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CITY OF SOUTH BEND <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: 120-063 Project Name: 905-907-909 Michi an Demolition <br />Bidder: P�s�md� ° +�vnr�, Total Bid Amount: / k 4 eqyo- O o <br />Name & Address of WBE <br />ern �dy <br />u �-s-, F- os <br />Submitted by: <br />Name <br />Primary Contact Person Scope of Work to be Performed <br />(Name/Telephone) (Attach scope/schedule if you need additional space <br />Version 01/13/2021 Contractors Bid for Public Works - 9 <br />WBE Goal: <br />4.7% <br />Page t <br />of <br />Dollar Amount of WBE <br />Percentage <br />Component <br />of Total <br />Bid/Proposal <br />V 1�- <br />Date <br />