based on the Base Bid only.*** <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: <br />Bidder: <br />123-069B <br />Project Name: <br />HRP Construction Inc <br />2024 Lead Service Line Replacements — Southeast Zone Main and Service <br />Replacement <br />Total Bid Amount: $ 4,609,003.00 WBE Goal: 5% <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 />Modern Edge <br />Joe Drawl <br />Landscaping <br />$ 14,992.00 <br />.003 <br />653 Steele Drive <br />866-504-3343 <br />Valparaiso, IN 46385 <br />State Barricading Inc. <br />James Michalski <br />Traffic Control <br />$ 18,825.00 <br />.004 <br />24963 US Highway 20 <br />574-287-2078 <br />South Bend, IN 46628 <br />Submitted by: Matthew D. Cain, President <br />Print Name <br />l , J' <br />Sigriiiture Date <br />***Goals should be calculated based on the Base Bid only.*** <br />Version 07/19/2023 Contractor's Bid for Public Works -14 <br />