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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 <br />WBE CONTACTED <br />ALTERNATE #2 WBE GOAL: 4.1 % <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 <br />WBE Component <br />Percentage of Total <br />Alternate #2 Bid <br />r f� <br />r� <br />� <br />L <br />i ! <br />G <br />ALTERNATE #2 WBE TOTALS <br />% 6 <br />q,3 ci <br />/c <br />Submitted by: ae-elp-L,iittier <br />Y <br />Print Name Signature <br />Version 10/28/21 Contractor's Bid for Public Works - 14 <br />Date <br />