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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 <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 />121-037 <br />Acorn Landscaping LLC <br />Project Name: 100 S Michigan Tree Grates <br />Total Bid Amount: 101,244.36 WBE Goal: 3.7% <br />Page 1 of 1 <br />Jeff Ritschard <br />Submitted by: <br />Print Name <br />W <br />Signature <br />October 25, 2021 <br />Date <br />Version 09/29/2021 Page - 28 Public Works Quote <br />Primary Contact Person <br />Scope of Work to be Performed <br />Dollar Amount of WBE <br />Percentage <br />of Total <br />Name 8 Address of WBE <br />(Name/Telephone) <br />(Attach scope/schedule if you need additional space) <br />Component <br />Bid/ProposalT <br />Premium Concrete Services, Inc. <br />Concrete Sidewalk <br />712 Richmond St. #A <br />Rob Becker <br />$ 14,250.00 <br />14.07% <br />Elkhart, IN 46516 <br />574-612-3709 <br />Becky Yeakey, Owner <br />Jeff Ritschard <br />Submitted by: <br />Print Name <br />W <br />Signature <br />October 25, 2021 <br />Date <br />Version 09/29/2021 Page - 28 Public Works Quote <br />