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CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN` <br />.: . <br />5. <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 woman -owned business meets the WBE qualifications. <br />Project Number: 121-036 Project Name: <br />Bidder: Ritschard Bros., Inc. <br />2021 Demolitions <br />Total Bid Amount: $439,316.00 <br />WBE Goal: 4.7% <br />Page 1 of 1 <br />Name & Address of WBE <br />Primary Contact Person <br />(N amefTelephone) <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 />Demolition <br />$361,316.00 <br />82% <br />z2 <br />)y)Submitted by: Donald Ritschard, Jr. 11/23/2021 <br />Print Name Ignature Date <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />