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'ti0Uf11 Uj., <br />CITY OF SOUTH BEND <br />MINORITY AND WOMEN BUSINESS ENTERPRISE INCLUSION PROGRAM PLAN <br />FORM WBE-1.0 x=' <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 <br />Bidder: <br />118-005B <br />Project Name: Riverside Drive Bank Stabilization <br />L,, A.,Q_X4 ,.�l,, �„� Total Bid Amount: `l 7 � ;`'� WBE Goal: 0.8% <br />Page of <br />Name & Address of WBE <br />Primary Contact Person <br />(Namelrelephone) <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 />��c1 �C U r ✓. L S <br />�� w F:1 j <br />G <br />I /`4 T � L J(�� �, 4 �Y �J* <br />Vim✓ lr� <br />�4• � (� `• .�� <br />p q0 07 <br />Submitted by: 1 '�a.' rte- <br />Print Name <br />Version 09/29/2021 Contractor's Bid for Public Works - 10 <br />Date <br />