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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 <br />Bidder: Ritschard Bros., Inc. <br />905-907-909 Michigan Demolition <br />Total Bid Amount: $194,150.00 <br />WBE Goal: 4.7% <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 />Ritschard Bros., Inc. <br />1204 W. Sample Street <br />South Bend, IN 46619 <br />Rachelle Dolniak <br />574-288-4777 <br />Building Demolition <br />and Backfill <br />$125 , 000.00 <br />64% <br />Submitted by: <br />Rachelle L. Dolniak <br />Print Name <br />April 13, 202 <br />Signature Date <br />Version 01/13/2021 Contractor's Bid for Public Works - 9 <br />